Job Summary. A Clinical Support Associate III Lead (CSA III) is assigned to one of several Health Services clinical units. These units include Utilization Management, Case Management, Enhanced Care Management/Community Supports (Instead of Service), Care Coordination, Disease Management, Behavioral Health, and the Pediatric-Whole Child Model program. The CSA III Lead is responsible for providing coordination support for the clinical teams, suppor...
California Annual Salary Range: $82,165 - $119,140. Job Summary. The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to theUtilization Management and Case Management units. This position reports to the Program Manager or the designee of the assigned unit. Depending on unit assignment, the HPNC may perform utilization management activities, including telephonic or onsite clinical review, case or disease management, care coordin...
California Salary Range. $82,165 - $119,140. Job Summary. Under the direction and supervision of the Audit Manager within the Audits, Monitoring, & Oversight Department of the Compliance Division, and through collaboration with Directors and Management level staff, this position conducts audit activities of varying complexity and supports initiatives of moderate to complex difficulty related to CenCal Health’s audits, monitoring, and oversight pr...
Job Details. Job Location. Main Office - Santa Barbara, CA. Position Type. Full Time. Salary Range. Undisclosed. Job Category. Member Services. Description. Salary. $22.56/hour - $31.58/hour. Job Summary. Expectations of this position are to provide support to the Lead Eligibility Representative department staff for all eligibility / membership functions relating to enrollment, disenrollment, and reconciliation processes for all CenCal Health Pro...
Job Details. Job Location. SLO Office - San Luis Obispo, CA. Position Type. Full Time. Salary Range. Undisclosed. Job Category. Provider Services. Description. MUST BE ABLE TO COMMUTE TO SAN LUIS OPISPO AND WORK A HYBRID SCHEDULE THERE IN OFFICE 3 DAYS/WEEK. Salary Range. $101,007 - $151,510. Job Summary. The Provider Relations Manager plays a key role in establishing, cultivating, and maintaining positive relationships with CenCal Health provide...
Job Details. Job Location. Main Office - Santa Barbara, CA. Position Type. Full Time. Salary Range. Undisclosed. Job Category. Member Services. Description. Salary:$22.56/hour - $31.00/hour. Under the supervision of the MS Grievance & Appeals Manager, this position will provide for the administrative initiation and potential resolution of member grievances and appeals (G&A) and member billing issue cases as assigned by the MS Grievance & Appeals ...
Job Details. Job Location. Main Office - Santa Barbara, CA. Position Type. Full Time. Education Level. Master's Degree. Salary Range. Undisclosed. Job Category. Behavioral Health. Description. Annual Salary Range: $90,347 - $140,037. Job Summary. The Behavioral Health Community Integration Specialist reports to the Behavioral Health Operations Manager and provides care coordination for Members who have a Mental Health disorder, substance use diso...
Job Details. Job Location. Main Office - Santa Barbara, CA. Position Type. Full Time. Salary Range. Undisclosed. Job Category. Member Services. Description. Hourly Pay Range: $24.81 - $34.74. This position will provide for the facilitation of member grievances and appeals (G&A) and member billing issue cases as assigned by the MS Grievance and Appeals Supervisor. This position must be committed to service recovery and perform at a high level rega...
Job Summary. The Quality Department is committed to preventing disease, ensuring patient safety, and eliminating inequities by improving the quality of care members receive through partnerships with providers and community-based organizations. Reporting to the Population Health Manager, this position leads the Population Health team by guiding the development, implementation, and monitoring of population health programs and quality improvement ac...
Job Details. Job Location. Main Office - Santa Barbara, CA. Position Type. Full Time. Education Level. Bachelor's Degree. Salary Range. Undisclosed. Job Category. Medical Management. Description. California Annual Salary Range: $82,165 - $119,140. Job Summary. The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to theUtilization Management and Case Management units. This position reports to the Program Manager or the designee ...
Company Description. CenCal Health is a publicly-funded managed care organization that provides health care coverage for residents in Santa Barbara and San Luis Obispo counties. We are currently seeking a Claims Customer Service Supervisor in our Santa Barbara office location. . Job Description. We're looking for a RN that likes to make visits to local providers/clinics to upgrade our quality of care for our members. Need to have 2 years experien...
Job Details. Job Location. Main Office - Santa Barbara, CA. Position Type. Full Time. Salary Range. Undisclosed. Job Category. Finance. Description. Salary Range: $46,920 - $65,688 ($22.56 - $31.58 per hour). Job Summary. The Finance Administrative Assistant reports to the Director of Accounting and will be responsible for providing administrative and clerical support to the finance division. The position requires a strong attention to detail and...
