Managed Care Jobs in Riverside, CA

About the Role:The Patient Liaison serves as a vital bridge between patients and healthcare providers ensuring clear communication and a supportive experience throughout the care journey. This role focuses on understanding patient needs addressing concerns and facilitating access to medical services...

DescriptionThe Enhanced Care Management (ECM) Program Manager provides leadership and direction for the organizations care management operations and services aligning with the organizations mission strategies and objectives.FLSA StatusExemptSalary Range$68640 - $75000Reports ToDirector of Operations...

DescriptionThe Patient Care Navigator II is a role that blends care coordination responsibilities with community engagement. This role supports the Cal AIM Enhanced Care Management (ECM) program and maintains an assigned caseload. Patient Care Navigator II provides care coordination connection to me...

ABOUT THE POSITIONThe County of Riverside- Riverside University Health System- Public Health is currently recruiting for a Registered Nurse I-III to join our Enhanced Medical Service department located in collaboration with the case managing Social Services Practitioner our department provides nurs...

ABOUT THE POSITIONThe County of Riverside - RUHS - Correctional Health System seeks to fill a Medical Records Technician II for the Robert Presley Detention Center in Riverside.Under general supervision abstracts and provides information from patient medical or mental health and vital records in res...

The Head Coach & SDA Recruitment Liaison Womens Volleyball provides strategic leadership and operational management for the Universitys Womens Volleyball program and SDA recruitment initiatives. This position integrates the functions of Athletics and Strategic Enrollment Management (SEM) with respon...

ABOUT THE POSITIONThe Department of Veterans Services is seeking a Veterans Services Community Liaison for its Riversideoffice.The selected candidate will support the department by conducting intake assessments developing service plans managing and providing follow-up to cases assisting with VA clai...

ABOUT THE POSITIONApplicants who previously applied to this posting do not need to reapply.The Department of Veterans Services is seeking a Veterans Services Community Liaison for its Riverside office.The selected candidate will support the department by conducting intake assessments developing serv...

DescriptionThe ECM Care Manager Licensed Vocational Nurse (LVN)facilitates patient continuity of care with the ECM healthcare team and managed care plan. Under the clinical direction and oversight of the Primary Care Physician and Registered Nurse the LVN coordinates care for patients needing suppor...

DescriptionThe Community Health Worker (CHW) is responsible for helping patients and their families to navigate and access community services other resources and adopt healthy behaviors. The CHW supports providers and the Case Managers through an integrated approach to care management and community...

The WelbeHealth PACE program helps seniors stay in their homes and communities by providing medical care and community-based services. We provide all-inclusive care for seniors including medical dental physical therapy and much more. Our core values and participant focus lead the way no matter what....

PURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility.ESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct reviews in accordance with certification requirements of in...