Joining us means being part of a dynamic environment that values customer care, operational excellence, and professional development, making it an ideal role for those seeking both challenge and growth.| Candidate Requirements |
| Education/Certification | Required: High School diploma, | Preferred: Associate s degree preferred |
| Licensure | Required: na | Preferred: |
| Years of experience required: Disqualifiers: Additional qualities to look for: Must haves: " 2-3 years of experience in a similar role, preferably within appeals and grievances, healthcare administration, or customer service in a regulated environment. | 1 | Attention to detail and accuracy, tech savvy, troubleshooting skills |
| 2 | Strong communication and collaboration |
| 3 | Analytical and problem-solving skills, researching skills |
| Candidate Review & Selection |
- Shortlisting process.
North Highlands, CA30+ days ago Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives. ECM will address clinical and non-clinical needs of the highest-need enrollees through intensive coordination of health and health-related services and will meet beneficiaries wherever they are - on the street, in a shelter, in their doctor's office, or at home. Principal Responsibilities: Serve as the primary point of contact for providers, the credentialing committee, clinic administrators, and IPA/health plans, ensuring up-to-date credentialing files for physicians, mid-level providers, technicians, and nurses. Position Purpose: The Credentialing Coordinator is responsible for supporting the administrative tasks related to various certification processes, including endorsements, renewals, and examinations. Pleasant Hill, CA15 days ago Classification of protected categories is as follows: A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. Race Please select Decline To Self Identify Two or More Races Native Hawaiian or Other Pacific Islander White Hispanic or Latino Black or African American Asian American Indian or Alaskan Native Gender Please select Decline To Self Identify Female Male. p>GS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements. This role supports a busy case management team and plays a key part in coordinating patient transitions, verifying coverage, and keeping workflows moving efficiently. To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy. Beverly Hills, CA19 days ago p>This is a contract Administrative/Staffing Coordinator role based in Beverly Hills, CA, supporting an outpatient clinic with comprehensive staff and provider scheduling functions. The position is non-clinical and operates within a medical office environment, requiring strong organizational skills and experience with scheduling and workforce management systems. p>Drive the mobile health vehicle from the place of storage/parking to service areas, complying with all motor vehicle codes and regulations; prepare and set up the vehicle for services as well as break down at the end of the session; note any maintenance issues for the vehicle and report them to the Mobile Health and Migrant center manager; maintains a daily log of vehicle mileage and compressor hours; completes driver vehicle evaluation form weekly; maintains log of routine inspections of vehicle, daily, weekly and monthly; helps maintain the cleanliness of the vehicle as directed, including interior and exterior; turns on and off all necessary equipment at the beginning and end of each day; works to secure parking permits for the mobile vehicle as appropriate; comply with Communicare+OLE's motor vehicle safety policies and regulations; have a valid driver's license. Established in 2023, CommuniCare+OLE is the result of a union of two health centers with a deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]">. *]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-(--header-height)">. Los Angeles, CA30+ days ago The Intake Coordinator works closely with medical providers, case managers, and harm reduction specialists to ensure seamless access to services for individuals experiencing homelessness, substance use disorders, and complex health needs. Position Purpose: The Intake Coordinator at the Crocker Care Campus plays a crucial role in ensuring a smooth and welcoming admission process for individuals accessing harm reduction, medical, and behavioral health services. We're making waves: on CNN, in WaPo, at the Fed…there is even a new Medicare billing code for Community Health Workers that is modeled after IMPaCT.. Across multiple randomized controlled trials IMPaCT has achieved outcomes frequently believed to be out of reach, including $2,500 annual savings per patient, improved mental health and a Net Promoter Score of 94. ul>- Regulatory Submissions and Maintenance:
- Prepare, manage, and submit all required Institutional Review Board (IRB) and other regulatory submissions, including initial protocols, amendments, continuing reviews, safety reports, and close-out documentation.
- Proficiency with Microsoft Office Suite (Word, Excel, Outlook) and experience with electronic regulatory systems (eReg), CTMS platforms, IRB portals, and document management systems is preferred.
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