Job Title. HR Generalist. Location. Clearlake, CA. Company. TotalMed Staffing. Key Responsibilities. Responsible for all pre-employment activities which include initiating background checks, monitoring progress, and providing regular updates to all necessary parties. Collects and tracks all pre-employment documentation to ensure proper compliance measures are met. Pro-actively trouble shoot issues related to employment clearance and takes appropr...
Job Overview. We are seeking a compassionate and skilled Registered Nurse (RN) to join our Home Health team. As a Home Health Registered Nurse, you will play a vital role in delivering high-quality healthcare services to patients in their homes. Our ideal candidate is a dedicated and experienced nurse who is passionate about providing patient-centered care in a home community setting. Responsibilities. Provide skilled nursing services to patients...
This is a temporary position for the HEDIS season. Responsibilities. Performs provider/practitioner medical record reviews to verify clinical data elements for HEDIS® and HEDIS®-like measures abstracted by vendor, while meeting established production goals. Maintains HIPAA standards and confidentiality of protected health information. reports critical incidents immediately. Communicates questions and/or concerns to your Pod Manager or assigned Sp...
Position Title – Community Outreach Representative. Location – Georgetown. Pay -- $26/hr (weekly pay). Work schedule - Hours vary, must be available during regular business hours as well as nights/weekends when needed. Openings – 2. Contract Type – Temporary, goes through May. Interview Process - Virtual or in-person. The Community Outreach Representative (COR) will be responsible for building relationships with the communities we serve, interact...
Healthcare Provider Service Specialist. Hours: 8a-7p - 8 hour shifts. Responsibilities. Resolve member or provider routine service inquiries. examples include claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements. Ensure all HIPAA and State requirements/regulations are always adhered to. Research, follow up, and resolve all open/pending issues in a timely manner...
This is a temporary position, scheduled to go through the beginning of January. Responsibilities. 1. Disinfecting exam rooms. 2. High level disinfection of scopes/ instruments. 3. Answering phones/ making outgoing calls. 4. Scheduling follow up appointments. 5. Inputting patient demographics/ vitals into EPIC. Must have qualifications/experience. 1. Customer service experience. 2. Experience with PC. Shift start & end times: 9AM- 5PM, M-F. INDMLK...
The RN needs some UM background (and experience with Milliman/Interqual) and needs to be willing to travel onsite to hospitals in their territory 75% of the time, the rest is remote work. When onsite they would be performing CM/transition of care type responsibilities. UM/CM hybrid role. Required Skills & Education. . RN License w/ 5 years of exp. UM experience. CM experience (preferably inpatient). Managed Care experience. Willing to travel 75% ...
Position Purpose. Supporting PA Coordinator team with daily operations as needed. Responsibilities. Assess and verify requests for prior authorizations from healthcare providers to ensure they meet the necessary criteria. Liaise with physicians and healthcare staff to gather necessary documentation and clarify authorization requirements. Enter and track prior authorization requests using electronic health record (EHR) systems and other software. ...
