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The Staff Pad is proud to partner with a reputablehealth center in West Covina, CA committed to providing access to high-qualityhealthcare while empowering patients, employees, and community partners toimprove their well-being and strengthen the health of the communities theyserve. If youare an experienced OBGYN Nurse Practitioner or Physician Assistant looking tomake a meaningful impact in a collaborative community health setting, we inviteyou to apply and bring your expertise to a team dedicated to deliveringaccessible, patient-centered care.

The Staff Pad

OBGYN APP (NP/PA) - Full-Time | 1.0 FTE

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Conducts closing meetings with audited providers to give them a preliminary overview of completed compliance audits Assists providers in achieving and maintaining compliance with SCAN, Federal, State and NCQA requirements and guidelines including the development and implementation of corrective action plans (CAP), monitoring CAP activities and providing education and tools Responds to audited providers as disagreements with audit findings arise Analyzes submitted reports from providers, including the request for corrections from providers as needed Communicates regulation interpretations and explains their application, provides supplemental information if needed Conducts detailed review, analysis, and interpretation of legislative, statutory, regulatory, and contract language. Functions as the service delivery compliance subject matter expert by representing the Delegation Oversight Unit (DOU) in interdepartmental meetings and partnering with Compliance to develop and implement SCAN policy regarding NCQA, DHCS, CMS and/or other regulatory revisions Utilizes department desktop procedures, workflows, job aids and training material Escalates longstanding issues of non-compliance in accordance with P&P's Identifies barriers and brings to the attention of the supervisor/manager.

HOUR

SCAN Healthplan

Registered Nurse (Rn) Network Compliance Auditor, FSR (Los Angeles, CA)

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YEAR

CalOptima

X - As-Needed/TEMP - Medical Case Manager

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Identify patients with high-risk prenatal patients and coordinate referrals to appropriate outside providers or specialty services in accordance with the hospital’s clinical protocols, with earlier transition to the OB Delivery Physician when clinically appropriate as the patient approaches 36 weeks of gestation. If you are an experienced OB/GYN Physician looking to make a meaningful impact in a community-focused healthcare setting, this opportunity offers the chance to provide comprehensive women’s health services while working alongside a collaborative clinical team.

Clinical Reviewer Jobs in California

OBGYN APP (NP/PA) - Full-Time | 1.0 FTE The Staff Pad

Registered Nurse (Rn) Network Compliance Auditor, FSR (Los Angeles, CA) SCAN Healthplan

X - As-Needed/TEMP - Medical Case Manager CalOptima

OB/GYN Physician – Women’s Health | Full-Time The Staff Pad

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