Job Details. Supervisor Long Term Support Services. CalOptima. CalOptima Health is seeking a highly motivated an experienced Supervisor Long Term Support Services to join our team. The Supervisor, Long Term Support Services will be responsible for planning, organizing, developing and implementing the principles, programs, policies and procedures employed in the delivery of Long Term Services and Supports (LTSS) to members in the community and ins...
Job Details. Manager Case Management. CalOptima. CalOptima Health is seeking a highly motivated an experienced Manager Case Management to join our team. The Manager Case Management provides shared responsibility for the daily operations, activities and projects for the Case Management department. The incumbent works under the general direction of the Director of Case Management and in partnership with the other department managers to provide perf...
Job Details. Customer Service Rep - Lead (Bilingual). CalOptima. CalOptima Health is seeking a highly motivated an experienced Customer Service Rep - Lead (Bilingual) to join our team. The Customer Service Rep - Lead will provide services to CalOptima Health members and providers. The incumbent will assist members and providers with questions related to the Medi-Cal and OneCare programs for Orange County. The incumbent will provide information re...
Social Worker (Care Manager) (MSSP). CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Social Worker (Care Manager) (MSSP). to join our team. This Social Worker (Care Manager) will assess prospective members for the various programs available. The incumbent will be responsible for developing, implementing, monitoring, modifying and documenting care plans. The incumbent will accept referrals for case management and will ma...
Job Details. Program Manager, Sr. (Provider Operation). Job Description. Department(s). Provider Data Management Services. Reports to. Director II. FLSA status. Exempt. Salary Grade. M - $85,000 - $141,086. Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on. Monday, March 18, 2024 at 11:59 PM. Applicants are encouraged ...
Job Details. Medical Case Manager (Long Term Support Services). CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Medical Case Manager (Long Term Support Services). to join our team. The Medical Case Manager (Long Term Support Services) is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (C...
Job Details. Accounting Clerk, Sr. CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Accounting Clerk, Sr. to join our team. Under general direction, the Accounting Clerk Sr will be responsible for performing general accounting and administrative support duties for various specialties including accounts payable (A/P) and account reconciliations. The incumbent will coordinate work with external vendors and various departme...
Job Details. Communications Specialist - Lead (Digital Communications). CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Communications Specialist - Lead (Digital Communications). to join our team. The Communications Specialist - Lead (Digital Communications) will work closely with CalOptima Health staff to ensure effective digital communication to members and other audiences about CalOptima Health programs and activitie...
Sr. Manager, Enterprise Analytics (Sr. Manager II). CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Sr Manager II. to join our team. The Sr Manager II (Enterprise Analytics) will lead, develop and manage a team of expert Enterprise Analytics Managers that provide a one-stop shop for analysis, professional data visualizations, reporting and guidance in all areas of health plan data analytics. The incumbent will serve the...
Job Details. Sr. Manager, Utilization Management (Sr. Manager II). CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Sr. Manager, Utilization Management (Sr. Manager II). to join our team. The Sr Manager II (Utilization Management) will be responsible for providing oversight of clinical team treatment authorization compliance and oversight of internal and external health network partners. The incumbent will lead inventory...
Job Details. Program Manager (Behavioral Health). CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Program Manager (Behavioral Health). to join our team. The Program Manager (PM) plays a vital role in the program design, development and implementation of behavioral health (BH) related programs and initiatives. The incumbent works under the general direction of the Manager, Behavioral Health in collaboration with other Be...
Job Details. Program Specialist (Case Management). CalOptima. CalOptima Health. is seeking a highly motivated an experienced. Program Specialist (Case Management). to join our team. The Program Specialist (Case Management) will support various projects and initiatives, as well as assist in the coordination of key strategies to effectively enhance the delivery of Case Management (CM) services. The incumbent will participate in and support CM meeti...
