Top 447 credentials coordinator Jobs in commerce, ca

Cal AIM Authorization Coordinator
Libertana —Sherman Oaks, CA
- $24 - $26 an hour
- Full-time
- Hybrid work
- 18 years or older
- Mid-level
- 2 years
Quick Apply
Credentialing Coordinator – Hospital – LA
Klimbnow Technologies Pvt Ltd. —Los Angeles, CA
- $35 - $38 an hour
- Contract
- Hospital
- Medical office experience
- Mid-level
Quick Apply
17h
Senior Talent Acquisition Coordinator
Institute for Applied Behavior Analysis —Pasadena, CA
- $28 - $32 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Residential
- Health insurance
- Dental insurance
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Administrative Coordinator
The Home Health Consultant —Burbank, CA
- $28 - $32 an hour
- Full-time
- Mid-level
- Office
- Administrative experience
- Health insurance
- Dental insurance
Receptionist
American Federation of State, County and Municipal Employees —Vernon, CA
- $22.28 - $26.74 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Onboarding Coordinator
8Fleet Inc. —Los Angeles, CA
- $70,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- 1 year
Quick Apply
Licensed Vocational Nurse
Chelsea's Home Health Care, Inc. —Pasadena, CA
- $28 - $30 an hour
- Urgently hiring
- Medication administration
- LVN
- Patient monitoring
- Paid training
- Health insurance
Quick Apply
Child Development and Child Care Head Teacher
Glendale Unified School District —Glendale, CA
- $41,808 - $67,651 a year
- Full-time
- CPR Certification
- Management
- Writing skills
- Health insurance
- Retirement plan
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Child Development Educator
Glendale Unified School District —Glendale, CA
- $34,560 - $61,566 a year
- 8 hour shift
- Background check
- Management
- English
- Health insurance
- Dental insurance
Quick Apply
Assistant Principal ETK-12 ( Los Angeles ) School year 26-27
Los Angeles Leadership Academy —Los Angeles, CA
- $95,000 - $107,000 a year
- Weekends as needed
- School experience
- Spanish
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
13h
HS Teacher II Floater – CCTR (South Park)
Pacific Asian Consortium in Employment (PACE) —Los Angeles, CA
- $27.22 an hour
- Full-time
- Classroom
- 18 years or older
- Spanish
- Health savings account
- Health insurance
Quick Apply
Director of Clinical Operations
ProMedix Health —Santa Ana, CA
- $140,000 - $180,000 a year
- Full-time
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Quick Apply
9d
Regulatory Specialist - Clinical Research
CenExel Clinical Research —Anaheim, CA
- $30 - $35 an hour
- Overtime
- Psychiatry
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Business Operations Coordinator – Entertainment Business Management Firm
Confidential —Sherman Oaks, CA
- $25 - $28 an hour
- Full-time
- Background check
- Spanish
- 5 years
- Paid holidays
- Health insurance
Quick Apply
3d
Medical Assistant
PFCLA —Westwood, CA
- $25 - $30 an hour
- Full-time
- Spanish
- HIPAA
- Clinic experience
- Free parking
- Health insurance
Quick Apply
2d
Family Services Specialist
Community Action Partnership of San Luis Obispo —Santa Ana, CA
- $19.20 - $22.75 an hour
- Seasonal
- Bachelor of Science
- Driver's License
- Driving
Quick Apply
13h
Sales Coordinator
Erik Zeinali Allstate Insurance Agency —Pasadena, CA
- $50,000 - $100,000 a year
- Full-time
- Mid-level
- Business development
- In-person
- Paid training
- Paid holidays
Quick Apply
Human Resources Supervisor
Cambrian Homecare —Long Beach, CA
- $0.50 per mile
- Full-time
- Microsoft Word
- Background check
- Spanish
- Mileage reimbursement
- AD&D insurance
Quick Apply
Locum Physician (MD/DO) - Family Practice in California
LocumJobsOnline —California
- Full-time
- Medicine
- Clinic
- Outpatient
3d
Regulatory Coordinator
Children's Hospital Los Angeles —Los Angeles, CA
- $51,979 - $85,394 a year
- Full-time
- Remote
- HIPAA
- Residential
- Bachelor's degree

