UNKNOWN

FEED

Monitors key clinical center metrics that are provided by Clinical Analytics and relate to quality outcomes: Practice Indicators, COP, GRV, LOS, TAT, Specialist Referral Rate, Primary Care Case Duration, Days to First Recheck, % of cases with Lost Time, Limited Duty, and Full Duty.• Manages clinicians and support staff and complies with APC supervisory requirements.• JOB-RELATED SKILLS/COMPETENCIES• Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility• Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions• Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism.

YEAR

Concentra Inc.

Physician Urgent Care Medical Director

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Liaise with internal and external resources regarding the day-to-day management of the website and coordinate delivery of key assets, functionality and information to support the web experience. Manage and update website content (products, content, promotions) to ensure all information is accurate and presented in the best possible manner through copy, images, reviews, categorization, etc.

Sunny Distributor

E-Commerce Specialist

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COMPLEXITY: Work involves mostly duties that involve related steps, processes, or methods, requiring the employee to make choices and recognize differences in a few easily recognizable situations, such as differences in fact, sources of information, or kinds of transactions or entries. Occasionally, the supervisor sets overall objectives and resources available, with deadlines and work plans developed in consultation with the employee, with some opportunity for the employee to interpret policy, or determine approaches and methodology for accomplishing assignments.

Vitalant

Donor Specialist - Mobile Operations (27505,27560)

OTHER

Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. ​ Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.

HOUR

Pacific Grove

Utilization Specialist PRN

[AW]-iCims

Respect the Individual: Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent. Serve our Customers and Members: Makes decisions based reliable information; balances short- and long-term priorities; and considers how own work impacts the team’s ability to deliver on our purpose for all stakeholders.

Sam's West

Member specialist

Achieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports. Drive Asset Protection excellence by facilitating selling process through consistent adherence to policies and procedures that safeguard customers, associates and company assets.

Saks OFF 5TH

Specialist, Asset Protection

Respect the Individual: Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent. 7480 CARSON BLVD, LONG BEACH, CA 90808-2362, United States of AmericaWalmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job.

Member Specialist

This role leads the Bank's employee volunteer and community engagement programs, builds relationships with nonprofit and community organizations, coordinates Community Reinvestment Act (CRA)-eligible service opportunities, and supports community development grantmaking and charitable initiatives. Sedentary: Limited activity, no lifting, limited walking Moderate: Mostly standing, walking, bending, frequent lifting Light: Office work, some lifting, bending, stooping or kneeling, walking Arduous: Heavy lifting, bending, crawling, climbing The Fine Print.

Sunwest Bank has been consistently named one of the top performing banks in the United States by American Banker and SNL Financial. Sunwest’s primary focus is commercial business and real estate banking. Through 12 targeted locations across the Western United States, Sunwest offers a full suite of private and commercial banking services to its clients.
 
Since 2009, Sunwest has completed five failed bank acquisitions beginning with the acquisitions of MetroPacific Bank of Irvine. Later that year, Sunwest expanded the franchise south to San Diego with the acquisition of Pacific Coast National Bank. Its expansion continued beyond the California border with the acquisition of First State Bank of Flagstaff from the FDIC, adding a presence in Northern Arizona. In 2013, the Bank expanded into the Northwest by acquiring the Washington-based Westside Community Bank which added two locations outside of Tacoma. Sunwest then broadened its Northwest presence to Boise through acquiring the failed Syringa Bank from the FDIC, adding nearly $140 million in assets and a network of five Idaho branches. In the latter half of last year, the Bank broadened its footprint further by adding LPOs in both the Salt Lake City and Phoenix, Arizona markets. These three out-of-state acquisitions and two de novo LPOs have positioned Sunwest well as it embarks on its next expansionary phase.
 
Sunwest Bank operates with an iron clad balance sheet of $885 million in assets, $111 million in tangible capital and $4MM in reserves, making it well poised to continue its growth.
 
Sunwest Bank is the flagship of H Bancorp, a $1.3 billion privately-owned bank holding company with a controlling interest in Bay Bank located in the Baltimore/D.C. corridor. H Bancorp provides strategic leadership, access to capital and an opportunity to participate credits across the entire H Bancorp family.
 
SUNWEST BANK – AN ENTREPRENEURIAL BUSINESS BANK
 
Sunwest prides itself on being an entrepreneurial and innovative commercial business bank. The Bank positions itself through deep knowledge in lending niches ensuring our people are regarded as trusted advisors and not simply bankers. It is with this approach that we provide impeccable service to our clients.

Sunwest Bank

Community Development Specialist

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Manages assigned projects from initiation through completion, exercising judgment in developing work plans, prioritizing competing demands, evaluating nonroutine risks, and recommending or implementing solutions within established parameters. Collaborates with project leads, HR colleagues, subject matter experts, and business partners to evaluate requirements, reconcile competing needs, and recommend practical approaches for assigned projects or workstreams.

Alliant Insurance Services, Inc.

