UNKNOWN

FEED

The On-Call Inpatient Care Manager Licensed Vocational Nurse (LVN) is a California-licensed vocational nurse responsible for providing after-hours medical management support under the direction of a Registered Nurse, Medical Director, or other authorized clinicalleadership. The role supports utilization management (UM), care coordination, discharge processing, and urgent authorization facilitation when the Medical Management office is closed, ensuring continuity of care and compliance with applicable regulatory, accreditation, and health plan requirements.

HOUR

LSMA Management

On-Call Inpatient Care Manager LVN

IRecruitee

As the Site Manager, you'll have the exciting opportunity to shape the patient experience, lead a dedicated team, and contribute to the growth and success of our healthcare organization. The Clinic Site Manager reports directly to the Director and plays a pivotal role in coordinating all patient services throughout the medical facility.

YEAR

Akido

Clinic Site Manager

ea_via_bold

Clinic Site Manager - RN

FULL_TIME

Directs the Biomedical Department during regulatory inspections like The Joint Commission (TJC), DNV-GL, Hospital Facilities Accreditation Program (HFAP), and Center for Medicare & Medicaid Services (CMS), College of American Pathologists (CAP) and any other applicable State regulatory agencies. Overview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.

PHS Bio-Medical Services

Area Manager

[AW]-iCims

Envista will consider unsolicited referrals and/or resumes submitted by vendors such as search firms, staffing agencies, professional recruiters, fee-based referral services and recruiting agencies (Agency) to have been referred by the Agency free of charge and Envista will not pay a fee for any placement resulting from the receipt such unsolicited resumes. An Agency must obtain advance written approval from Envista's internal Talent Acquisition or Human Resources team to submit resumes, and then only in conjunction with a valid fully-executed contract approved by the Global Talent Acquisition leader and in response to a specific job opening.

Envista Holdings Corp

Envista Sr. Manager, Salesforce Architect (Brea, CA)

This position owns the daily, weekly, and monthly encounter data reconciliation lifecycles, manages staff performing sweeps and error resolution, tracks federal response files (999, 227CA, MAO-002), resolves clearinghouse rejections, and partners with internal teams to ensure valid HCCs successfully pass through all technical checkpoints. Key Responsibilities: Encounter Data Pipeline Oversight & Integrity: End-to-End Submission Management: Manage daily technical and operational data streams for all risk adjustment submissions, ensuring seamless transaction flows from internal claims systems through 837P/837I EDI layouts into RAPS and EDPS (or state Medicaid systems).

Inland Empire Health Plan

Manager, Risk Adjustment Encounter Data Reconciliation

Own local and practice-level AI visibility: ensure PDS-affiliated practices surface and are cited correctly when patients query AI systems for local/condition-specific care (e.g., "best dentist near me," "dentist that treats X"); partner with Field Marketing and the MOD/Yext data pipeline to ensure listing and entity data quality supports this. Overview: The SEO Marketing Manager is responsible for the development, implementation, and management of PDS Health's search visibility strategy — spanning traditional SEO, answer engine optimization (AEO), and generative engine optimization (GEO) — across multiple national and localized PDS websites.

PDS Health

Mgr, Digital Marketing Organic Search

Required: Ability to work effectively under pressure due to changing priorities, interruptions, high/low census, payor demands and discharge planning demands; Excellent interpersonal communication, including conflict resolution, problem solving and negotiation skills; Clinical knowledge of multiple age groups, medical illness and treatment plans according to disease process, diagnosis and anticipated LOS; Strong organizational and time management skills, as evidenced by capacity to multi-task and prioritize; Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and their families; Demonstrates the knowledge and skills necessary to communicate with third party payers to obtain authorization for the appropriate treatment setting for patients requiring medical, psych and chemical dependency treatment; Must be proficient in required competencies upon completion of orientation and maintain annual departmental competency requirements; Ability to work collaboratively regardless of social, economic and cultural backgrounds; Computer knowledge to include skills in using Microsoft Office (Excel, Word, Power Point, Access). Physical Activity Requirements: Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation.

Rady Children's Health

RN Care Manager - Gastroenterology

As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. This partnership joins CMG's medical services with Akido's innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families.

Chaparral Medical Group

GreenHouseAPI

Directs the Biomedical Department during regulatory inspections like The Joint Commission (TJC), DNV-GL, Hospital Facilities Accreditation Program (HFAP), and Center for Medicare & Medicaid Services (CMS), College of American Pathologists (CAP) and any other applicable State regulatory agencies. Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more.

Prime Healthcare Services Inc

OTHER

As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives. This partnership joins CMG’s medical services with Akido’s innovative technology to relieve the frustrations felt by everyone involved in care delivery, from medical providers and their staff, to the patients and their families.

greenhouse_via_bold

Senses of vision, hearing and smell sufficient to regularly operate a motor vehicle, to visualize threats in the environment or risks to clients, and to operate safely in the field. Working knowledge of CalAIM payment reform, CPT and HCPCS coding for SMHS, CMS-1500 and 837P claims, and County Mental Health Plan billing.