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Cal AIM Authorization Coordinator

Libertana -
Sherman Oaks, CA

Quick Apply

Job Details

Full-time
$24 - $26 an hour

Qualifications

Mid-level
2 years
Communication skills

Full Job Description

Position: Transitions CalAIM Authorization Coordinator

Pay Range: $24 to $26 hourly

Reporting To: Auth Team Supervisor

Work Type: Hybrid

POSITION SUMMARY:

The Cal AIM Auth Coordinator is responsible for managing the intake of new members, processing billing and authorizations, and supporting various administrative functions for the CalAim departments.

QUALIFICATIONS:

Bachelor's degree in Healthcare Administration, Business Administration or related field preferred.

Has adequate computer experience in Microsoft Word and Excel.

2+ years of Administration experience.

Is at least 18 years of age.

Excellent communication skills and ability to engage others.

Proper phone etiquette.

Experience in working with electronic healthcare systems.

Experience with developing reports.

Strong organizational and follow up skills

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

Tracks and ensures referrals are processed within the time frames stated in the CalAim/ CCT contract expectations.

Fields incoming calls and makes outgoing calls to all potential new members.

Reviews and compiles intake documents to ensure paperwork is properly completed and submitted to Health Plans for authorization

Tracks and update authorization status for new members.

Performs eligibility screener in compliance with CalAim/CCT policies and procedures.

Works with other departments to identify gaps in care for members and generate internal referrals.

Uses the different Managed Care Provider (MCP’s) portals to submit inital authorization and reauthorizations requests for all CalAim services.

Has a clear understanding of services provided under CalAim (ECM and CS) and CCT with the ability to clearly communicate them to potential members.

Creates patient charts and uploads referral and authorization documentation into the EMR system.

Processes approved authorizations and coordinates follow up activities for Case Managers

Provides updates to external care partners regarding patient status and/or other relevant information.

Completes CCT, CS, ECM visit logs and works through integration logs as needed.

Assists with completing DHCS CCT forms (ITCP, FTCP, DTRF) based on the RN assessment.

Assists in completing weekly and monthly CalAim MCP reports on CS Communications Log, CS Return Transmission File (RTF) and ECM Return Transmission File (RTF) & ECM Outreach Transmission File (OTF).

Conforms to all agency policies and procedures.

Maintains/conserves confidentiality of patient and agency information always with HIPAA regulations.

Regularly attends and participates in scheduled case conferences, staff meetings and agency in-services. (in person, by phone or on the web).

Follows policies and procedures as per Employee Handbook.

Maintains all required credentials up to date.

Reports Fraud and Abuse.

Knowledge of mandated reporting.

Conducts timely recording and/or documentation of client contact.

Performs other duties as assigned.

PHYSICAL REQUIREMENTS:

Stand, sit, talk, hear, reach, stoop, kneel and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis, up to 75% of the time.
Close vision requirements due to computer work.
Light to moderate lifting may be required up to 25lbs.

Quick Apply

Refine Your Search

credentials coordinator jobs in commerce, ca

Cal AIM Authorization Coordinator

Credentialing Coordinator – Hospital – LA

Senior Talent Acquisition Coordinator

Administrative Coordinator

Receptionist

Onboarding Coordinator

Licensed Vocational Nurse

Child Development and Child Care Head Teacher

Child Development Educator

Assistant Principal ETK-12 ( Los Angeles ) School year 26-27

HS Teacher II Floater – CCTR (South Park)

Director of Clinical Operations

Regulatory Specialist - Clinical Research

Business Operations Coordinator – Entertainment Business Management Firm

Medical Assistant

Family Services Specialist

Sales Coordinator

Human Resources Supervisor

Locum Physician (MD/DO) - Family Practice in California

Regulatory Coordinator

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