- Prime Healthcare (Ontario, CA)
- …relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan + An active CA Registered ... Nursing , Healthcare Administration, or another relevant field + Professional Certification in Case Management + Claims experience, ideally with EPO Plan. A… more
- Brookdale Senior Living (Irvine, CA)
- …Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity About the Director of Nursing Position As Director of Nursing at ... California is in search of a strong and passionate nurse leader to join the leadership team as it's...step in their professional career or for an experienced Director of Nursing looking to join a… more
- Molina Healthcare (Long Beach, CA)
- …Directs and oversees one of the following key Healthcare Services functions: case management /disease management /care transitions; utilization management ... This is a fully remote role. The Director of Healthcare Services position will be overseeing...Management Team. Candidates must have an active California Nursing license to be considered for this position. **JOB… more
- WelbeHealth (Carson, CA)
- …are provided. The Clinical Nurse Manager is well-versed in people development, management , and RN level nursing care. The Clinical RN Manager maintains ... clinic operations. Under the direction of the Clinical Services Director (CSD), the WelbeHealth Clinical Nurse Manager...clearly understood and followed by all clinic and RN Case Manager team members. **Essential Job Duties:** + Operate… more
- Pipeline Health System, LLC (Gardena, CA)
- …to ensure coordination of patient care and wise utilization of resources. + Documents case management activities in the patient record and in the required ... prepared a plus. + Minimum of 2-3 years in Case Management Acute Care setting Licensure/Certifications: +... Nursing + Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified… more
- Elevance Health (Woodland Hills, CA)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On Bonus** ... medical decisions to members and providers. **Job Summary:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens… more
- Elevance Health (Woodland Hills, CA)
- …require Medical Director review or policy interpretation. + Perform physician-level case review, following initial nurse review, of sleep studies, durable ... **Clinical Operations Associate Medical Director ** **Sleep Medicine** **Carelon Medical Benefits Management...make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes… more
- Abbott (Irvine, CA)
- …Territory Manager (TM) + Data entry into Salesforce, Mentor software for customer case support management + Learn commercial data analytics, resources & tools ... role is to provide TAVI clinical trial and commercial case support, trial enrollment & education initiatives for accounts...demands. The CSS will report to the Regional Sales Director with guidance from the Territory Manager on daily… more
- City of Long Beach (Long Beach, CA)
- …preventing the spread of TB through treatment, including Latent TB Infection, case management and contact investigation; + Support development and implementation ... from grant funding. The Department is overseen by the Director of Health and Human Services and has more...of clinical, diagnostic, & case management systems, tools and protocols for… more
- Providence (San Pedro, CA)
- …inpatient rehabilitation experience. **Preferred Qualification:** + 2 years experience in Case Management . **Why Join Providence?** Our best-in-class benefits ... (CMS) guidelines and regulations. Under the direction of the Medical Director the Admissions Coordinator evaluates internal and external referrals for admission… more
- Illumination Foundation (Santa Ana, CA)
- …time frame + Collaborate (on a need-to-know basis) with teams including site nursing , case management , behavioral health therapists, site-staff, food service ... on behalf of the client (including collaboration with other disciplines, case consultations, telephone calls, leaving voicemails, and collateral contact) in AICA… more
- Illumination Foundation (Sylmar, CA)
- …frame + Collaborate (on a need to know basis) with teams including site, nursing , case management , behavioral health therapists, food service and ... on behalf of the client (including collaboration with other disciplines, case consultations, telephone calls, leaving voicemails, and collateral contact) in KIPU… more
- Illumination Foundation (Whittier, CA)
- …time frame + Collaborate (on a need to know basis) with including site, nursing , case management , substance abuse counselors, food service and transportation ... services to clients + Inform Behavioral Health Clinical Supervisor, Manager. or Director , within 12 hours of making an incident report, APS/CPS report, 5150… more