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Found 15 jobs

Jobs 1-10 of 15

Nurse Practitioner, AppleCare Medical - Downey, CA (816694)

Full-time | Optum Local Care Delivery | Downey, CA

04/12/2019

Positions in this job function require specific education/certification/licensure and are considered an extension to Physicians and provide direct patient care in a clinic or in-home setting. Primary Responsibilities:Reviews the work of othersDevelops innovative approachesSought out as expertServes as a leader/ mentor

Primary Care Physician, AppleCare Medical - Downey, CA (790810)

Full-time | Optum Local Care Delivery | Downey, CA

04/04/2019

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)   Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical is comprised of hundreds of board - certified private - practice, independ...

Clinical Services Nurse – Utilization Management La Palma (818061)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/17/2019

AppleCare Medical Group was formed in Lynwood, California in 1996 with the goal of making quality care available locally to the community. Today, AppleCare Medical Group is comprised of hundreds of board-certified private-practice, independent physicians. These physicians provide medical expertise and passion to improving the health of communities in the Southeast area of Los Angeles and Northern Orange County.Responsible for the facilitation of the inpatient Utilization Management process including in-network, out of network, case management and discharge planning as well as assisting the Ass...

Utilization Management RN - Irvine, CA (817707)

Full-time | Optum Local Care Delivery | Irvine, CA

04/15/2019

Responsible for the facilitation of the inpatient Utilization Management process including in-network, out of network, case management and discharge planning as well as assisting the Associate Director of Inpatient Management with UM/QM functions as necessary.  Acts as a facility liaison to promote cooperation and efficiency between the IPA and the facility.   Primary Responsibilities: Directly performs concurrent reviewAccurately identifies and documents level of careCoordinates, facilitates and documents comprehensive discharge planningCoordinates in-network services for OON dischargesEnsur...

Medical Claims Examiner ($500 Bonus for External Hires) - La Palma, CA (791741)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/01/2019

This is an opportunity that's all about where you've been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We'll look for your experience and expertise to help keep our service levels and accuracy extremely high. We'll also look for your ideas on how to constantly evolve our claims processes. We'll back you with the great training, support and opportunities you'd...

Claims Examiner (Hospitals / Institutions) - La Palma, CA (814734)

Full-time | Optum Local Care Delivery | LA PALMA, CA

03/27/2019

To process the medical claims of AppleCare’s Hospital/Institution clients pursuant to designated production quotas for accuracy and productivity benchmarks.  Our production quotas are a minimum of 75 Hospital / Institution Claims per day. Primary Responsibilities: Batch and prioritize a minimum of 75 Hospital / Institution claims processing per day utilizing the company’s in-house claims processing system.Verify patient’s accounts for eligibility and benefits.Process complex claims that have been accepted for payment.Request and follow-up on additional information as needed for incomplete cl...

LVN Case Manager (813955)

Full-time | Optum Local Care Delivery | LA PALMA, CA

03/11/2019

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm) Responsible for the facilitation of the inpatient Utilization Management process including in - network, out of network, case management and discharge planning as well as assisting the Associate Director of Inpatient Management with UM / QM functions as necessary. Acts as a facility liaison to pr...

IT Project Manager - La Palma, CA (819092)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/17/2019

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)Primary Responsibilities:Lead or contribute to the development of program or project scope statements, in consultation with applicable stakeholders (e.g...

Healthcare Call Center Assoc. (Bilingual - Spanish) - La Palma, CA (819384)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/09/2019

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM   We are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that wor...

E.H.R. Analyst (Electronic Health Record) - La Palma, CA (816450)

Full-time | Optum Local Care Delivery | LA PALMA, CA

04/20/2019

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)Primary Responsibilities:Works with practice staff and physician resources to understand workflow and business processes to successfully support the implementation of the E.H.R. solution, using eClinicalWorks: Conducts and documents practice-specific workflow analysis a...

Jobs 1-10 of 15