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CalOptima Jobs
Jobs 1 to 8 of 8

CalOptima Jobs

Jobs 1 to 8 of 8

Orange, California

This position will coordinate the grievance and appeal resolution process, respond to verbal and written grievances and appeals from members and/or providers relating to member eligibility and...

2016-12-01Today
Orange, California

The Certified Coding Specialist at CalOptima's Program of All-Inclusive Care for the Elderly (PACE) will review electronic medical charts records in TruChart Electronic Health Record (EHR) system...

2016-12-01Today
Orange, California

Under the direction of the Manager, this position conducts investigations pertaining to allegations of Fraud, Waste and Abuse (FWA) and inappropriate access and/or disclosures of Protected Health...

2016-12-01Yesterday
Orange, California

This position will support CalOptima members engaged with the Homeless Response Team. This position provides shared responsibilities for direct communication with CalOptima's contracted Federally...

2016-12-01Yesterday
Orange, California

The position provides shared responsibility for the daily operations, activities and projects for the Case Management Department. This position will work under the general direction of the Director...

2016-12-012 days ago
Orange, California

The Supervisor is responsible for planning, organizing, developing and implementing the principles, programs, policies and procedures employed in the delivery of long term care services and support...

2016-12-012 days ago
Orange, California

The Grievance and Appeals Nurse Specialist participates in managing the organization's medical appeals and State Hearing reviews for all lines of business; including handling expedited and standard...

2016-12-012 days ago
Orange, California

Under the direction and supervision of the Day Center Supervisor, the Personal Care Attendant (PCA) provides personal care services to CalOptima PACE participants in the day health center, as well...

2016-12-013 days ago
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