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Contract Administrator
Prospect Medical Holdings - Orange, CA
The Contract Administrator works positively and collaboratively with a diverse mixture of internal and external audiences to build awareness, support and confidence in PMH and its services. The Contract Administrator is a part of the legal team and works closely with all members including Executive Leadership to research, prepare contracts, review documents, assists legal and the business owner...
Quality Care Coordinator
Prospect Medical Holdings - Orange, CA
The Quality Management Coordinator coordinates Performance Improvement Activities for hospital key quality indicators and peer review activities, including but not limited to case reviews, case summaries, coordination of peer review completion, assistance with presentations as needed at applicable Medical Staff Committee meetings, maintenance of physician specific quality files for OPPE and FPP...
Customer Service Representative I
Prospect Medical Holdings - Orange, CA
The Customer Service Representative supports the Central Business Office and Outside Vendors to ensure that administrative work is completed in a timely, accurate, and courteous manner. Performs a variety of administrative, support and clerical functions. Resolves administrative issues and inquiries.
Customer Service Representative I (Temp)
Prospect Medical Holdings - Orange, CA
The Customer Service Representative supports the Central Business Office and Outside Vendors to ensure that administrative work is completed in a timely, accurate, and courteous manner. Performs a variety of administrative, support and clerical functions. Resolves administrative issues and inquiries.
Inpatient Care Coordinator II
Prospect Medical Holdings - Orange, CA
The Inpatient Coordinator supports the inpatient case manager to create a seamless transition for hospitalized patients and facilitate customer satisfaction. Documents in electronic medical record systems as directed.
Sr Auditor Credentialing Quality Assurance
Prospect Medical Holdings - Orange, CA
This role is 100% remote. Our Core Values The foundation of our culture is based on our Values of Teamwork, Integrity, Accountability, Innovation, Compassion, Excellence, and Respect. We believe these Values are at the core of who we are as an organization and how we want to go about doing business. These aren't just words to us; they offer direction and guidance as we strive to provi...
Inpatient Care Coordinator II (Temp)
Prospect Medical Holdings - Orange, CA
This position supports the inpatient case manager to create a seamless transition for hospitalized patients and facilitate customer satisfaction. Documents in electronic medical record systems as directed. Focus should be on patient discharge from hospitals into lower level of care by providing the patient with community and alternative solutions.
Inpatient Care Coordinator I (Temp)
Prospect Medical Holdings - Orange, CA
This position supports Emergency Department, Transition of Care and Fax Coordination functions for the Inpatient Care Management team.
Revenue and Recovery III
Prospect Medical Holdings - Orange, CA
Communicate and disseminate, to management, guidelines or documentation relating to Recovery. Review and assess all potential avenues of recovery and make recommendations to management on which items are recoverable and within what time frame. Trend and report on recovery activities. Plan and set goals, in dynamic environment, for department goals. Develop self, and maintain knowledge of man...
Mail Center Associate (Temp)
Prospect Medical Holdings - Orange, CA
The Mail Center Associate is responsible for receiving, sorting, distributing and picking up incoming and outgoing mail on a daily basis. Performs folding, inserting and sealing work using standard mail room equipment (or manually as needed) to ensure timely delivery and pickup of Company mail. Ensures proper maintenance practices are performed on all mail equipment. Postage funds ...
Claims Recovery Specialist
Prospect Medical Holdings - Orange, CA
The Claims Recovery Specialist is responsible for recovering incorrect claims payment to providers. Coordinates and ensures all outstanding over payments are being pursued for recovery purposes. Communicate and explain incorrect claims payments to external providers.
Supervisor Inpatient Clinical Programs
Prospect Medical Holdings - Orange, CA
Assists the Manager or director in planning, organizing, and directing of inpatient Case Management services. This position supervises the RN/LVN Case Managers and support staff that are responsible for providing quality care to our members in acute care or skilled nursing facilities. Responsible for the day to day operations, staffing, utilization review, and discharge panning. Functions as...
Inpatient Case Manager
Prospect Medical Holdings - Orange, CA
Responsible for coordination of daily inpatient services including assessments, treatment planning, monitoring, evaluation, documentation and discharge planning function in accordance with Prospect Medical Group policies, procedure and processes. Interacts with the Medical Directors and hospitalists on a daily basis to determine necessity of continued stay
Physician's Assistant
Prospect Medical Holdings - Orange, CA
The Physician Assistant will provide high quality, evidenced based patient care to complex and high-risk patients with the primary goal and objective of providing best-in-class patient care, reducing avoidable hospitalizations, and decreasing unnecessary emergency department utilization. As a member of the program care team, the Physician Assistant (PA-C), in collaboration with a super...
Physician
Prospect Medical Holdings - Orange, CA
The Physician is responsible for providing and managing direct patient care, Provides and manages direct patient care, including physical examinations, evaluations, assessments, diagnoses, counseling/education and treatment for a specified population adhering to the highest standards of medical practice, ethics, professionalism and patient confidentiality at all times. Prescribes ...
