DatamanUSA is looking for a Program Assistant for our direct client based in CA. This is a great opportunity for someone who is a quick learner with excellent people skills. Job Details: Job Title: Program Assistant Location: Orange, CA Duration: 6 months Minimum Qualifications: High School diploma or equivalent required. 1 year of experience in appeal and grievance guidelines or Medi-Cal/Medicaid or Medicare programs required. An equivalent combination of education and experience sufficient

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

Medical Assistant (PACE) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Assistant (PACE) to join our team. The Medical Assistant the Program of All Inclusive Care for the Elderly (PACE) will work under the general supervision of the Clinic Nurse and within regulatory practice. The incumbent will assist in the provision of direct participant care by performing routine procedures, technical and clerical support services in a clinical setting. The incumbent may admi

Medical Case Manager (Community Based Adult Services) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager-RN (Community Based Adult Services) to join our team. The Medical Case Manager for Community Based Adult Services (CBAS) will be responsible for reviewing and processing requests for authorization for CBAS services. The incumbent will utilize Medi-Cal criteria along with policies and procedures to authorize requests from CBAS providers. The incumbent

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

Personal Care Coordinator Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator Sr to join our team. The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. The incumbent will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. The incumbent will regularly

Personal Care Coordinator Sr CalOptima CalOptima Health is seeking a highly motivated an experienced Personal Care Coordinator Sr to join our team. The Personal Care Coordinator Sr will perform a wide variety of advanced support activities for plan members. The incumbent will ensure regular communication of the member's annual Health Needs Assessment (HNA) or Health Risk Assessment (HRA) and care plan with the member, primary care provider (PCP) and health care team. The incumbent will regularly

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

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

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