South Coast Children's Society Inc

Revenue Cycle Manager

South Coast Community Services

Ability to: Develop and implement compliance and auditing programs; apply legal and administrative compliance policies to hospital or health systems; analyze data, draw logical conclusions, conduct independent audits, reviews, and make evaluations to ensure compliance issues and concerns are appropriately evaluated, investigated and resolved; recommend effective courses of action; communicate effectively in oral and written form; establish and maintain effective working relationships; conduct independent systems analyses of complex business processes. Knowledge of: Information security; theory, principles and practices of general healthcare; governmental accounting, budgeting and auditing; HIPAA privacy and security rules and regulations; privacy laws, rules and regulations relating to information and security; federal, state and local codes, rules and regulations including healthcare fiscal operations; the methods of developing systems forms for various types of accounting records and reports; information systems and their application to accounting operations; the principles, methods and techniques of public administration, personnel and business office management; the principles and techniques of supervision.

County of Riverside, California

RUHS Compliance Program Manager

Required: Ability to work effectively under pressure due to changing priorities, interruptions, high/low census, payor demands and discharge planning demands; Excellent interpersonal communication, including conflict resolution, problem solving and negotiation skills; Clinical knowledge of multiple age groups, medical illness and treatment plans according to disease process, diagnosis and anticipated LOS; Strong organizational and time management skills, as evidenced by capacity to multi-task and prioritize; Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and their families; Demonstrates the knowledge and skills necessary to communicate with third party payers to obtain authorization for the appropriate treatment setting for patients requiring medical, psych and chemical dependency treatment; Must be proficient in required competencies upon completion of orientation and maintain annual departmental competency requirements; Ability to work collaboratively regardless of social, economic and cultural backgrounds; Computer knowledge to include skills in using Microsoft Office (Excel, Word, Power Point, Access). Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation Physical Activity Lifting .

Children's Hospital of Orange County

Rivian may use your Candidate Personal Data for the purposes of (i) tracking interactions with our recruiting system; (ii) carrying out, analyzing and improving our application and recruitment process, including assessing you and your application and conducting employment, background and reference checks; (iii) establishing an employment relationship or entering into an employment contract with you; (iv) complying with our legal, regulatory and corporate governance obligations; (v) recordkeeping; (vi) ensuring network and information security and preventing fraud; and (vii) as otherwise required or permitted by applicable law. Rivian may share your Candidate Personal Data with (i) internal personnel who have a need to know such information in order to perform their duties, including individuals on our People Team, Finance, Legal, and the team(s) with the position(s) for which you are applying; (ii) Rivian affiliates; and (iii) Rivian's service providers, including providers of background checks, staffing services, and cloud services.

Rivian

Sr. Manager, Marketing Analytics

You will combine depth in one area (such as statistical programming and reporting, data integration, data visualization, data science and machine learning, or data and software engineering) with enough breadth across clinical data, analytics and AI to deliver on your own, with the support of the team. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.​.

AbbVie

Senior Manager, Trial Surveillance & Analytics (Hybrid)

SmartRecruiters_Organic_Non_Easy_Apply

You will combine depth in one area (such as statistical programming and reporting, data integration, data visualization, data science and machine learning, or data and software engineering) with enough breadth across clinical data, analytics and AI to deliver on your own, with the support of the team. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position.

AbbVie Inc

Senior Manager Trial Surveillance & Analytics Hybrid

Skills/Experience REQUIRED: Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals. Case Manager and Utilization Review RN for Cancer Specialty Hospital.

IMCS Group Inc

Registered Nurse/Case Manager

jobdiva

CONTRACTOR

Acute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals. Case Manager and Utilization Review RN for Cancer Specialty Hospital.

Faculty Jobs in Kansas

On-Call Inpatient Care Manager LVN LSMA Management

Clinic Site Manager Akido

Clinic Site Manager - RN Akido

Area Manager PHS Bio-Medical Services

Envista Sr. Manager, Salesforce Architect (Brea, CA) Envista Holdings Corp

Manager, Risk Adjustment Encounter Data Reconciliation Inland Empire Health Plan

Mgr, Digital Marketing Organic Search PDS Health

RN Care Manager - Gastroenterology Rady Children's Health

Clinic Site Manager Chaparral Medical Group

Area Manager Prime Healthcare Services Inc

Clinic Site Manager - RN Chaparral Medical Group

Revenue Cycle Manager South Coast Children's Society Inc

Revenue Cycle Manager South Coast Community Services

RUHS Compliance Program Manager County of Riverside, California

RN Care Manager - Gastroenterology Children's Hospital of Orange County

Sr. Manager, Marketing Analytics Rivian

Senior Manager, Trial Surveillance & Analytics (Hybrid) AbbVie

Senior Manager Trial Surveillance & Analytics Hybrid AbbVie Inc

Registered Nurse/Case Manager IMCS Group Inc

Registered Nurse - Case Manager Apidel Technologies

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