Heritage Provider Network

6 days ago

Certified Medical Assistant - Urgent Care

New North America

Responsible for functioning as a Patient Services Associate (PSA), Certified Medical Assistant (CMA), and Referral Coordinator; PSA responsible for assisting with general clerical duties such a registration, insurance…

Hipaa

6 days ago

RN, Care Manager

New North America

Job Summary: The RN Care Manager provides clinical leadership and decision-making for care management in accordance with NCQA standards, CMS guidelines, health plan contracts, and company policy. The RN is responsible…

CAD Risk Assessment

6 days ago

Director, Case Management

New North AmericaC-level

Analytics Corrective Action Data Analytics Performance Management Process Improvement

Position Summary : Under the direction of the Senior Vice President of Clinical Services, the Director of Case Management provides strategic leadership and oversight for all aspects of Case Management, Complex Case…

last week

Medical Assistant/ Ward Clerk

New North America

Under the direction of the Clinic Supervisor, this position is responsible for patient care in the clinic or ambulatory care setting, along with scheduling of appointments (if appropriate),managing tasks for providers,…

Waste Management

last week

Medical Assistant/Ward Clerk (CCPN)

Location: Bakersfield, CA Under the direction of the Clinic Supervisor, this position is responsible for patient care in the clinic or ambulatory care setting, along with scheduling of appointments (if appropriate),…

Waste Management

North AmericaFull-timeSenior

Sr. Director, Prior Authorization Clinical

The Sr. Director, Prior Authorization Clinical oversees prior authorization nurse case managers, support staff, claims review nurses, and UM compliance staff to ensure quality, cost-effective, patient-centered care in…

Corrective Action

North AmericaFull-timeC-level

VP, Finance & Controller

Accounts Payable Financial Reporting General Ledger Microsoft Access

The VP, Finance & Controller is responsible for the activities of the Financial Statement function, which encompasses General Ledger function, Cash Flow, Accounts Payable and Sub-Capitation preparation and analysis.…

North AmericaContractSenior

Sr. Director, Analytical Operations

Assembly Automation Data Warehousing SQL Visio

The Sr. Director of Analytical Operations provides strategic leadership, direction, and operational support to the Finance Department and other departments across the organization. This role oversees the HCC and…

North AmericaFull-timeSenior

Sr. Director, Decision Support

Automation Business Intelligence Hipaa Process Improvement

The Sr. Director, Decision Support position will lead in the development of Decision Support reporting solutions at Regal Medical Group in order to support the Executive Management Team’s business objectives. Essential…

Charge RN

Corrective Action OSHA Process Improvement Regulatory Compliance

At Community Surgery Center of Glendale we're committed to delivering affordable, high-quality outpatient surgical care in a safe, comfortable, and welcoming environment. Since opening our doors in 2013, we've built a…

RemoteNorth AmericaJunior

Nextgen Applications Engineer I

Automation Business Intelligence Data Warehousing SQL

NON REMOTE POSITION Under the direction of the Director of Clinical Applications, this position is responsible for evaluation, troubleshooting, optimization, customization and testing of Nextgen application and…

Medical Assistant Ward Clerk Float

Under the direction of the Clinic Supervisor, this position is responsible for patient care in the clinic or ambulatory care setting, along with scheduling of appointments (if appropriate), managing tasks for…

Waste Management

Staff Accountant

North AmericaStaff

The Staff Accountant will be responsible for completing routine reports, special reports, and any requested financial reports in an accurate and timely manner. Staff Accountant will also be required to assist in…

General Ledger

Reporting and Analytics Manager

Analytics Data Warehousing ETL Requirements Gathering SQL +1 skills

The Reporting and Analytics Manager leads the analytics function supporting the HPN UM & CM delegation oversight operation and is accountable for the health plan reporting process, including group-level validation,…

LVN, High Risk Care Manager

North AmericaFull-time

The High Risk (Outpatient) Care Manager (HRCM) is responsible for assessment, treatment planning, intervention, monitoring, evaluation, and documentation on identified High Risk members. The HRCM will assess and…

Hipaa

LVN, Care Manager

Job Summary: The LVN Care Manager optimizes patient care delivery and health outcomes by participating in the care management process in accordance with NCQA standards, CMS guidelines, health plan contracts, and…

Risk Assessment

LVN, Care Manager

Job Summary: The LVN Care Manager optimizes patient care delivery and health outcomes by participating in the care management process in accordance with NCQA standards, CMS guidelines, health plan contracts, and…

Risk Assessment

LVN or RN- Acute Tertiary Case Management

North AmericaC-level

* Four 10-hour Rotational Shifts * Under the direction of the Senior VP of Medical Management, the Acute Case Manager is responsible for the clinical review, coordination and management of members admitted to acute…

Emergency Response

2 months ago

Clinical Charge Nurse RN