Human Resources Operations Project Specialist I

Minimum 1 years of experience in warehouse supervision within the logistics or last-mile delivery industry. Supervise the pick-up operations of the warehouse, ensuring timely and efficient processing of orders.

SwiftX Inc.

Operations Specialist

Respect the Individual: Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent. Serve our Customers and Members: Makes decisions based reliable information; balances short- and long-term priorities; and considers how own work impacts the team's ability to deliver on our purpose for all stakeholders.

Walmart Inc

(USA) Member Specialist

Serves as a liaison between Case Management, Business Office and Coding teams to ensure timely reporting and tracking/follow up of denials Participate in regular Utilization committee and Came Management meeting with stakeholders from all department and Corporate leadership team to provide necessary education and discuss progress and protocols for Insurance authorization and denial prevention strategies. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care.

Prime Healthcare Services Inc

Utilization Review Supervisor

member specialist

License/Certificate: Possession of current valid certification as a Certified Coding Specialist (CCS); or Certified Coding Specialist-Physician based (CCS-P); or Registered Health Information Administrator (RHIA); or a Registered Health Information Technician (RHIT) issued by American Health Information Management Association; or Certified Professional Coder (CPC); or Certified Professional Coder-Hospital (CPC-H) issued by the American Academy of Professional Coders. Ability to: Utilize the ICD-CM classification system to code medical record entries either by use of coding books or encoder product; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software, coding software and abstract package; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others.

County of Riverside, California

Certified Medical Records Coder-Outpatient (Swing/Weekend)

FULL_TIME

Performs a wide range of tasks, responding to changes in direction and priorities; Accepts new challenges, responsibilities and assignments; Works outside of ordinary routine; Views problems or business situations from both own as well as another’s perspective; Adjusts to multiple demands and satisfying priorities; Utilizes new and unique methods to resolve issues; Possesses versatility demonstrated through performance and/or some experience in multiple skill sets. While performing the duties of this job, the employee is occasionally required to sit; use hands to finger, handle, feel objects, and type on keyboard; reach with hands and arms; talk and hear (Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions; Technicians will be required to provide hands-on technical support; Technician is required to be able to lift fifty-pounds above their waist) .

MasTec Communications Group

IT Specialist

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. To conform to US Government export regulations, the applicant must be a (i) US Citizen, (ii) lawful permanent resident of the U.S. (aka green card holder), (iii) protected individual as defined by U.S.C. 1324b(a)(3), or (iv) eligible to obtain the required authorizations from the U.S. Department of State.

Canopy Aerospace & Defense

Quality Specialist

Meets with appropriate campus departments including administration, instruction, EOPS/CARE, Guardian Scholars, NextUp, CalWORKs, Financial Aid, Counseling, Special Services, Student Health Center, Career & Transfer, and Enrollment Services for collaborative support of foster youth students and appropriate referrals for services. Demonstrated evidence of responsiveness to and understanding of the racial, ethnic, disability, gender identity, sexual orientation, socioeconomic, academic, and cultural diversity within the community college student population, including students with different ability statuses (e.g., physical and/or learning) as these factors relate to the need for equity-minded practice within the classroom and campus.

Coast Community College District

Student Programs Specialist - EOPS (IN-HOUSE ONLY)

The Sales Specialist 2 executes the Living Spaces Guest Engagement Model to deliver exceptional guest experiences, drive repeat visits, and achieve targeted sales per hour while meeting all key performance indicators (KPIs). Pay will be determined by several factors, including, but not limited to: applicant's education, relevant work experience, knowledge, applicable and relevant skills and abilities, market demand, Company budget, as well as internal equity and alignment with geographic market data.

Living Spaces Furniture

Sales Specialist 2 - Retail

Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Claims Specialist I - Provider Claims is responsible for evaluating professional, high dollar and outpatient/inpatient institutional claims while determining coverage and payment levels. IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

Medical Review Specialist Jobs in Irvine, CA

Physician Urgent Care Medical Director Concentra Inc.

E-Commerce Specialist Sunny Distributor

Donor Specialist - Mobile Operations (27505,27560) Vitalant

Utilization Specialist PRN Pacific Grove

Member specialist Sam's West

Specialist, Asset Protection Saks OFF 5TH

Member Specialist Sam's West

Community Development Specialist Sunwest Bank

Human Resources Operations Project Specialist I Alliant Insurance Services, Inc.

Operations Specialist SwiftX Inc.

(USA) Member Specialist Walmart Inc

Utilization Review Supervisor Prime Healthcare Services Inc

member specialist Walmart Inc

Member specialist Walmart Inc

Certified Medical Records Coder-Outpatient (Swing/Weekend) County of Riverside, California

IT Specialist MasTec Communications Group

Quality Specialist Canopy Aerospace & Defense

Student Programs Specialist - EOPS (IN-HOUSE ONLY) Coast Community College District

Sales Specialist 2 - Retail Living Spaces Furniture

Claims Specialist I - Provider Claims Inland Empire Health Plan

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