Travel Case Manager RN - $2,772 per week Prime StaffingTravel Case Manager RN - $2,772 per weekBurbank, CAID: 64364273 Shift: Day 5x8-Hour (08:00 - 16:30) Description: Job Description Start date: ASAP Floating Expectation: No First Time Traveler: Yes but 1st time travelers must be screened Ratios: Days 1:25 Years of experience REQ: 2-year acute medical Care Manager experience performing Care Coordination/Discharge Planning Weekend REQ: typically one full weekend per 4 weeks, subject to dept. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information included:What is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.
Travel Case Manager RN - $2,510 per week American TravelerTravel Case Manager RN - $2,510 per weekBurbank, CAAmerican Traveler is hiring an experienced RN Case Manager for an acute care hospital position requiring 2 years of acute medical Care Management/Discharge Planning experience and a CA RN license. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
NewTax Manager JobotTax ManagerIrvine, CA$120,000–$150,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. 5–7 years of relevant experience in public accounting or a combination of public accounting and high-net-worth individual/wealth management tax work.
Electrical Construction Project Manager JobotElectrical Construction Project ManagerDowney, CA$130,000–$170,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Voluntary Plans: Short- and long-term disability, supplemental vision, accident, hospital and critical illness coverage, and additional voluntary life insurance for employees and dependents.
Fire Alarm Systems Project Manager JobotFire Alarm Systems Project ManagerAnaheim, CA$90,000–$125,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. It has grown into one of the largest family‑operated security and fire‑protection providers in the country, serving a wide range of commercial, retail, government, corporate, and residential clients.
Travel Case Manager RN - $2,508 per week American ConsultantsTravel Case Manager RN - $2,508 per weekBurbank, CAMust commit to working 3 of 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, New Year's Day). We have successfully placed thousands of healthcare professionals in executive, clinical, laboratory, financial, consulting, and HIT roles across the country.
NewTravel Nurse RN - Case Manager - $2,606 per week in Burbank, CA TravelNurseSourceTravel Nurse RN - Case Manager - $2,606 per week in Burbank, CABurbank, CA$2,605.60ID: 64364273 Shift: Day 5x8-Hour (08:00 - 16:30) Description: Job Description Start date: ASAP Floating Expectation: No First Time Traveler: Yes but 1st time travelers must be screened Ratios: Days 1:25 Years of experience REQ: 2-year acute medical Care Manager experience performing Care Coordination/Discharge Planning Weekend REQ: typically one full weekend per 4 weeks, subject to dept. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.
NewProject Manager (Commercial Construction) JobotProject Manager (Commercial Construction)Santa Ana, CA$140,000–$170,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. If you're a Construction Project Manager and want to work with a stable, full-service commercial construction company specializing in Commercial, Retail, Institutional, and Industrial spaces, with over 65 years in business then apply now!
NewTravel Nurse RN - Case Manager - $2,468 per week in Mission Viejo, CA TravelNurseSourceTravel Nurse RN - Case Manager - $2,468 per week in Mission Viejo, CAMission Viejo, CA$2,468.40Days off will vary and are not guaranteed to be back-to-back, although every effort will be made to schedule consecutive days off when possible Pre-Approved Time Off: one Orientation Hours: 40 Facility & Patient Care Details Patient Age Groups: Adults, Geriatrics Daily Census: 25 Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: SOCIAL WORKERS ARE CASE MANAGERS/DISCHARGE PLANNERSWILL NOT ACCEPT SOCIAL WORKERS WITH EXPERIENCE SPECIALIZED IN BEHAVIORAL HEALTH or ED, it is not the same. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.
NewAssociate Project Manager (Facility Asset Management) Disneyland ResortAssociate Project Manager (Facility Asset Management)Anaheim, CATECHNICAL COMPETENCY: Technically competent with various software programs such as construction management software and Microsoft suite of products (Excel, Word, PowerPoint, etc.) Utilize project and contract management systems in the daily operation of the business. PROCESS COMPETENCY: Responsible for timely issuance of field directives, collection of costing concurrence memos, conversion to change orders, and management approval to allow for accurate Estimated Forecast to Complete (EFC) reporting and timely job closeout.
NewTravel Nurse RN - Case Manager - $44 to $70 per hour in Orange, CA TravelNurseSourceTravel Nurse RN - Case Manager - $44 to $70 per hour in Orange, CAOrange, CA$43.66–$69.86Analyses all requests with the objective of monitoring utilization of services, which includes reviewing for medical appropriateness and identifying potentially high-cost complex cases requiring high-level case management intervention. Screens CBAS requests for Medical Director review, gathers pertinent medical information prior to submission to the Medical Director, communicates the Medical Director’s decision with the requestor and documents follow-up in the care management system.
