Care Coordination & Utilization Management Specialist
Hong Kong Study Skills Research Institute
Hong Kong Study Skills Research Institute is seeking a Care Coordinator in San Diego, California. In this role, you will prepare referral requests, manage prior authorizations, and coordinate retrospective claims review while ensuring compliance with regulatory requirements. The ideal candidate will have at least 2 years of healthcare experience, strong knowledge of medical coding, and proficiency in Microsoft Word and Excel. #J-18808-Ljbffr
$62.74k - $78.01k
...deliver outstanding patient care and to create a healthier world... ...: peer to peer, management, third party payors, patients... ...timely filing, eligibility, coordination of benefits, payer processing... ...integrity, patient access, utilization management, clinical appeals...SuggestedHourly payDaily paidContract workRemote workFlexible hours$85k - $125k
...specializing in security and risk management. We’re intimately familiar with DOD... ...come first! Emergency Management Specialist – Federal Coordinating Center Support The Emergency Management... ..., and post-exercise reporting. Utilize systems such as TRAC2ES, JPATS, and...SuggestedHourly payContract workWork experience placementWork at officeLocal area$29 per hour
...Job Description Project Controls Specialist II (Environmental Queue Coordinator) Job Overview Nexiya is seeking... ...review workflows for a major utility client in San Diego. This individual... ...thrives in a fast-paced environment managing a high volume of incoming projects...SuggestedWork experience placementWork at officeLocal area$20 - $25 per hour
...growing law firm is seeking an intake specialist to enhance client relations and manage our increasing caseload. This role... ...tidy management of case files Coordinate awareness initiatives and foster... ...hard. We expect excellence. We care about our clients and each other....SuggestedHourly payWork at officeWork from home- ...embraces the tenets of client-centered care, and our core values People, Culture and... ...Initiate referrals to next level care, coordinate with physical health providers for whole... ...essential job functions. Provide case management with crisis intervention, discharge plan...SuggestedContract workWork at officeShift work
$30 - $32 per hour
...alternative application process. Dual Recovery Specialist (Case Manager) Regular Full time over 30 hrs... ...the tenets of client-centered care, and our core values People, Culture and... ...Initiate referrals to next level care, coordinate with physical health providers for whole...Hourly payFull timeContract workWork at officeShift work- ...Position : Complaints Order management Specialist (Must ERP, SAP &Order Management) Location... ...quote and order management processes, utilizing various software applications and business... ...And Responsibilities: Daily coordination of all customer-facing activities related...Contract workDay shift
$62.6k - $113.7k
...proactive Entrepreneurship Community Coordinator with strong marketing and... .... Responsibilities include managing all elements of tracking,... ...applications are fully processed Utilize assigned/trained GDS... ...Summer breaks, Personal/Family Care, and other leaves of absence...Summer holidayLocal areaFlexible hours$22 - $25 per hour
...Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)... ...group, we deliver whole-person care - clinical, behavioral, and... ...administrative burden, streamline coordination, and ensure patients... ...of individuals through the utilization of evidence based approaches...Full timeWork experience placementLocal areaRemote workWork from homeFlexible hours- ...Job Title: Emergency Case Management Work and Family Life Specialist (Remote) This is a... ...individualized action plans, coordinate with installation and... ...to ensure continuity of care while collaborating with... ...family services and referrals utilizing on‑ and off installation...Contract workLive inWork at officeLocal areaRemote workWorldwideRelocation packageShift workWeekend work
$31.5 per hour
...value our professional and caring employees who are dedicated... ...Develop a system to promote the coordination and integration of substance... ...and wellness director; utilize community resources as needed... ...proficiency required. Management & Training Corporation (MTC)...Hourly payFull timeTemporary workTraineeshipWork at officeLocal areaMonday to FridayShift work- ...Position : Complaint Management Specialist Location : San Diego, CA Duration : 12 Months... ...into the complaint management system. Coordinate, research, and prepare correspondence... ...Attention to detail is essential. Able to utilize computers for development of reports...Contract workWork experience placementDay shift
$60.2k - $107.4k
UnitedHealthcare in San Diego is seeking a professional for managed care operations to coordinate client meetings, resolve provider issues, and recruit healthcare providers. You will play a crucial role in maintaining relationships with healthcare professionals while ensuring...Full time$100k
Patient Engagement Specialist I page is loaded## Patient Engagement Specialist Ilocations:... ...Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care... ...limited to adult care, chronic disease management, pediatrics, comprehensive women’s care...Work at officeLocal areaFlexible hours$84k - $156k
