DESERT OASIS HEALTHCARE Jobs

Description Processes Prior Authorization-Referral requests that are received from PCPs and-or Specialty Providers, handles incoming telephone calls and, routinely interacts with physicians and their office staff. Professional Duties Understands and follows Utilization Management Policies and Procedures pertaining to the referral process. Responds to all incoming calls and/or follows up calls in a timely manner. Performs the necessary research for determining a satisfactory disposition. Voice...

Description The scheduler will act as Clinical Services Associate for members, providers and health plans affiliated with Desert Oasis Healthcare. Provides assistance with referrals, resolution to a customer concern, PCP or health plan designation or responding to general questions. Can provide basic education or coaching in relation to services DOHC provides and mailing literature. Panel assignment assigned by PCP. Professional Duties Contacts on an annual basis all members of DOHC provided ...

Description The Receptionist Operator works in cooperation with a team responsible for providing an excellent customer service experience to a variety of vendors and guests calling or visiting Desert Oasis Healthcare. The Receptionist Operator also performs various tasks for Network Administration and Operations departments such as audits, health plan eligibility, etc. Professional Duties Members and clients are greeted in a positive, professional manner. Answer and route calls defaulting to ...

Description The Unit Coordinator is responsible for providing clerical support to the Immediate Care Department to facilitate the delivery of quality patient care and continuity of care. The Unit Coordinator is responsible for facilitating Provider orders, patient referrals, delivery of EKG and X-ray reports to Providers, amongst other clerical duties. Professional Duties Perform clerical work for the transfer of patients to the Hospital or Skilled Nursing Facilities in a consistent manner an...

Description Actively works to support the clinical staff (pharmacists) of Medication Management Services to ensure that patients receive accurate, effective and coordinated patient care. Professional Duties Demonstrates ability to evaluate and triage a patient referral or customer question that has been directed to Medication Management Services. Reviews available patient information related to a specific patient encounter, devises course of action as per medical staff approved protocol, and ...

Description The PCC RN Nursing Manager provides clinical and operational leadership to nurse case managers and support staff in the outpatient clinic. This role is accountable for delivering high-quality, patient-centered care coordination, fostering professional growth among team members, tracking and improving performance metrics, and optimizing workflows throughout the Priority Care Clinic. The PCC RN Nursing Manager partners closely with providers, administrative leaders, and interdiscipl...

Description The Supervisor, Health Plan Compliance Specialist is a registered nurse that is responsible for the oversight of the assigned utilization management (UM) employees and the UM compliance process, which includes, but is not limited to: reporting requirements, maintenance of policy and procedures, inter-rater reliability, template maintenance, health plan auditing and CAP submissions. The Supervisor, Health Plan Compliance will also have oversight of the organization s internal monit...

Description The Nursing Manager is responsible for the oversight and leadership of assigned Nursing areas. The Nursing Manager ensures that the department is adequately staffed and has adequate resources available in order to provide quality patient care. Professional Duties Collaborate with department management team to establish departmental financial and operational goals and actively contributes to the achievement of assigned goals. Provide leadership and oversight to assigned staff. Ensu...

Description The Registered Nurse (RN) in the Infusion department provides patient care and services within scope of practice under the California State Law defining the Nurse Practice Act. The Infusion RN specializes in administering intravenous medication fluids and blood to patients as ordered by a licensed Provider. Professional Duties Review all incoming referrals that require labs to ensure that appropriate labs are within established parameters and that all required documentation is on ...

Description Provide direct patient care under the guidelines of the Vocational Nurse Practice Act. Maintain a professional, positive and caring attitude at all times. Professional Duties Obtain complete and accurate vital signs and assist patients to exam rooms. Obtain specimens, such as urine, as needed. Obtain and document all pertinent information in patient charts utilizing EMR system. Anticipate, assist and perform procedures ordered by provider. Maintain timely patient flow and room ava...

Description The Business Intelligence Administrator 1 is responsible for transforming data into actionable intelligence through comprehensive reporting, process analysis, and performance measurement. This role partners with leadership to assess departmental workflows, integrate data from multiple sources, and deliver analytical solutions that support operational efficiency, accountability, and strategic planning. Professional Duties Leads implementation and ongoing management of systems appli...

Description The Registered Nurse (RN) in the Urgent Care is responsible for providing direct patient care that includes, but is not limited to patient assessment and planning, providing treatments, reporting pertinent information to Providers. The RN collaborates with departmental staff to meet optimal patient care outcomes under the guidelines of the California State law defining the Nurse Practice Act. Professional Duties Obtain complete and accurate vital signs and assist patients to exam ...

Description Under the direction of the Quality Programs Director, the Quality Programs LVN Case Manager plays a key role in supporting HEDIS and quality reporting initiatives, ensuring healthcare providers excel in meeting Quality Measures consistent with the CMS Star Rating Program. This role is responsible for ensuring the accuracy, completeness, and compliance of medical record abstraction and data validation processes that impact HEDIS measure performance, regulatory audits, and quality i...

Job Summary The Health Plan Membership Supervisor is responsible for the leadership and oversight of assigned employees within the Membership Department. The HP Membership Supervisor is responsible for the timely and accurate maintenance of the internal membership database to ensure that it contains accurate and current member information as reported by the health plans. The HP Membership Supervisor is responsible for equitably delegating and assigning tasks to staff based on productivity rep...

Description This role is located in our Victorville Urgent Care. The Clinical Operations Manager is responsible for overseeing all clinical nursing and ancillary staff working on the urgent care floor. This position provides leadership, direction, and daily operational support to ensure the urgent care operates efficiently and delivers high-quality patient care. The Clinical Operations Manager will manage staff assignments, ensure appropriate coverage, maintain workflow, and serve as a resour...

Job Summary The NextGen Software Developer analyzes, designs and develops creative solutions improving workflows and performance in the NextGen environment. Qualifications Bachelor s degree required, may be substituted with 3-5 years of experience in a related Information Technology field. Minimum of 2 years experience in software development, management and utilization, required. Knowledge of NextGen development, or Microsoft Access development, or similar database form design, SQL queries a...

Description The Talent Acquisition Specialist (TAS) is responsible for service excellence throughout the onboarding team, serves as a brand ambassador for DOHC and oversees the recruitment cycle. This role partners with the AVP, to ensure that open positions are filled. Will also work with the hiring managers in a consultative capacity and will focus on delivering top talent while providing proactive and timely communication on the status of each search. The TAS is expected to stay abreast of...

Description The Healthcare Reporting Analyst is responsible for gathering and analyzing data to guide the decision-making process and improve performance. Identifies requirements, designs and implements reporting systems based on the established needs. Designs reports and analyzes metrics to provide insight into key data points. Professional Duties Develop data driven dashboards to include key performance indicators (KPI) as requested by management to encompass the data analysis, design, test...

Job Summary Provides Physical Therapy services within scope of practice and under the direction of a registered Physical Therapist and according to plan of care. Qualifications Associates degree from an accredited therapy program required. Current California certification meeting APTA requirements required. BLS required within 60 days of hire. Minimum of one year of PTA experience required. Previous home health experience preferred. PTA scope of practice. Proficient in computer use. Able to w...