PROJECT MANAGER CLINICAL INTEGRATION/EHR
The Project Manager will direct strategy and implementation of IPA’s clinical integration efforts including Electronic Health Records and other communications required in Healthcare Reform environment. Current knowledge of regulations and resources specific to EHR a must. Position will require timeline, staff, vendor, budget and communication management at all levels within and outside the organization.
The successful candidate will possess high level computer skills; excellent analytical, verbal and written skills. Project Manager will excel at customer service and inter-personal skills. Clinical skills are not required. However, exp working with physicians is important. Position is based in Orange County – travel within the county required.
Preferred: Masters degree in Health Care/Business Administration or an equivalent of education and experience. Excellent salary and benefits package. Submit resume with salary history to hr@1wmm.com or fax to (949) 567-0683.
UTILIZATION MANAGEMENT SUPERVISOR:
OC IPA is looking for an energetic and motivated nurse to assume an entry level management position in the prior authorization department. Requires: minimum of 5 years clinical experience + 3-5 years prior authorization / UM experience in an IPA/MSO setting; knowledge of Medi-Cal, HMO, CMS and NCQA guidelines beneficial. Must be willing to be a team leader / team worker, creative problem solver, detail oriented, able to multi-task, have strong computer / technology skills. An exciting opportunity for the right candidate looking for a place to learn management and supervisory skills. Excellent benefits, competitive salary commensurate with experience.
Include salary history and submit resume to hr@1wmm.com or fax to 949-260-6552.
PROVIDER RELATIONS/CONTRACTING ASSISTANT
This individual is a liaison to our contracting coordinators & contracted providers regarding eligibility, contracting, enrollment & capitation/payment issues. Will support provider education & community activities. Responsibilities include/but not limited to contract scanning database, directing and implementing strategies relating to the development of contracting network, identifying gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs. Must be able to multi-task and handle high pressure situations. Provider Relations & Contracting experience a plus but not required. MS Windows 2000 & MS Office a must.
Minimum Qualifications: Degree in Healthcare/Business Administration or an equivalent of education and experience. Minimum 3-5 years experience in an MSO/IPA. Knowledge of guidelines and regulations specific to health care. Valid California Driver License. Competitive salary commensurate with experience, excellent benefits. Include salary history and submit resume to hr@1wmm.com, or fax to 949-260-6552. EOE
CUSTOMER SERVICE REPRESENTATIVE
Western Medical Management, an MSO/IPA, in Irvine, is seeking an individual who is bi-lingual (Spanish) with great people skills for our Customer Service Team. Must be patient, with good listening & resourceful problem solving skills. Be the "service" individual in Customer Service.
Must have excellent verbal and written skills, proficiency in Windows; 3+ years experience in healthcare /Customer Service a MUST. Medicare and/or claims experience necessary. Send resume w/salary history to hr@1wmm.com or fax to
949-567-0683.
INPATIENT MEDICAL DIRECTOR/HOSPITALIST for OC IPA
A hands-on, independent contractor, in field/office position responsible for overseeing all admissions through pediatric and adult hospitalist teams. First responder to all ER/admission telephone calls, for Medi-Cal, commercial and Medicare patients. MD licensed in CA, Board Certified (IM or related field) strong clinical skills and experience in a managed care setting required.
Please submit CV to hr@1wmm.com or fax to 949-567-0683.
DIRECTOR OF QUALITY IMPROVEMENT/CASE MANAGEMENT
WMM is a quality minded, results / outcome driven organization. The ideal candidate for this position oversee both QI staff and CM staff. Position entails CM responsibilities of: designing population based / member based care management approaches maximizing appropriate care yet safeguarding against unnecessary ER Utilization, readmissions, futile care; and QI responsibilities of: grievance and satisfaction processes, HEDIS / P4P programs / outcomes. C
andidate must have current California RN license (BSN preferred); experience with managed care, case management, concurrent review, HEDIS, employee supervision; will train the right candidate. Strong computer, problem solving, data analysis and communication skills required; enjoy multitasking and creative thinking; be detail oriented, flexible and a team player. Submit resume with salary history to hr@1wmm.com, or fax to (949) 567-0683.
MANAGER OF CASE MANAGEMENT
WMM is a quality minded, results / outcome driven organization. The ideal candidate for this position will be charged with re-engineering the ambulatory & concurrent review case management teams ; designing population based / member based care management approaches maximizing appropriate care yet safeguarding against unnecessary ER Utilization, readmissions, futile care. Candidate must have current California RN license (BSN preferred); experience with managed care, case management, concurrent review, employee supervision; will train the right candidate. Strong computer, problem solving and communication skills required; enjoy multitasking and creative thinking; be detail oriented, flexible and a team player. Submit resume with salary history to hr@1wmm.com, or fax to (949) 567-0683.
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