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Program Specialist (Community Relations)
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505 City Parkway West
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| The Community Relations Department strives to strengthen partnerships by enhancing communications, understanding, and mutual support between CalOptima Health and community organizations. |
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Medical Case Manager RN (Emergency Department Program)
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505 City Parkway West
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| The Medical Case Manager for Long Term Services Supports (LTSS) Emergency Department Program is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (emergency department, Community Based Adult Services (CBAS), CalAIM, complex discharge and long-term care (LTC) members residing in nursing facilities under custodial care) including members in OneCare programs, Medi-Cal only members or members living in the intermediate care facilities under regional center guidelines. |
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Medical Case Manager
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505 City Parkway West
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| The Case Management Department oversees CalOptima Health Case Management needs for Medi-Cal and OneCare Members and Case Management regulatory requirements. |
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Medical Case Manager (Whole Child Model)
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505 City Parkway West
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| The Case Management Department oversees CalOptima Health Case Management needs for Medi-Cal and OneCare Members and Case Management regulatory requirements. |
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Claims Resolution Specialist (Customer Service)
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505 City Parkway West
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| The Claims Administration Department is responsible for managing and processing of all medical claims in accordance with industry standards and regulations, ensuring accuracy and timely reimbursement to healthcare providers. |