Job Title: Grievance Support ClerkPay Rate: $19/hourJob Summary:Under general supervision, the Grievance Support Clerk works directly with members to support the grievance process. This position involves frequent communication with members, internal departments, providers, and the grievance team to ensure timely and accurate resolution of member grievances in alignment with established procedures and regulatory guidelines.Key Qualifications:Self-motivated with strong critical thinking skillsExcellent attend...
POSITION TITLE: Health Education Assistant I – Bilingual IIDEPARTMENT: Health EducationAbout the OrganizationThis organization is committed to improving the health outcomes of its members through an integrated managed healthcare delivery system.About the RoleUnder the direction of the Member Wellness Prevention Manager, the Health Education Assistant will support all activities related to health education, wellness, and prevention. This role helps members access educational services to promote better heal...
Employment Type:Hybrid (50% remote, 50% on-site)Job Location:Bakersfield, CASalary Range:$45.02 - $57.41 per hourPosition Summary:The Clinical Program Oversight RN D-SNP is responsible for overseeing the care management and coordination for members with complex and chronic care needs under the Dual Special Needs Plan (D-SNP). This role ensures the delivery of high-quality clinical support services by monitoring health assessments, care plan development, and interdisciplinary team activities. The RN will als...
POSITION TITLE: Non-Clinical Intake Coordinator II – Non-Certified About the RoleUnder the direction of the Administrative Director of Health Services and the Health Services Manager, the Non-Clinical Intake Coordinator II will support the Clinical Intake staff in processing Health Plan referrals for medical services, durable medical equipment, and specialty care. This role will provide administrative support to the Utilization Management (UM) Department in the authorization process to ensure accurate servi...
Key Staffing is seeking a Facility Manager for a client in the Medical Field located in Bakersfield, CA.Job Summary:The Facilities Manager is responsible for the overall management and maintenance of medical facilities, ensuring a safe, clean, and efficient environment for staff, patients, and visitors. This role oversees facility operations, compliance with healthcare regulations, vendor management, and maintenance of medical equipment and infrastructure.Key Responsibilities:Facility Operations:Manage day-...
Position Title:Utilization Management Nurse RN IJob Overview:The Utilization Management Nurse RN I is responsible for clinical review of inpatient care, ensuring medical necessity and appropriateness of admissions and ongoing confinement. The role involves the use of clinical guidelines and Medicaid criteria to make first-level approval determinations, with referrals for second-level review when necessary. This position requires independent work, though support may be needed for more complex cases. Frequent...
Position SummaryThe Intake Coordinator III (Certified) will play a vital role in supporting the Utilization Management (UM) Department by processing healthcare referrals, coordinating authorizations, and ensuring accurate service determinations. This position serves as a key liaison between patients, providers, and clinical staff to facilitate seamless healthcare access. The role requires strong attention to detail, medical coding knowledge, and excellent communication skills.Company OverviewOur organizatio...
