Top 716 Quality management system Jobs in Bakersfield, Ca

Utilization Management Coordinator - Managed Care
CENTRIC HEALTHCARE SERVICES —Bakersfield, CA
- $22 - $24 an hour
- Full-time
- Bilingual
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T0614)
Target —Bakersfield, CA
- $18.25 an hour
- Choose your own hours
- Fair chance
- Entry level
- Flexible schedule
On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T2715)
Target —Bakersfield, CA
- $18.25 an hour
- Choose your own hours
- Fair chance
- Entry level
- Flexible schedule
On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T2524)
Target —Bakersfield, CA
- From $18.25 an hour
- Choose your own hours
- Fair chance
- Entry level
- Flexible schedule
Packaging Specialist
Dreyer's Grand Ice Cream, Inc —Bakersfield, CA
- $70,000 - $75,000 a year
- No experience needed
- Analysis skills
- Presentation skills
Operations Manager - Regional Distribution Center - Bakersfield, California
Target —Shafter, CA
- $73,000 - $132,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Conflict management
- Paid holidays
- Disability insurance
On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T1384)
Target —Bakersfield, CA
- $18.25 an hour
- Choose your own hours
- Fair chance
- Entry level
- Flexible schedule
Warehouse Manager
Dreyer's Grand Ice Cream, Inc —Bakersfield, CA
- $110,000.00 - $116,132.50 a year
- 5 years
- Mid-level
- Supervising experience
On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T2929)
Target —Bakersfield, CA
- $18.25 an hour
- Choose your own hours
- Fair chance
- Entry level
- Flexible schedule
Program Support Coordinator - Bakersfield
Enriching Lives —Bakersfield, CA
- $21.00 - $26.08 an hour
- Full-time
- Current TB test
- Basic math
- Mid-level
Quick Apply
Production Manager
Bull Moose Tube —Bakersfield, CA
- $98,000 - $116,000 a year
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
- Relocation assistance
Quick Apply
Health Record Clerk (Temp)
Family HealthCare Network —Bakersfield, CA
- $21.00 - $28.60 an hour
- Full-time
- Microsoft Word
- HIPAA
- High school diploma or GED
- Paid training
IT Helpdesk Specialist
California Dairies, Inc. —Bakersfield, CA
- $23.94 - $35.11 an hour
- Full-time
- English
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Desktop Support Technician II (Tier 2) Bakersfield, CA
Grapevine MSP Technology Services —Bakersfield, CA
- $54,121 - $65,346 a year
- Full-time
- Mid-level
- Continuous improvement
- Organizational skills
- Dental insurance
- 401(k) 4% Match
Quick Apply
12d
Inside Sales Representative
Hayes Handpiece Franchises, Inc. —Bakersfield, CA
- $45,000 - $65,000 a year
- Remote
- High school diploma or GED
- Bachelor's degree
- Organizational skills
- On-the-job training
Quick Apply
Dispatcher
Medical Transportation Management (MTM, Inc.) —Bakersfield, CA
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
5d
Courtesy Clerk PT
Vallarta Supermarkets —Bakersfield, CA
- $16.90 an hour
- Part-time
- US work authorization
- Ability to lift 25 pounds
- Entry level
- AD&D insurance
- Paid holidays
Quick Apply
11d
Manager Quality
Dreyer's Grand Ice Cream, Inc —Bakersfield, CA
- $120,000 - $145,000 a year
- Bachelor's degree
- Senior level
- Leadership
Shelter Specialist (Part-Time)
MERCY HOUSE —Bakersfield, CA
- $21 an hour
- Part-time
- Ability to lift 50 pounds
- Guest services
- Entry level
Quick Apply
7d
Engineering & Facilities Operations Manager - Regional Distribution Center - Bakersfield, California
Target —Shafter, CA
- $73,000 - $132,000 a year
- Full-time
- Engineering
- Supervising experience
- Fair chance
- Paid holidays
- Disability insurance
8d

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quality management system jobs near bakersfield, ca

Utilization Management Coordinator - Managed Care

CENTRIC HEALTHCARE SERVICES
Bakersfield, CA

Quick Apply

Job Details

Full-time
$22 - $24 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Bilingual
Microsoft Outlook
Medicare
Utilization review
RN License
Medical software
Medical coding
HIPAA
ICD-10
Medicare regulations
CPT coding
Typing
Medical terminology

Full Job Description

The role of the Utilization Management Coordinator is to promptly, efficiently and accurately execute all aspects of the referral process. Promote the quality of medical care through strict adherence to all UM policy and procedure.

Essential Functions

· Data entry via EZ CAP software

· Communicate effectively and interact with the utilization review nurse and health plans daily or as indicated regarding UM and referral authorization issues

· Process request that are approved, denied or deferred and in accordance with utilization management policy and procedure

· Responsible for deferred authorization maintenance, tracking and follow up

· Responsible for log maintenance and member notifications

· Maintain regulatory Turn Around Time (TAT) Standards per CMS (Seniors)

· Returns phone calls to members, physicians and health plans and follow up with requests

· Maintain turnaround time compliance in all aspects of the UM process

· Maintain all reference material that is provided by the supervisor, manager or director

· Maintain patient confidentiality so that HIPAA compliance is observed at all times

· Know and follow the Employee Handbook policies and procedures

· Maintains quality monitors as assigned by Manager

· Assists other staff and supports the team approach

· Communicates appropriately and clearly to management, co-workers, and physicians

· Other Duties as assigned

Qualifications/Requirements

· Knowledge of Healthcare and Managed Care preferred

· Ability to multi-task and meet deadlines

· Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)

· Typing 40 words per minutes with accuracy

· Knowledge of healthcare protocols/procedures, including healthcare coding

· Knowledge of coordination of benefits

· Knowledge of Medicare processing guidelines

· Knowledge of the EZ-Cap and Crystal operating system

· Ability to project a pleasant and professional image

· Ability to plan, prioritize and complete delegated tasks

· Ability to demonstrate compassion and caring in dealing with others

Job Type: Full Time

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
401K
Paid Time Off

Job Type: Full-time

Pay: $22.00 - $24.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Schedule:

Day shift

Experience:

Utilization review: 2 years (Preferred)

License/Certification:

RN (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

quality management system jobs in bakersfield, ca

Utilization Management Coordinator - Managed Care

On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T0614)

On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T2715)

On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T2524)

Packaging Specialist

Operations Manager - Regional Distribution Center - Bakersfield, California

On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T1384)

Warehouse Manager

On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T2929)

Program Support Coordinator - Bakersfield

Production Manager

Health Record Clerk (Temp)

IT Helpdesk Specialist

Desktop Support Technician II (Tier 2) Bakersfield, CA

Inside Sales Representative

Dispatcher

Courtesy Clerk PT

Manager Quality

Shelter Specialist (Part-Time)

Engineering & Facilities Operations Manager - Regional Distribution Center - Bakersfield, California

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