Jobs in the United States

25+ jobs

Group jobs by employerEmail me new jobs Save this search

Added just now
Sr Specialist I, Process Control, Lake Charles Refinery
Phillips 66
Westlake, LA
Support management-of-change activities, system migrations, upgrades, alarm-management improvements, spare-parts planning, and configuration management for assigned process-control assets.
Added just now
AS
PSYCHIATRIC REHABILITATION WORKER
Apis Services Inc
Glassport, PA
- $19 USD / hour
Provide crisis management support and help participants access appropriate resources
Added just now
Human Resources Representative
Los Angeles Unified School District
United States
Full-Cycle Performance Management: Support administrators in managing staff performance by facilitating objective performance evaluations, establishing frameworks for recognizing jobs well…
Added just now
Senior Human Resources Representative
Los Angeles Unified School District
United States
Full-Cycle Performance Management: Support administrators in managing staff performance by facilitating objective performance evaluations, establishing frameworks for recognizing jobs well…
Added just now
Paralegal
ARCO Companies
Brentwood, MO · St. Louis, MO
Coordinate communication between Legal, Finance, Project Management, and external vendors to support project execution and maintain strong working relationships.
Added just now
DG
Senior Accounts Payable Analyst
Delta Galil Industries
Montoursville, PA
- $26 to $34 USD / hour
Support 1099 reporting and other year-end AP requirements.
Added just now
Epicor Business Analyst
TASI Measurement
Norcross, GA
…requires hands-on proficiency with Epicor tools, including Data Management Tool (DMT), Business Activity Queries (BAQ), Epicor Functions (EFx), Dashboards, and Automation…
Added just now
Senior Academic Advisor / Assistant Director, Student Academic Services
SUNY Downstate
Brooklyn, NY
Participate in evaluating existing academic support programs and recommend enhancements to improve student engagement, program effectiveness, and academic outcomes.
Added just now
Yale University - Captain
Yale University Police Department
New Haven, CT
The Yale Public Safety team consists of the Yale Police Department, Yale Security, Systems, and the Office of Emergency Management to provide a safe and welcoming campus for our students,…
Added just now
Open Rank - Tenure/Tenure-track Assistant Professor, Associate Professor or Full Professor (Digital Construction)
Louisiana State University and Agricultural and Mechanical College
United States
Applicants must hold an earned Ph.D · Applicants must have demonstrated research expertise relevant to digital construction
Added just now
IT Support Engineer (Hybrid - Columbia MD)
Tenable, Inc.
Headquarters, MD
Tenable® is the Exposure Management company. Over 40,000 organizations around the globe rely on Tenable to understand and reduce cyber risk. Our global employees support 65 percent of the…
Added just now
Assistant Professor (Construction Robotics)
Louisiana State University and Agricultural and Mechanical College
United States
The Bert S. Turner Department of Construction Management at Louisiana State University invites applications for a full-time, tenure-track Assistant Professor in Construction Robotics. The…
Added just now
Child & Adolescent Patient Care Associate
Connections Wellness Group
Willow Park, TX
Must have excellent interpersonal communication skills, including written and verbal, to effectively · For PHP/IOP services, the applicant must have been discharged from the program at least 2 years before applying for employment.
Added just now
IB
Rehab Services Technician
Illinois Bone and Joint Institute LLC
Bourbonnais, IL
- $15 to $18 USD / hour
A rehabilitation technician is under the general technician supervisor and management team at the site of employment. The main objectives of this position is to support the staff with a…
Added just now
FG
Senior Solutions Engineer, US Federal – DoD
F5 Government Solutions LLC
Remote, United States
- $163,400 to $245,000 USD / year
…Defense (DoD) customers. Your primary responsibility is to support the sales team with deep technical expertise around F5 solutions, executing both a sell-to motion with FSIs and a…
Added just now
Prenatal Account Executive
BillionToOne
Remote, United States
- Effective time management skills required with a demonstrated ability to assess and prioritize opportunity required
Added 1 min ago
SP
Program Intern - Summer 2027
Systems Planning and Analysis
Washington, D.C., DC
- $23 to $31 USD / hour
The Integrated Warfare Systems Group (IWSG) provides engineering, technical, and programmatic support to the Portfolio Acquisition Executive, Mission Systems (PAE MS) Above Water Sensors…
Added 1 min ago
SP
Program Intern - Summer 2027
Systems Planning and Analysis
Washington, D.C., DC
- $23 to $31 USD / hour
The Integrated Warfare Systems Group (IWSG) provides engineering, technical, and programmatic support to the Portfolio Acquisition Executive, Mission Systems (PAE MS) Above Water Sensors…
Added 1 min ago
Patient Transporter
Ascension
Tulsa, OK
Schedule: Part-time | Day shift · High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
Added 1 min ago
Telemetry Technician
Ascension
Indianapolis, IN
Schedule: Day Shift | PRN · High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
Added 1 min ago
Surgical Scheduler Orthopedics
Ascension
Austin, TX
Schedule: Day Shift l Monday - Friday 8:00a - 5:00p l Hybrid 3 Days in Office · High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
Added 1 min ago
Supplies Assistant
Ascension
Baltimore, MD
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required
Added 1 min ago
Registered Nurse OR
Ascension
Saint Johns, FL
Schedule: Day shift | Full-time
Added 1 min ago
Cardiology NP / PA
Ascension
Carmel, IN
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Added 1 min ago
Patient Care Technician
Ascension
Murfreesboro, TN
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required

Actalent

Clinical Care Coordinator

Rancho Cordova, CA, United States

$19 to $22 USD / hour

Apply on careers.actalentservices.com About employer

Applications open in a new tab.

