Job offers: by Health Net of California

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Maxim Healthcare Services

Registered Nurse - RN - Utilization Managment

Maxim Healthcare Services :: Tacoma, Washington :: 3 days ago

... Registered Nurse (RN) assumes responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) ... the patient s condition. Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses. Documents the ...

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Best Version Media

Sales Executive

Best Version Media :: Peculiar, Missouri :: over 30 days ago

Job Description: Join one of the Fastest Growing, Private, Media Companies in the United States Best Version Media (BVM) is looking nationwide for entrepreneurs and professionals who desire an exciting opportunity to be in business for themselves, but not by themselves. About Us: Best Version Media (BVM) brings neighbors together by providing a ...

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Best Version Media

B2B Outside Sales

Best Version Media :: Moorpark, California :: over 30 days ago

Job Description: Join one of the Fastest Growing, Private, Media Companies in the United States Best Version Media (BVM) is looking nationwide for entrepreneurs and professionals who desire an exciting opportunity to be in business for themselves, but not by themselves. About Us: Best Version Media (BVM) brings neighbors together by providing a ...

Sr Research Analyst 9422

Health Net of California :: Rancho Cordova, California :: today

... to data and/or reporting capability deficiencies. Validates and verifies accuracy of reports and other outputs. * Develops standards and processes for analyzing data to ... * Monitors changes in industry standards for clinical analysis and integrates into Health Net processes. Education * Bachelor's degree in Health Economics, Mathematics, ...

Business Systems Analyst, Sr - EDI experience required (Woodland Hills, CA)

Health Net of California :: Woodland Hills, California :: today

... as a senior-level business systems analyst for a variety of cross-functional business analysis activities. This ... proven leadership abilities * IT experience preferred * Health Care or other applicable industry experience preferred * ... center administration * Thorough knowledge about Health Net's product portfolio * Ability to conceptualize, and ...

Business Systems Analyst, Sr - EDI experience required (Rancho Cordova, CA)

Health Net of California :: Rancho Cordova, California :: today

... as a senior-level business systems analyst for a variety of cross-functional business analysis activities. This ... proven leadership abilities * IT experience preferred * Health Care or other applicable industry experience preferred * ... center administration * Thorough knowledge about Health Net's product portfolio * Ability to conceptualize, and ...

Manager Business Process Improvement - Provider Engagement and Performance Mgmt (Glendale, CA)

Health Net of California :: Glendale, California :: yesterday

... strategic process quality consulting services to all departments and levels of the enterprise. This position will manage the portfolio of quality projects to ... duties and skills required of personnel so classified. Location: Glendale, CA Health Net and its subsidiaries are an Equal Opportunity/Affirmative Action Employer - ...

Sr Compliance Analyst

Health Net of California :: Rancho Cordova, California :: 2 days ago

... and works closely with Compliance Liaisons, Business Compliance Consultants, Health Net managers, change implementation teams and others as needed to assure operational and ... Essential Duties & Responsibilities * Serve as expert resource for a broad array of legislative and regulatory requirements that affect multiple departments and ...

Membership Accounting Lead (Woodland Hills)

Health Net of California :: Woodland Hills, California :: 6 days ago

... coordinates workflow and assists with supervision of unit staff to ensure allocation of payments, ... Education * Associate's Degree in Business or Health Care or related experience is preferred ... required of personnel so classified. Location: Health Net and its subsidiaries are an Equal ...

Case Manager RN Woodland Hills, CA #29362

Health Net of California :: Woodland Hills, California :: 6 days ago

... The Case Manager/Care Coordinator II is responsible for the coordination of services and cost effective management of health care resources to meet individual members' health care needs and ... of all PHI in compliance with state and federal law and Health Net Policy. Education * One of the following required: Graduate of an ...

CM/DM Assistant II Tigard, OR #31685

Health Net of California :: Tigard, Oregon :: 8 days ago

... the nurses in the CM/DM department. This position is also responsible for assisting Health Net's medical management team with identifying members appropriate for case ... medical director for review. * Assists in the triage process and prioritization of cases to meet required turnaround times. * Expedites access to appropriate care for ...

RN Appeals & Grievance Clin Spc II, Provider Appeals Woodland Hills or Rancho Cordova, CA #32361

Health Net of California :: Woodland Hills, California :: 9 days ago

... II CA Only, is responsible for performing advanced and complicated case review of the appropriateness of medical care and service provided to members requiring considerable clinical judgment, independent analysis and detailed knowledge of managed health care, departmental procedures and clinical guidelines. Activities include case ...

Clinical Consultant (RN) Public Health Programs (Glendale, CA)

Health Net of California :: Glendale, California :: 9 days ago

... support to Public Programs coordinators and team focused on the identification of best practices, business standardization and enhancing the effectiveness and ... desktop procedures. * Develops and maintains the NCQA work plan for appropriate Health Net business units. * Participates in audits and Corrective Action Plans (CAPS). * ...

Claims Adjuster II

Health Net of California :: Woodland Hills, California :: 14 days ago

... as they occur to comply with company service standards and to ensure achievement of company goals. * Determines level of reimbursement based on established criteria: ... duties and skills required of personnel so classified. Location: Woodland Hills, CA Health Net and its subsidiaries are an Equal Opportunity/Affirmative Action Employer - ...

Clinical Program Manager Huntington Beach, CA #32532

Health Net of California :: Huntington Beach, California :: 14 days ago

... Manager is responsible for identifying, managing and tracking clinical, quality, correct coding, documentation and data submission projects that advance the objectives of Health Nets strategic goals. The Clinical Program Manager facilitates the development of internal and external reports and the delivery of data as needed to support and monitor ...

Quality Compliance RN w/field based Woodland Hills, CA #31042

Health Net of California :: Woodland Hills, California :: 15 days ago

... reviews and medical record reviews using Health Care Facility Site and Medical Record ... includes recommendation for corrections of deficiencies found at the time of the ... managed care concepts, Health Net's philosophy, policies to PPGs, ... Required * Active, unristricted California RN license required * DHCS Facility Site ...

RN Trainer Case Management (RN License Required) Woodland Hills, CA #9442

Health Net of California :: Woodland Hills, California :: 15 days ago

... Required * Active, valid, maintained & unrestricted state of CA Registered Nurse license REQUIRED. Government Clearance & US Citizenship ... responsibilities, duties and skills required of personnel so classified. Location: Health Net, Inc. supports a drug-free work environment and requires pre-employment background ...

Case Manager RN SNP Woodland Hills, CA #27124

Health Net of California :: Woodland Hills, California :: 16 days ago

... The Case Manager/Care Coordinator II is responsible for the coordination of services and cost effective management of health care resources to meet individual members' health care needs and ... of all PHI in compliance with state and federal law and Health Net Policy. Education * One of the following required: Graduate of an ...

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