Activity Coordinator (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Activity Coordinator (PACE) to join our team. The Activity Coordinator for the Program of All-Inclusive Care for the Elderly (PACE) will be responsible for developing, coordinating and planning individual and group recreational activities for participants in CalOptima Health's PACE. The incumbent will monitor and revise activities to ensure participants' and program goals are met and aligned with
Contracts Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Contracts Specialist to join our team. The Contracts Specialist will assist in the coordination and implementation of the department's contracts, manage the department's maintenance tasks and provide analytical support. The incumbent will assist in the oversight of the contract management system, perform user acceptance testing and develop and deploy training modules to support the activities within the
Supervisor Coding Initiatives (Hierarchical Condition Category) CalOptima CalOptima Health is seeking a highly motivated an experienced Supervisor Coding Initiatives (Hierarchical Condition Category) to join our team. The Supervisor Coding Initiatives will oversee the day-to-day operations of the Coding Specialists on the Medicare Hierarchical Condition Category (HCC), Medi-Cal Chronic Illness and Disability Payment System (CDPS) and Annual Wellness Visit (AWV) programs. The incumbent will creat
Medical Case Manager (LVN) (Long-Term Care) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (LVN) (LTC) to join our team. The Medical Case Manager (LVN) for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities. The incumbent will be responsible for inpatient review and referral related processes which include on-line responsibilities as well as selected off-line
Director, Credentialing (Director I) CalOptima CalOptima Health is seeking a highly motivated an experienced Director, Credentialing (Director I) to join our team. The Director of Credentialing will be responsible for overseeing the process of verifying and maintaining health care provider credentials, ensuring compliance with all relevant regulations and standards, overseeing a contracted credentialing verifications organization (CVO), managing a team of credentialing staff, and ensuring ongoin
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
Clinical Auditor Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor Sr to join our team. The Clinical Auditor Sr (Behavior Health) will serve as the auditor for clinical and quality areas within the Behavioral Health Integration department. The incumbent will ensure regulatory (Medicare and Medi-Cal) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, moni
Job Description: Exterior Design release Engineer Location: Irvine, CA FTE Responsibilities: Good Working experience as DRE in Exterior engineering (Min 3 years) Bachelor of Science in Mechanical Engineering with a minimum of 10+ years of experience in automotive exterior trim components and subsystemAbility to create and completion of Bumper, Cladding, Spoiler, Door garnish, Fender etcWork with Styling team to perform feasibility studies, Check A-class surface and define craftsman ship targe
Provider Data Management Services Coordinator CalOptima CalOptima Health is seeking a highly motivated an experienced Provider Data Management Services Coordinator to join our team. The Provider Data Management Services (PDMS) Coordinator will be responsible for building, updating and maintaining provider data in the CalOptima Health provider system. The incumbent will function as a liaison between CalOptima Health and providers to ensure the accuracy and completeness of provider data is reflect
Member Liaison Specialist (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Member Liaison Specialist to join our team. The Member Liaison Specialist (Behavioral Health) will be responsible for providing care management support to members seeking Behavioral Health Treatment (BHT), including Applied Behavior Analysis (ABA). The incumbent will assist members in relation to BHT services, following up with members before and after appointments, providing mem
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
Sr Manager, Strategic Planning & Performance (Sr Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Manager, Strategic Planning & Performance (Sr Manager II) to join our team. The Sr Manager (Strategic Planning & Performance) will be responsible for strategic alignment and integration across programs and projects in support of Strategic Development department process and administrative efficiency. The incumbent will be responsible for management of the departm
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
Clinical Auditor Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor Sr to join our team. The Clinical Auditor Sr (Behavior Health) will serve as the auditor for clinical and quality areas within the Behavioral Health Integration department. The incumbent will ensure regulatory (Medicare and Medi-Cal) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, moni
Medical Case Manager RN (Emergency Department Program) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager RN (Emergency Department Program) to join our team. 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
Member Liaison Specialist (Behavioral Health) CalOptima CalOptima Health is seeking a highly motivated an experienced Member Liaison Specialist (Behavioral Health) to join our team. The Member Liaison Specialist (Behavioral Health) will be responsible for assisting Medi-Cal and OneCare members with behavioral health care management needs in a call center environment, which includes but is not limited to securing behavioral health appointments for members, following up with members before and aft
Health Network Liaison Specialist (RN) CalOptima CalOptima Health is seeking a highly motivated an experienced Health Network Liaison Specialist (RN) to join our team. The Health Network Liaison Specialist Registered Nurse (RN) will serve as a liaison between the delegated Health Networks (HN) and CalOptima Health, assisting members assigned to the delegated HN with coordination of care and service-related issues. The incumbent will provide consultation to the health networks and groups to impro
About Rivian Rivian is on a mission to keep the world adventurous forever. This goes for the emissions-free Electric Adventure Vehicles we build, and the curious, courageous souls we seek to attract. As a company, we constantly challenge what's possible, never simply accepting what has always been done. We reframe old problems, seek new solutions and operate comfortably in areas that are unknown. Our backgrounds are diverse, but our team shares a love of the outdoors and a desire to protect it