Job details

Pay: $19 to $22 USD / hour
Experience: 24 years of relevant experience in prior authorization, utilization review, utilization management, care coordination, or a closely related function.
Posting language: English
Posted: Nov 12, 2026

Original job description

Job Title: Clinical Care CoordinatorJob DescriptionThe Clinical Care Coordinator plays a key role in supporting members access to CalAIM Community Supports and related services within a managed care environment. This position focuses on reviewing eligibility, coordinating referrals, processing service authorizations, and maintaining accurate documentation to ensure members receive timely, appropriate care. The role also involves collaborating with internal teams, external providers, and community-based organizations to streamline care coordination processes and uphold regulatory compliance.

Responsibilities

Review CalAIM Community Supports screening documents to determine member eligibility for CalAIM Community Supports services.
Follow up with internal staff and providers to support successful referral, enrollment, and retention of members in CalAIM Community Supports services.
Process daily service authorizations and denials for requested Community Supports services, ensuring accuracy and adherence to established criteria.
Perform comprehensive data entry, tracking, and case documentation for all referred members, including enrollment status, authorizations, encounter data, care coordination activities, clinical case records, and regulatory reports.
Support the reconciliation of provider invoicing and claims to ensure consistency between authorizations, services delivered, and payments.
Send timely communications to Community Supports providers to facilitate on-time submission of required deliverables and reports.
Assist with the implementation of CalAIM Community Supports trainings for internal teams, external providers, and community-based organizations by providing ongoing education on services, resources, and referral processes.
Identify gaps and barriers in the care coordination process and help develop solutions to improve member access to services.
Review provider reports to ensure accurate data collection, documentation, and reporting related to Community Supports and care coordination activities.
Respond to inquiries from internal and external stakeholders regarding the status of service authorization requests.
Actively participate in multidisciplinary team meetings to coordinate member care and promote continued engagement in CalAIM Community Supports services.
Conduct outreach calls to members, as needed, to verify engagement, clarify services, and support continuity of care.
Participate actively in ensuring that all applicable state and federal rules and regulations are followed in daily operations.
Perform other related duties as assigned to support utilization management, care coordination, and member services.

Essential Skills

24 years of relevant experience in prior authorization, utilization review, utilization management, care coordination, or a closely related function.
Experience with prior authorization or utilization management, preferably focused on processing authorizations rather than clinical review.
Referral coordination or referral management experience, preferably in a healthcare, social services, or managed care environment.
Knowledge of social services and community-based programs, including an understanding of available resources and referral workflows.
Strong documentation and administrative coordination skills, including tracking cases, service requests, and provider communications with high attention to detail.
Experience with CalAIM Community Supports, Enhanced Care Management, Medi-Cal, Medicaid, or managed care processes.
Familiarity with claims processing, invoice reconciliation, and provider relations in a healthcare or managed care setting.
Understanding of regulatory compliance requirements related to healthcare, Medi-Cal/Medicaid, and managed care operations.
Community outreach experience, particularly in engaging members and supporting access to services.
Proficiency with Microsoft Office applications for documentation, reporting, and communication.
Ability to work remotely in a HIPAA-compliant environment, maintaining confidentiality and data security.
Residence in California, with the ability to work remotely within the state.
High school diploma or equivalent.

Additional Skills & Qualifications

Background in social services or community resources, with the ability to connect members to appropriate support programs.
Experience working with Enhanced Care Management and CalAIM Community Supports programs.
Prior work in a Medicaid or Medi-Cal managed care environment.
Strong organizational and time management abilities to handle multiple cases, authorizations, and provider interactions simultaneously.
Effective written and verbal communication skills for collaborating with internal teams, providers, and community-based organizations.
Comfort with multidisciplinary team collaboration and cross-functional coordination.
Ability to identify process gaps and contribute to continuous improvement in care coordination workflows.

Work EnvironmentThis is a fully remote position with a Monday through Friday schedule, typically from 8:00 a.m. to 5:00 p.m. The role requires working from a HIPAA-compliant, secure home office environment within the state of California. Work is performed using standard office technologies, including Microsoft Office and systems used for authorizations, claims, and case tracking. The environment is focused on collaborative care coordination, regulatory compliance, and accurate documentation, with regular interaction via phone, email, and virtual meetings. The opportunity offers the potential for extension or transition into a direct role, depending on performance and organizational needs. Job Type & LocationThis is a Contract position based out of Rancho Cordova, CA. Pay and BenefitsThe pay range for this position is $19.00 - $22.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits

available for this temporary role may include the following:

Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave) Job Type & LocationThis is a Contract position based out of Rancho Cordova, CA. Application DeadlineThis position is anticipated to close on Nov 16, 2026. Workplace TypeThis is a hybrid position in Rancho Cordova,CA.About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance:

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector:

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI):

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Apply on careers.actalentservices.com About employer

Report this job

Work requirements

Jobs in the United States