NewManager, Business Tax Services - Employee Benefits Compliance KPMGManager, Business Tax Services - Employee Benefits ComplianceIrvine, CA$107,160–$226,320 / yearBachelor's degree from an accredited college or university; Licensed CPA, JD/LLM or EA, in addition to others on KPMG's approved credential listing; any individual who does not possess at least one of the approved designations/credentials when their employment commences, has one year from their date of hire to obtain at least one of the approved designations/credentials; should you like to see the complete list of currently approved designations/credentials for the hiring practice/service line, your recruiter can provide you with that list. Work with KPMGs extensive network of specialists; enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax solutions.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNBellflower, CA$71,000–$166,000 / yearAs the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support.
Construction Project Manager - Education/Public Projects Michael Page USAConstruction Project Manager - Education/Public ProjectsAnaheim, CA$145,000–$190,000 / yearFull timeWork closely with the client, architect and engineers to control and manage any change in scope and provide all impacts and documentation of such to allow for a timely decision to be made, such as cost, schedule and quality implications and obtain the Owner's approval. Provide monthly invoices and oversee all documentation and approvals needed to ensure timely funding for the project and subsequent payment to trade partners and vendors.
NewSenior Robotics SDE, Safe Autonomy, Compass Amazon.com Services LLCSenior Robotics SDE, Safe Autonomy, CompassPasadena, CAWork with the inventors of control barrier functions on a novel, universal approach to safe autonomy: one that scales across mobile robots, manipulators, mobile manipulators, and future robot platforms with dynamic stability. • Design, implement, and maintain the software integration layer that enables Compass safety modules to interface with diverse robot platforms (mobile robots, manipulators, dynamically stable robots).
NewManager III, Quality Control (Chemistry Lab) B. Braun US Pharmaceutical Manufacturing LLCManager III, Quality Control (Chemistry Lab)Irvine, CA$139,000–$173,000 / yearSalary Range: $139,000 - $173,000 The targeted range for this role takes into account a range of factors that are considered when making compensation and hiring decisions; included but not limited to: skill sets; experience and training; licensure and certifications; and other business and organizational needs. In this role, you will oversee laboratory operations, drive continuous improvement initiatives, and lead a team of chemists and quality professionals in a GMP-regulated environment to support the delivery of safe, high-quality healthcare products.
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
NewMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day Shift SHARP HEALTHCAREMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day ShiftLos Angeles, CA$48,000–$57,600 / yearSee Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
NewMedical Assistant - Podiatry - SRS Rancho Bernardo - Full-Time - Day Shift SHARP HEALTHCAREMedical Assistant - Podiatry - SRS Rancho Bernardo - Full-Time - Day ShiftOrange, CA$35,000–$42,000 / yearSee Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
NewProject Coordinator JobotProject CoordinatorFullerton, CA$60,000–$80,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. 2–4 years of experience as a Project Coordinator, Project Admin, Estimating Assistant or similar role in construction; pipeline, utilities, or civil construction experience preferred.
Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
Accounts Payable Specialist Vaco LLCAccounts Payable SpecialistIrvine, CA$30–$33 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewAccess Service Representative - SRN Float Pool - Sharp HealthCare - Variable Shift - Per Diem SHARP HEALTHCAREAccess Service Representative - SRN Float Pool - Sharp HealthCare - Variable Shift - Per DiemLos Angeles, CA$45,000–$54,000 / yearCoordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. See Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewSenior Project Manager - OSHPD/HCAI Healthcare Construction Michael Page USASenior Project Manager - OSHPD/HCAI Healthcare ConstructionOrange, CA$180,000–$210,000 / yearFull timeThe ideal candidate brings extensive experience in acute care hospitals, medical office buildings, surgical centers, and healthcare renovations within active medical environments. Our client is seeking an experienced Senior Project Manager specializing in OSHPD/HCAI healthcare construction projects.
NewDevelopment Project Manager - Multifamily Michael Page USADevelopment Project Manager - MultifamilyOrange, CA$150,000–$200,000 / yearFull timeThe Project Manager will lead the execution of ground-up multifamily construction projects, overseeing all aspects from preconstruction through closeout. Our Project Manager will be responsible for the following: Manage the entitlement process with the City of Los Angeles, including coordination with LADBS, Planning Department, and the Warner Center Specific Plan review process.
Construction Manager Lennar HomesConstruction ManagerTorrance, CA$68,640–$115,729 / yearFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Tech-savvy with proficiency in Microsoft Office, Build Pro, Procore, and other construction management software, leveraging technology to streamline workflows, enhance project tracking, and improve overall efficiency.
