Managed Care Jobs in Orange
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Search Results - Managed Care Jobs in Orange
Astiva Health, Inc-Orange
to meet business needs.
• Able to manage multiple priorities in a fast-paced environment.
Preferred but not required
• Minimum of one (1) year of experience in Medical Group/IPA, Managed Care, and HMO.
• Minimum of one (1) year of experience in provider...
BuzzClan-Orange
Utilization Management reviewer experience required.
• Equivalent combination of education and experience may be considered.
Preferred Qualifications:
• Managed care experience.
• Behavioral health clinical experience.
Required Skills & Abilities:
• Strong...
BuzzClan-Orange
Equivalent combination of education and experience may be considered.
Preferred Qualifications
• Managed care experience.
• Behavioral health clinical experience.
Required Licensure / Certifications
• Active and unrestricted California license (LCSW, LPCC...
Orange
knowledge of Government and Commercial Insurance Plans
• Experience with registration and/or billings computer software programs
• Experience in a hospital or medical office setting
• Demonstrated knowledge and understanding of Managed Care plans...
uci.edu -
BuzzClan-Orange
reviewer experience required.
• Equivalent combination of education and experience may be considered.
Preferred Qualifications:
• Managed care experience.
• Behavioral health clinical experience.
Required Skills & Abilities:
• Strong clinical judgment...
Orange
Demonstrated knowledge and understanding of Managed Care plans
• Demonstrated experience with referral authorization process
• Demonstrated experience with MS Office (Word, Excel, Outlook)
• Demonstrated ability to utilize payer and government websites...
uci.edu -
BuzzClan-Orange
experience required.
• Equivalent combination of education and experience may be considered.
Preferred Qualifications
• Managed care experience.
• Behavioral health clinical experience.
Required Licensure / Certifications
• Active and unrestricted...
CalOptima-Orange
You Have What the Role Requires?
• High school diploma or equivalent PLUS 3 years of nursing experience working with the frail or elderly population within the last 3 years in a health care or managed care setting required; an equivalent combination...
Orange
and understanding of Managed Care plans
• Demonstrated experience with referral authorization process
• Demonstrated ability to utilize payer and government websites to access and interpret health plan benefit packages and make determinations
• Ability...
uci.edu -
CalOptima-Orange
You'll Stand Out More If You Possess the Following:
• Utilization management reviewer experience.
• Managed care experience.
• Behavioral health clinical experience.
What the Regulatory Agencies Need You to Possess?
• Current California unrestricted...
Orange
and systems.
• Bachelor's Degree in related area and/or equivalent education/experience
• Advanced knowledge of relevant healthcare regulations issued by Federal and State entities.
• Advanced knowledge of managed care, provider enrollment / credentialing...
uci.edu -
Orange
Demonstrated knowledge and understanding of Managed Care plans
• Demonstrated experience with referral authorization process
• Demonstrated experience with MS Office (Word, Excel, Outlook)
• Demonstrated ability to utilize payer and government websites...
uci.edu -
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