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Health Net Of California Work Values
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Daily Duties at Health Net Of California:
o Supervisor of acute care concurrent review including AB1203, LADHS network team; o Statewide oversight of all short-term skilled and long-term care SNF stays; acute rehabilitation, long-term acute care hospital stays and congregate living health facilities; o Monthly staff random audits, staff meetings, weekly case presentation meetings with physician adviser, staff annual performance evaluations and performance improvement.
What they like about Health Net Of California:
You highly value a work environment built on a formal structure, rules, and regulations. You do not enjoy the unpredictability of shifting priorities and deadlines that upset your routine. You require and enjoy direction, input and accountability as part of your work environment. You have a strong need to participate in making key decisions and feel left out if your superiors or co-workers do not seek your input when making decisions. You thrive on providing good customer service to both internal or external customers, and doing so makes you feel good.
Tags
Management, Medical, Acute Care, Acute Rehabilitation, Applications, Benefits, Compliance, Medical Management, Utilization Management, Case Management, Retrospective clinical review, Prior Authorization, Concurrent Review, Virtual work at home, RN, Registered Nurse, Discharge Planning, Subacute, Long-Term Care
Skills
Team Leadership, Prospective Authorization, Concurrent Review, Retrospective/Claims Review, Managed Care, Complex/Ambulatory Case Management, Motivational Interviewing, Health Care Federal & State Regulations, Problem Solving, Insurance Benefits Interpretation, NCQA Credentialing Standards, Evidence-Based Medical Necessity Criteria (IQ, MCG), Computer Literacy (Word, Excel, Power Point, Visio), Video Conferencing (Webex, Skype for Business, Zoom), Clinical Documentation Platforms (TruCare, Health Access, Unity), Macess Claims Platform, Appropriate Level of Care Determinations, Clear Verbal and Written Communicator, HIPAA Laws, Electronic Medical Records use
Information about Health Net Of California
Company Rank: Not Available
Average length of employment : 5 years
Average salary of employees: $90,000
These are some of the questions we asked our climbers about their experiences with Health Net Of California:
| 05| | ||
| Were your performance expectations clearly communicated? | 0.0 |
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| Were you recognized for meeting or exceeding expectations? | 0.0 |
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| Did you feel like your personal contribution was important? | 0.0 |
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| Was your career path clearly outlined and discussed? | 0.0 |
| 03| | ||
| I would recommend this as a place of employment. | 0.0 | |
| I believe in the purpose of this organization. | 0.0 | |
| I would work for this organization again. | 0.0 | |
| I feel employees are fairly compensated. | 0.0 |
Climbers who worked at Health Net Of California had these interests:
| Websites | |
|---|---|
| EarthSkyNews http://earthsky.org |
Science website with emphasis on astronomy. I am an amateur astronomer. |
| Commission for Case Manager Certification http://ccmcertification.org |
Professional resources such as continuing education units for certified registered nurse case managers. |
| Guitar Salon International http://guitarsalon.com |
Network for everything regarding flamenco and classical guitar music. I play. |
