People are the most important asset of Imperial. . for this reason the difference and plurality of people, equality of opportunities, non-discrimination and inclusion in the workplace are priority and strategic factors in the Organization. Imperial maintains a strong will to promote Diversity, Equity, and Inclusion, through inclusive leadership as a lever change and business sustainability. Imperial Health Plan of California, Inc. is approved by ...
COMPANY INFORMATION. Imperial Health Plan of California, Inc. is approved by California Department of Managed Health Care to offer full-service Medicare Advantage coverage, including a Medicare Advantage Prescription Drug plan, and a Chronic Condition Special needs plan over numerous counties in California. Through its affiliate, Imperial Insurance Companies, Imperial also offers Medicare Advantage plans in Texas, New Mexico, Utah, and Arizona. T...
Imperial Health Holdings is seeking an Outpatient Case Manager, RN or LVN. Licensed in Texas and or California. Responsible for providing timely review of authorization requests to meet national standards and contractual requirements. The prior authorization nurse will promote the quality and cost effectiveness of patient care using clinical acumen. ESSENTIAL JOB FUNCTIONS. Perform a timely review of prior authorization requests for medical neces...
CDI specialist on site in Pasadena, CA. Performs clinical documentation validation. ESSENTIAL JOB FUNCTIONS. Applies working knowledge of ICD-10 CM & PCS, MS-DRG reimbursement methodology, and Standard of Care in daily medical records reviews. Conducts daily coding reviews of inpatient and outpatient medical records to ensure appropriate billing practices. Analyzes and interprets clinical documentation of diagnoses reported by providers. Formulat...
JOB SUMMARY. Support the Compliance Department for Imperial Health Plan of California, Inc. / Imperial Health Holdings Medical Group. May support the NCQA Accreditation Program and oversight processes, CMS compliance, medicare part D& C audits and accreditation best practices and ongoing training activities. ESSENTIAL JOB FUNCTIONS. Serve as the UM Compliance Specialist with Delegated Health Plan contacts for reporting deliverables. Track due dat...
People are the most important asset of Imperial. . for this reason the difference and plurality of people, equality of opportunities, non-discrimination and inclusion in the workplace are priority and strategic factors in the Organization. Imperial maintains a strong will to promote Diversity, Equity, and Inclusion, through inclusive leadership as a lever change and business sustainability. Imperial Health Plan of California, Inc. is approved by ...
People are the most important asset of Imperial. . for this reason the difference and plurality of people, equality of opportunities, non-discrimination and inclusion in the workplace are priority and strategic factors in the Organization. Imperial maintains a strong will to promote Diversity, Equity, and Inclusion, through inclusive leadership as a lever change and business sustainability. Imperial Health Plan of California, Inc. is approved by ...
People are the most important asset of Imperial. . for this reason the difference and plurality of people, equality of opportunities, non-discrimination and inclusion in the workplace are priority and strategic factors in the Organization. Imperial maintains a strong will to promote Diversity, Equity, and Inclusion, through inclusive leadership as a lever change and business sustainability. Imperial Health Plan of California, Inc. is approved by ...
