Medical Claims Review Manager jobs in Santa Rosa, CA

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • SANTA ROSA, CA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like - minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help.
     
    THE POSITION:
    Case Management Nurses coordinate long-term care for their patients. Their goal is to treat their patients at optimal times to keep them healthy and out of the hospital. As a Case Management Nurse, you’ll likely work with specific groups of patients. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics. You’ll also research the latest treatment and procedures, and work with insurance companies to help your patients receive the best possible care in the most cost-effective way.

    *Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details.

    **Equal Opportunity Employer**

     
    BENEFITS:
     
    Insurance
    We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identify Theft Protection.
     
    401 K  
    You are eligible to enroll 1st of the month following hire date.We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute.& nbsp;
     
    Employee Assistance Program
    Free to all employees who’ d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.

    About the Company:
    OneStaff Medical



  • 19 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Potter Valley, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • Caspar, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • Albion, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • Gualala, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • Annapolis, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 1 Day Ago

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0 Medical Claims Review Manager jobs found in Santa Rosa, CA area

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Remote Licensed Psychiatric Nurse Practioner
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $203 - $269 an hour Are you a licensed Psychiatric Nurse lo...
  • 3/29/2024 12:00:00 AM

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Physician Assistant PA-C Occ Health
  • Northbay Healthcare Group
  • Fairfield, CA
  • At NorthBay Health the Physician Assistant (PA-C) - Occupational Health is required to function as a member of the multi...
  • 3/29/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Fairfield, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Are you a Licensed Mental Health Therapis...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Psychiatrist Wage: Between $232 - $269 an hour Are you a licensed Psychiatrist looking to launch a priva...
  • 3/27/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Are you a Licensed Mental Health Counselo...
  • 3/27/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $120-$131 an hour Are you a Licensed Marriage and Fam...
  • 3/27/2024 12:00:00 AM

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Clinical Liaison RN
  • Providence Health & Services
  • Santa Rosa, CA
  • Job Description This position represents Providence Home Services (HS) at contracted facilities and requires strong comm...
  • 3/25/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 41.50 sq mi (107.5 km2), of which 41.29 sq mi (106.9 km2) is land and 0.205 sq mi (0.5 km2) (0.49%) is water. The city is part of the North Bay region, which includes such cities as Petaluma, Rohnert Park, Windsor, and smaller cities as Sonoma, Healdsburg, Sebastopol. It lies along the US Route 101 corridor, approximately 55 miles (89 km) north of San Francisco, via the Golden Gate Bridge. Santa Rosa lies on the Santa Rosa Plain. The city's eastern extremities stretch into the Valley of the Moon, and the Sonoma Creek wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$107,594 to $137,184
Santa Rosa, California area prices
were up 2.5% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020