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L.A. Care Health Plan
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Los Angeles, California
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Community Health Program Manager II (ALD)
Job Category ... Community Health Program Manager II is responsible for supporting Community Health projects designed to
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L.A. Care Health Plan
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Los Angeles, California
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Manager, Community Programs
Job Category: Clinical ... purpose.
Job Summary
The Manager of Community Programs is responsible for
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L.A. Care Health Plan
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Los Angeles, California
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), Certified Case Manager (CCM), Utilization Management or Compliance
Salary Range ... delivery of ECM services and ensure compliance with local, State, and Federal regulations, statues and
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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 ...
The Clinical Assurance Compliance Nurse Specialist RN II is responsible for the review of regulatory
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L.A. Care Health Plan
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Los Angeles, California
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Manager, Delegation Oversight Clinical Audit
Job Category ... Manager, Delegation Oversight Clinical Audit is directly responsible for the oversight and auditing
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L.A. Care Health Plan
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Los Angeles, California
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Data Governance Program Manager II
Job Category: Information Technology
Department: IT Executive Administration
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L.A. Care Health Plan
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Los Angeles, California
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Manager, Care Management Program Initiatives
Job Category ... Manager, Care Management Program Initiatives is responsible for overseeing the quality of strategic and
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L.A. Care Health Plan
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Los Angeles, California
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projects and initiatives in Social Services.
Manages projects assigned to ensure compliance with
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L.A. Care Health Plan
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Los Angeles, California
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healthcare setting in Grievances and Appeals, Compliance, Claims or Call Center.
At least
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L.A. Care Health Plan
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Los Angeles, California
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Senior Director, Regulatory Compliance
Job Category: Management/Executive
Department: Compliance
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L.A. Care Health Plan
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Los Angeles, California
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The position supports the UM Manager/Director. This role also assists UM Educator/Manager/Director in ... supporting documentation.
Monitors of staff's performance including productivity and compliance with
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L.A. Care Health Plan
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Los Angeles, California
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for the ongoing progression and maintenance of CSC's compliance program efforts, including, but not limited to, policy and procedure development, training and education initiatives, and compliance
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L.A. Care Health Plan
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Los Angeles, California
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process for potential quality of care and service issues, regulatory compliance with CMS, DMHC, DHCS, and ... quality and timely manner and ensuring compliance with all regulatory guidelines such as Medicaid (Medi
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L.A. Care Health Plan
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Los Angeles, California
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Groups (PPGs)) compliance with the regulatory and National Committee for Quality Assurance (NCQA) in the ... 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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support and for the Regulatory Compliance unit, the Advisor also advises and supports the Manager ... Compliance Advisor II
Job Category: Administrative, HR
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L.A. Care Health Plan
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Los Angeles, California
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position develops report and analysis for the department. It is responsible in communicating and coordinating with IT on a day-to-day department related efforts. The Business Analyst III manages and
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L.A. Care Health Plan
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Los Angeles, California
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. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing ... manager in home health or hospice environments.
Experience providing care management
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L.A. Care Health Plan
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Los Angeles, California
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provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS
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L.A. Care Health Plan
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Los Angeles, California
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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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will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services
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L.A. Care Health Plan
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Los Angeles, California
...
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Ensures department compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations
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L.A. Care Health Plan
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Los Angeles, California
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participates in development and review of policies and procedures to certify compliance with regulatory ... compliance with relevant regulatory, organizational, and departmental guidelines.
Keenly focuses on
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L.A. Care Health Plan
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Los Angeles, California
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Manager, Medical Management
Job Category: Clinical ... purpose.
Job Summary
The Manager of Medical Management is
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L.A. Care Health Plan
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Los Angeles, California
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Vendor Relationship Manager III
Job Category ... Vendor Relationship Manager III is responsible for building and managing relationships with all vendors
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L.A. Care Health Plan
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Los Angeles, California
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Disease Management while maintaining regulatory compliance and operational efficiency and excellence. The ... 's community CM presence. The Senior Director, CM is responsible for providing evidence of ongoing compliance
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L.A. Care Health Plan
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Los Angeles, California
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). Ensures department compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations
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L.A. Care Health Plan
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Los Angeles, California
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will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services
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L.A. Care Health Plan
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Los Angeles, California
...
%)
Quality Assurance - Conduct quality assurance checks to ensure compliance with coordination of benefits
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L.A. Care Health Plan
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Los Angeles, California
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requirements. This position develops report and analysis for the department. It is responsible in communicating and coordinating with IT on a day-to-day department related efforts. The Business Analyst III manages
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L.A. Care Health Plan
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Los Angeles, California
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develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case ... Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM
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