Project Manager - LAUSD/DSA Construction Michael Page USAProject Manager - LAUSD/DSA ConstructionBuena Park, CA$150,000–$190,000 / yearFull timeWork closely with the client, architect and engineers to control and manage any change in scope and provide all impacts and documentation of such to allow for a timely decision to be made, such as cost, schedule and quality implications and obtain the Owner's approval. Provide monthly invoices and oversee all documentation and approvals needed to ensure timely funding for the project and subsequent payment to trade partners and vendors.
NewProject Manager - DSA Construction OC Michael Page USAProject Manager - DSA Construction OCOrange, CA$175,000–$200,000 / yearFull timeThe Project Manager will be responsible for planning, execution, budgeting, scheduling, client communication, and overall project success from preconstruction through closeout. Our client is a rapidly growing and highly respected General Contractor specializing in DSA and LAUSD construction projects throughout Orange County.
HIM Coding Manager Auditing And Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaHIM Coding Manager Auditing And Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CA$110,240–$181,896 / yearEnsure effective use of coding and electronic health record systems including: Cerner/PowerChart and Coding mPage Solventum/3M 360 Encompass (CAC/CRS) Solventum/3M HDM, HRM, and ARMS Soarian Financials and CHC Assurance PFS systems • Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention. The Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives.
NewManager, Compliance, Medical Coding Kaiser PermanenteManager, Compliance, Medical CodingPasadena, CAEssential Responsibilities: Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; executing performance management guidelines and expectations; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Manages designated work unit by translating business plans into tactical action items; ensuring all policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; removing obstacles that impact performance; and guiding performance and developing contingency plans accordingly.
Coding Manager Open Door Community Health CentersCoding ManagerCalifornia, CA$94,600–$111,294.12 / yearLeads strategic coding initiatives to improve net patient revenue, reduce denials, and enhance reimbursement across payer lines; Analyzes coding, documentation, and billing trends to identify revenue leakage and payer-specific risks; Develops and monitors coding performance metrics (e.g., accuracy, denial trends, documentation specificity) and reports outcomes to leadership; Partners with Finance, Revenue Cycle, and Clinical Leadership to align coding practices with organizational priorities; Drives improvements in documentation specificity to support reimbursement accuracy, risk adjustment, and quality reporting; Supports value-based care, risk adjustment, and quality initiatives impacting reimbursement and patient outcomes; Collaborates on payer audits, denials, and appeals to mitigate financial and compliance risk; Leads continuous improvement efforts through data analysis, workflow redesign, and system optimization; Operational & Compliance Oversight. QUALIFICATIONS: The successful candidate will possess experience and skills spanning a variety areas: Strong interpersonal and communication skills with the ability to collaborate across departments; Knowledge of coding regulations, documentation requirements, and payer guidelines; Ability to analyze complex information and translate it into actionable insights; Proficiency in EHR, practice management systems, and reporting tools; Coding Certification (COC, CPC, or CCS preferred); At least seven years of experience in coding, clinical documentation improvement, billing, or auditing; Experience in a community health center or similar healthcare environment; Preferred Strategic Competencies.
Risk Adjustment Coding Specialist II - Orange County Astrana Health, Inc.Risk Adjustment Coding Specialist II - Orange CountyOrange, California$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Profee Coding Consultant - Full Time Datavant LLCProfee Coding Consultant - Full TimeCA$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate.
Profee Coding Consultant - PRN Datavant LLCProfee Coding Consultant - PRNCA$20–$28 / hourGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate.
NewManager, Compliance - Clinical Documentation Coding & Auditing Services Kaiser PermanenteManager, Compliance - Clinical Documentation Coding & Auditing ServicesPasadena, CAEssential Responsibilities: Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; executing performance management guidelines and expectations; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Manages designated work unit by translating business plans into tactical action items; ensuring all policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; removing obstacles that impact performance; and guiding performance and developing contingency plans accordingly.
Clinical Coding Manager ReveleerClinical Coding ManagerCA$85,000–$100,000 / yearWith regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions.
Medical Billing and Coding Compliance Analyst CPSIMedical Billing and Coding Compliance AnalystCAEssential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Conduct audits upon claims as prescribed in the Medical Billing and Coding Compliance audit plan, especially upon changes made to claims by billers employed, contracted, or subcontracted by the Company. Discusses findings with Compliance Consultant and/or Department Leader to identify needs for corrective and preventative action, such as education, development of policies and procedures, changes to settings within the billing software or electronic health record.
Associate Project Manager Code -Existing Installation Schindler Holding LtdAssociate Project Manager Code -Existing InstallationIrvine, CA$90,300–$112,900 / yearYou will track and report on key performance indicators such as confirmation of periodic safety inspections, resolution of non-conformances, and adherence to regulatory deadlines, helping deliver safe, reliable, and compliant service to customers. Once sold, coordinate and schedule test dates with third parties (e.g., fire testing), schedule CAT1 inspections with mechanics, and/or arrange repairs while maintaining constant communication with Superintendents and sales reps.
NewDRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGCosta Mesa, CA$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Remote Medicare Risk Adjustment Coding/ Auditor (Prior CMS-HCC V28 required) Alignment Healthcare IncRemote Medicare Risk Adjustment Coding/ Auditor (Prior CMS-HCC V28 required)CARemote$64,384–$96,577 / yearEffective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly. This work may encompass reviews of data for reconciliation, data flow integrity, UAT testing, high cost / low risk score members, retrospective chart reviews, or other risk adjustment related data review as directed by Manager.
Home Health Quality Assuranc / Coding Specialist Green Meadows Home Health Care IncHome Health Quality Assuranc / Coding SpecialistSanta Ana, CAFull timeThe Home Health Quality Assurance (QA) / Coding Specialist is responsible for reviewing clinical documentation to ensure compliance with Medicare Conditions of Participation (CoPs), state and federal regulations, and agency policies. This position performs ICD-10 coding, OASIS review, chart audits, and quality assurance activities to support accurate reimbursement, regulatory compliance, and high-quality patient care.
Home Health Quality Assuranc / Coding Specialist CbHome Health Quality Assuranc / Coding SpecialistSanta Ana, CaliforniaThe Home Health Quality Assurance (QA) / Coding Specialist is responsible for reviewing clinical documentation to ensure compliance with Medicare Conditions of Participation (CoPs), state and federal regulations, and agency policies. This position performs ICD-10 coding, OASIS review, chart audits, and quality assurance activities to support accurate reimbursement, regulatory compliance, and high-quality patient care.
Risk Adjustment Coding Specialist II Astrana Health, Inc.Risk Adjustment Coding Specialist IICA, California$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
Medical Billing Manager CIBDMedical Billing ManagerOrange, CAFull timeCIBD is the regional grantee for the Western States Region for Hemophilia, the Pacific Sickle Cell Regional Collaborative (PSCRC) and Networking California for Sickle Cell Care (NCSCC) providing regional leadership, fiscal and administrative oversight, grants management, capacity building, clinical education, technical assistance, evaluation, and outreach to public and private health agencies at the local, state, and federal levels. CIBD is a part of a nationwide network of over 140 Hemophilia Treatment Centers that use multidisciplinary teams of blood disorder specialists to provide expert comprehensive diagnosis, medical care, outreach, education, outcomes monitoring, surveillance, and prevention services to people with Hemophilia, Sickle-Cell Anemia, Thalassemia, Von Willebrand Disease, Mast Cell Activation Syndrome (MCAS) and other related benign hematology conditions.
NewDRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgCosta Mesa, CA$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Manager, Medical Economics - REMOTE Molina Healthcare IncManager, Medical Economics - REMOTELong Beach, CARemoteDemonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRGs), Ambulatory Patient Groups (APGs), Ambulatory Payment Classifications (APCs), and other payment mechanisms. Analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.).
Manager, Billing & Audit (KH) - USC Care Medical Group CBO - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaManager, Billing & Audit (KH) - USC Care Medical Group CBO - Full Time 8 Hour Days (Exempt) (Non-Union)CA$95,680–$158,230 / yearWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. The organization encompasses 17 clinical departments, with approximately 1,500 physicians and 2,000 staff delivering care across more than 80 locations from Kern County to Orange County and into Las Vegas.
Environmental Services Manager In Training / Crothall Healthcare, Long Beach Medical Center Compass Group USA IncEnvironmental Services Manager In Training / Crothall Healthcare, Long Beach Medical CenterLong Beach, CA$65,000–$68,640 / yearAs an MIT, you will be assigned to a training location to complete the on-site, hands-on learning portion of your onboarding and training experience while you participate, in tandem, in Compass Group's Accelerated Manager Program (AMP). Through this process, you will learn the best practices of your Compass Group sector, and facilitate these practices within areas which may include, but are not limited to: operations management, safety, quality control, housekeeping, hiring, training, payroll, profit and loss, and more.
Medical Practice Manager, Ophthalmology/Optometry PIH HealthMedical Practice Manager, Ophthalmology/OptometryLa Habra, CAFull timeThe fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
Project Manager, Medical Policy Processes Evolent Health IncProject Manager, Medical Policy ProcessesCAWhat You'll Be Doing: As a Project Manager on the Medical Policy team, you will work closely with Medical Policy teammates and other key stakeholder business groups to provide exceptional support of timely and accurate delivery of high-quality Evolent clinical guidelines. Technical Requirements: We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.