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L.A. Care Health Plan
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Los Angeles, California
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Assistant experience ... Assistant (CMA)
Required Training
Preferred:
Motivation Interviewing
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L.A. Care Health Plan
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Los Angeles, California
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activities associated with L.A. Care's ECM network. The position reports to the Supervisor of ECM and ... Provider Network Management staff to inform Provider capacity-building and training activities related to
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L.A. Care Health Plan
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Los Angeles, California
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Customer Solution Center Appeals and Grievances Nurse Specialist RN II
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L.A. Care Health Plan
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Los Angeles, California
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Customer Solution Center Appeals and Grievances Nurse Specialist RN II
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L.A. Care Health Plan
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Los Angeles, California
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Delegation Oversight Clinical Audit Program activities include auditing delegated activities for compliance ... staff activities, monitoring of staff performance, mentoring, training, and cross training of staff
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L.A. Care Health Plan
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Los Angeles, California
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Clinical Assurance Compliance Nurse Specialist RN II
Job Ca
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L.A. Care Health Plan
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Los Angeles, California
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Customer Solution Center Appeals and Grievances Nurse Specialist RN II
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L.A. Care Health Plan
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Los Angeles, California
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Customer Solution Center Appeals and Grievances Nurse Specialist RN II
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L.A. Care Health Plan
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Los Angeles, California
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members to appropriate resources. Monitors implementation of child development activities and programs to ... activities and targeted member engagement. Makes recommendations for bridging members of the community to
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L.A. Care Health Plan
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Los Angeles, California
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.
Duties
Develops, designs, and implements of cyclical product life, cycle activities and
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L.A. Care Health Plan
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Los Angeles, California
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department, and monitoring the Care Management (CM) staff’s responsibilities and activities. This includes ... department's performance measures outcomes and goals.
Plans and oversees UM activities according to
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L.A. Care Health Plan
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Los Angeles, California
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, verification and validation of issues and fixes. Coordinate activities including on-time delivery, testing and
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L.A. Care Health Plan
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Los Angeles, California
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C&L area. This includes but not limited to monitoring of delegates’ C&L activities, addressing gaps ... completes activities to ensure compliance with regulatory and NCQA C&L requirements and assists with
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L.A. Care Health Plan
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Los Angeles, California
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Manager, Encounters
Job Category: Accounting/Finance
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L.A. Care Health Plan
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Los Angeles, California
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auditing activities. Must work to identify and triage all provider data quality issues. Responsible to ... training and coaching activities to improve overall compliance with the SPF submission. (35
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L.A. Care Health Plan
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Los Angeles, California
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activities as determined by business need. (15%)
Perform other duties as assigned. (10
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L.A. Care Health Plan
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Los Angeles, California
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responsible for a full range of activities leading small to large size projects, assist project managers on
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L.A. Care Health Plan
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Los Angeles, California
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formats.
Perform project management activities to drive projects to completion on schedule with
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L.A. Care Health Plan
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Los Angeles, California
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%)
Supports robocall and ad-hoc member outreach activities as determined by business need. (15 ... perform various functions including answering calls, conducting outreach activities and performing various
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L.A. Care Health Plan
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Los Angeles, California
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departments. (15%)
Actively participates in benefit testing and other activities related to
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L.A. Care Health Plan
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Los Angeles, California
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(PDR) requests stemming from Payment Integrity activities; supports correspondence in identification of
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L.A. Care Health Plan
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Los Angeles, California
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Assistant experience ... Assistant (CMA)
Required Training
Preferred:
Motivation Interviewing
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L.A. Care Health Plan
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Los Angeles, California
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, verification and validation of issues and fixes. Coordinate activities including on-time delivery, testing and
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L.A. Care Health Plan
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Los Angeles, California
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to day activities of Member Services Representatives, including but not limited to: Providing
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L.A. Care Health Plan
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Los Angeles, California
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reports, develops and conducts training activities for subordinates, peers and L.A. Care business units ... to identify gaps, develop and implement corrective action plans and facilitate monitoring activities
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L.A. Care Health Plan
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Los Angeles, California
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adjudication. Develops policies and guidelines that ensure work activities are effective and well documented
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