...Job Details Job Title: Sr. Specialist, Government Compliance, Level... ...The Government Property Manager maintains an approved property... ...Regulations (FAR). The position coordinates and manages property control... ...areas for potential re‑utilization or increased utilization to...For contractorsWork at officeLocal areaFlexible hours- ...Environmental Queue Coordinator San Diego, CA (Hybrid - Onsite Mon-Thurs | Remote Fri)... ...Systems is supporting a leading energy utility in San Diego in hiring an Environmental... ...stakeholders. What You'll Be Doing Manage intake and processing of environmental project...Work at officeRemote work
- The development of the Water Damage Specialist at the intermediate level has four (4) objectives... ...mold damage; 3) competence in the use, care and maintenance of water extraction... ...Intermediaries in CAT service can simultaneously manage multiple losses for water, including the...Temporary workNight shiftWeekend work
- Sr. Specialist, Government Compliance, Level 4 Job Location: San Diego... .../80 The Government Property Manager is responsible for... ...Regulations (FAR). The position coordinates and manages property control... ...identify areas for potential re-utilization or increased utilization of...For contractorsWork at officeLocal area
- ...Project Specialist Supervisor: Senior Project Manager Classification: Full-time, Exempt Summary... ...analysis, and strategic coordination of project documentation and cost... ...Permission To Operate (PTO) from the utility. Project Closeout Ownership:...Full timeContract workWork experience placementFor subcontractorLocal areaFlexible hours
- ...date project documentation and records Coordinate and supervise daily project activities... ...defined milestones and task ownership Manage project scope and align with customer... ...quarterly revenue for assigned projects Utilize governance tools (scope documents,...
- ...Job Title: Environmental Queue Coordinator Job Duration: 24 Months on W2 Job Location... ...in data collection and information management with strong organizational, analytical,... ...environmental regulations associated with the utility industry and large scale energy...
$135k - $165k
...With decades of experience supporting utilities and large-scale infrastructure programs... ...include interfacing directly with project management, client management, engineering,... ...client office or project site for project coordination meetings MPI does not discriminate...Work experience placementInternshipLocal areaFlexible hours$85k - $95k
...responsible and dedicated partner that takes care of your products from concept to patient... ...Senior Associate, Microbiology & Sample Management, is responsible for performing routine... ...practical aspects of analytical methods utilized in microbiology labs, including...Work at officeLocal area$70.3k - $98.78k
...Diego, CA 92121 Restoration Management Company expects each, and every... ...The position of Safety Specialist is responsible for creating,... ...Prepare safety related reports utilizing Word, Excel, and Powerpoint.... ...motor skills and hand-eye coordination. Visual Ability: requirement...Full timeWork at officeLocal areaImmediate startWeekend work- ...places to work in health care. We have... ...The Clinical Pharmacist Specialist will support our various... ...including Medication Therapy Management, Osteoporosis clinic... ...maximize medication utilization related to area of specialization... ...goals, develop and coordinate utilization reviews...Full timeRemote workMonday to FridayShift work
$72k - $82k
...responsible and dedicated partner that takes care of your products from concept to patient... ...Associate I/II, Microbiology & Sample Management is responsible for routine testing of... ...practical aspects of analytical methods utilized in microbiology labs including Bioburden...Contract workWork at officeLocal area$50 - $60 per hour
Neier Inc. in San Diego, California is seeking a Registered Nurse for utilization review responsibilities. The role includes managing admission reviews, conducting concurrent stay reviews, and preparing payment appeals. Applicants must hold a California RN licence and have...- ...the tenets of client-centered care, and our core values People,... ...individual counseling, case management, advocacy, and outreach to clients... ...for housing placement. • Coordinate and oversee various housing... ...QUALIFICATIONS • Peer Specialist Certification required. • High...Contract workWork at officeLocal areaFlexible hoursShift work
$100 per hour
...Description Clinical Trial Physician (Pain Management Specialist) - 8 hours per week Location: San... .... Physicians will oversee participant care, ensure protocol compliance, and... ...documentation Collaborate with research coordinators and staff Maintain compliance with...Hourly payPart timeFlexible hoursShift work- Join EY as an Entrepreneurship Community Coordinator in San Diego. You will manage operations for the Entrepreneur Of The Year (EOY) program, ensuring successful execution throughout its cycle. Your role includes project coordination across multiple marketing activities...
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