- Highmark Health (Sacramento, CA)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …comfortable and nurturing atmosphere, whether residents stay for short-term treatment or long-term care . Case Manager coordinates the delivery of nursing and ... medical records to ensure accurate census and payment of managed care and Medicare residents + Attend...1 year post BA/BS paid work experience + Prior case managment experience at skilled nursing, acute care… more
- Molina Healthcare (Riverside, CA)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... ** CASE MANAGER REGISTERED NURSE for our...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (CA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... a minimum of one year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or… more
- The Arora Group (Twentynine Palms, CA)
- … Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California, to provide care to family members of Active ... program. + Perform clinical assessments of the patients and managed care records that include clinical input...+ American Nurses Credentialing Center Nurse Case Manager (RN-NCM) + National Academy of Certified Care… more
- UCLA Health (Santa Monica, CA)
- … functions as a part of the street medicine mobile clinic program. The Case Manager will report to the HHC Care Management Program manager with a primary ... qualifying individuals for medical and social services through enhanced care management. The Case Manager ...of clients and report progress regularly to contracted Medi-Cal Managed Care Plans (MCPs) and complete documentation… more
- Sutter Health (San Francisco, CA)
- **Organization:** CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care ... the acute care patient experience. The RN Case Manager works in collaboration with the...knowledge base of health care delivery and case management within a managed care… more
- Sharp HealthCare (San Diego, CA)
- …area of specialty. + 2 Years Utilization/ Case Management experience, preferably in a Managed Care setting. + California Registered Nurse (RN) - CA Board of ... Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager … more
- ERP International (Camp Pendleton, CA)
- …social work CM services. * Provide patient referrals. * Interface with the MTF RN Case Manager (s) in the development and implementation of the Case ... implementation of educational programs. * Additionally, the social work case manager may be required to provide...and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor. * Maintain adherence… more
- Randstad US (Pleasanton, CA)
- case manager . + pleasanton , california...state regulations, laws and accreditation standards related to health care and managed care organizations. ... We have a 1 year contract opportunity for a Case Manager in Pleasanton, CA. This role...state regulations, laws and accreditation standards related to health care and managed care organizations.… more
- Horizon Services, Inc. (Hayward, CA)
- …arranging transportation, assisting with ongoing care and discharge planning. The case manager will collaborate frequently with the Program Manager , ... JOB TITLE: Case Manager LOCATION: LAMBDA Drop-In Center...working relationships with community providers and managed care organizations. + Assist with case management… more
- Sharp HealthCare (San Diego, CA)
- …care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor. + Maintain adherence...for professional growth and development as related to the case manager position and maintenance of CM… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision ... work under pressure and deal with change. The Psychiatric Case Manager coordinates the care ...knowledge base of health care delivery and case management within a managed care… more
- Elevance Health (Costa Mesa, CA)
- …48 hours of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II** is responsible for performing care management within the scope of ... **"Telephonic" Nurse Case Manager II** **Location: This is...years "telephonic" Case Management experience with a Managed Care Company preferred. + Managed… more
- KBR (San Diego, CA)
- …in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. * ... Title: Special Operations Nurse Case Manager (Coronado, CA) THIS POSITION...full scope of problems associated with providing appropriate, cost-effective care to Department of Defense (DOD) beneficiaries. At KBR… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... Other Continued college education + Bachelor's Degree + Certified Case Manager (CCM) - Commission for ...to manage length of stay and resource utilization within case managed patients populations.Assists the department in… more
- Sutter Health (San Francisco, CA)
- …AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... of nursing **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California CCM - Certified Case Manager (certification may be required by entity and time to… more
- Universal Health Services (Rosemead, CA)
- …admissions, establishment of treatment plans, interface with the treatment team/external case managers/ managed care organizations and implementation and ... Responsibilities BHC Alhambra Hospital Case Manager - Per Diem Are...ensuring that the patient attends the appropriate level of care or program as indicated on the treatment plan… more
- Universal Health Services (Rosemead, CA)
- …team/external case managers, authorizations, and utilization review with managed care organizations. This position provides supervision and/or implements ... Responsibilities Reasons Eating Disorder Center Reasons Residential Case Manager Are you caring, compassionate and hardworking? Apply today to join our amazing… more