Jobs at LSMA Management, Inc. (Now Hiring) — 14 open
Accounting Clerk
Redlands, California, United States · On-site
$27/hr–$30/hr
Mid level
Description JOB SUMMARY: The Accounting Clerk handles administrative and bookkeeping tasks to ensure efficient and accurate documentation. This role acts as a central hub for accounting operations by managing transaction…
Skills: Bookkeeping, Account Reconciliation, Accounts Payable, Accounts Receivable, GAAP
Director of Quality Improvement
San Bernardino, California, United States · On-site
$130k–$145k/yr
Senior
Description JOB SUMMARY: The Director of Quality Improvement is responsible for the strategic leadership, development, implementation, and oversight of the organization’s Quality Improvement (QI) Program within a healthc…
Skills: Strategic Leadership, Quality Improvement, Regulatory Compliance, Data Analysis, Project Management
Prior Authorization LVN
San Bernardino, California, United States · On-site
$35/hr–$40/hr
Mid level
Description JOB SUMMARY: The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare servi…
Skills: Utilization Management, Clinical Review, Medical Necessity Evaluation, Care Coordination, Medical Terminology
Concurrent Case Management LVN
San Bernardino, California, United States · On-site
$35/hr–$40/hr
Mid level
Description JOB SUMMARY The Concurrent Case Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate, timely, and cost-effec…
Skills: Concurrent Review, Care Coordination, Utilization Management, Discharge Planning, Clinical Documentation
Concurrent Case Management RN
San Bernardino, California, United States · On-site
$85k–$100k/yr
Mid level
Description JOB SUMMARY: The Concurrent Case Management RN is responsible for concurrent utilization review, care coordination, and discharge planning for inpatient members within a managed care environment. This role se…
Skills: Concurrent Utilization Review, Care Coordination, Discharge Planning, Medical Necessity Review, Clinical Assessment
UM Data Entry Coordinator
San Bernardino, California, United States · On-site
$18/hr–$21/hr
Entry level
Description JOB SUMMARY: The UM Data Entry Coordinator supports the Utilization Management (UM) function by accurately entering, verifying, and processing authorization requests in accordance with established policies, r…
Skills: Data Entry, Attention To Detail, Medical Terminology, Healthcare Insurance, Authorization Processes
Licensed Vocational Nurse
Beaumont, California, United States · On-site
$30/hr–$36/hr
Mid level
Description JOB SUMMARY: The Licensed Vocational Nurse (LVN) provides direct clinical and patient care support in a primary care/family and internal medicine practice. Working under the direction of physicians and within…
Skills: Patient Assessment, Medication Administration, Clinical Documentation, Electronic Medical Records, Patient Education
Sr. Director of Electronic Data Interchange
San Bernardino, California, United States · On-site
$160k–$180k/yr
Senior+
Description JOB SUMMARY The Sr. Director of Electronic Data Interchange (EDI) provides executive leadership, strategic direction, and operational oversight for all organizational EDI systems, data workflows, trading part…
Skills: EDI Standards, X12, HIPAA Transactions, Data Mapping, Integration Architecture
RN Care Manager
San Bernardino, California, United States · On-site
$110k–$120k/yr
Mid level
Description JOB SUMMARY Under the direction of the ECM Program Director, the RN Care Manager delivers comprehensive care management services to members with complex medical and behavioral health needs. This role is respo…
Skills: Care Management, Clinical Assessment, Care Planning, Motivational Interviewing, Chronic Disease Management
Community Health Worker
San Bernardino, California, United States · On-site
$26/hr–$29/hr
Mid level
Description JOB SUMMARY The Community Health Worker (CHW) supports Enhanced Care Management (ECM) members by improving access to care, promoting whole-person health, and addressing social and behavioral barriers. This fi…
Skills: Interpersonal Skills, Relationship Building, Verbal Communication, Written Communication, Conflict Resolution
Care Coordinator & Housing Navigator
San Bernardino, California, United States · On-site
$30/hr–$34/hr
Mid level
Description JOB SUMMARY: Under the direction of the ECM Program Director, the Care Coordinator & Housing Navigator provides non-clinical care coordination and housing navigation services to members enrolled in California…
Skills: Care Coordination, Housing Navigation, Interpersonal Skills, Conflict Resolution, Cultural Competence
Behavioral Health Care Manager
San Bernardino, California, United States · On-site
$90k–$95k/yr
Mid level
Description JOB SUMMARY: Under the direction of the ECM Program Director, the Behavioral Health Care Manager provides comprehensive, member-centered care management services to individuals enrolled in California’s Enhanc…
Skills: Care Management, Behavioral Health Expertise, Care Coordination, Motivational Interviewing, Conflict Resolution
Medicare Provider Advocate
Fresno, California, United States · Hybrid
$36/hr–$38/hr
Mid level
Description JOB SUMMARY: The Medicare Provider Advocate supports the implementation, execution, and optimization of Risk Adjustment strategies across the LaSalle provider network. This role collaborates with internal tea…
Skills: Risk Adjustment, HCC Coding, Medicare Advantage, Provider Relations, Analytical Skills
Provider Data Integrity Specialist
San Bernardino, California, United States · Hybrid
$26/hr–$29/hr
Mid level
Description JOB SUMMARY The Provider Data Integrity Specialist is responsible for maintaining accurate provider demographic, participation, and contractual data across organizational systems and health plan reporting pla…
Skills: Provider Data Management, Credentialing, Healthcare Administration, EZ Cap, EPIC