- Clever Care Health Plan (Huntington Beach, CA)
- …Vocational Nurse (LVN) license issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse (CMCN) preferred ... of illness and the site of service. The Case Manager is responsible for providing patient centered care...Skills *2-3 years in case management, disease management, managed care , or medical or behavioral health… more
- HealthCare Support (Rancho Cucamonga, CA)
- …week onsite/in-office in Rancho Cucamonga. Daily Responsibilities for BCBA Behavioral Health Case Manager : The Behavioral Health Care Manager , SKI (Specialty ... and children with severe behavioral needs. The behavioral health care manager , SKI BCBA, will also be...experience serving Autistic individuals and their families Familiar with managed care and discharge planning Benefits for… more
- Salt & Straw (Culver City, CA)
- …Travel Percentage None Job Shift Any Job Category Retail Description Future General Manager Opportunities | West Los Angeles & Beach Cities Evergreen Posting | ... cream - we create unforgettable experiences rooted in creativity, care , and genuine hospitality. Our shops are powered by...posting lets you raise your hand for future General Manager roles in West LA and the Beach Cities.… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …others. * Ability to solve problems and identify solutions. * Knowledge of managed care environment and patient service delivery systems and knowledge of ... Practice Manager works closely with physicians, VP of Ambulatory Care , COO for Packard Children's Health Alliance (PCHA), Faculty Practice Organization (FPO),… more
- Adventist Health- Clear Lake (Clearlake, CA)
- …1 year in case management or discharge planning preferred. Knowledge of managed care , insurance processes, and community resources. Strong communication, ... Nurse - Case Management to coordinate and manage comprehensive care plans for patients across various settings. The Case...If you are a compassionate and resourceful RN Case Manager committed to guiding patients through the healthcare system,… more
- Cardinal Health (Sacramento, CA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Lundbeck (San Diego, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Multi-Specialty Area Sales Manager - Southern California Requisition ID: 6614 Location: San...+ Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions +… more
- Palo Alto Networks (Santa Clara, CA)
- …Career** We are seeking a driven problem solver to join our Unit 42 Managed Detection and Response (MDR) team. Our team is responsible for customers internal ... monitoring, threat hunting, and incident response. As a MDR Manager , we will rely on you to manage a...without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- Indeed (San Francisco, CA)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Rady Children's Hospital San Diego (Temecula, CA)
- …health condition(s), reinforce teaching and/or provide coaching to sustain teaching and Care Plan from Care Management Team, and help patients/families develop ... adopt healthy behaviors. The CHW supports providers and the Care Management Team through an integrated, holistic approach to...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- LA Care Health Plan (Los Angeles, CA)
- …applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must ... Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job...care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS Job...6 years of experience in financial auditing in a managed care industry. At least 4 years of ... verbal and written communication, and presentation skills. Knowledge of relevant managed care regulations and audit methodologies. Excellent analytical and… more
- LifeSteps (Alameda, CA)
- Lead Care Manager Job Details Job Location...Compile records and prepare reports. + Submit claims to Managed Care Plans (MCP's) for all member ... Care Managersfor theAlameda County area! Job Specifics: + Official Job Title:Lead Care Manager + Job classification:Non-Exempt, 40 hours per week + Job… more
- WestCare Foundation (Fresno, CA)
- …receiving, reviewing, and processing all incoming Member referrals from the Medi-Cal managed health care plan. The Lead Care Manager will work as part of ... Lead Care Manager Job Details Job Location...Lead Care Manager Job Details Job Location Fresno - 1900...the health plan.* Conduct outreach activities throughout the Medi-cal managed health care plan service area including… more
- Molina Healthcare (Whittier, CA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Providence (Tarzana, CA)
- **Description** Sterile Processing Manager at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This is a full-time position. The manager of sterile ... of the best regional hospitals in 9 types of care by US News & World Report. Awarded Healthgrades'...- Certification Board for Sterile Processing and Distribution (Vendor Managed ) Or + Upon hire: National Certified Endoscope Reprocessor… more
- City and County of San Francisco (San Francisco, CA)
- …coordination services in the jail setting. + Leads interagency collaboration with managed care plans, behavioral health providers, community organizations, and ... and reduce recidivism through effective implementation of CalAIM requirements. The Manager , Jail Care Coordination (0923 Manager II) performs the following… more
- Providence (Mission Hills, CA)
- … Management is a collaborative practice model including the patients, nurses, Care Manager LCSWs, physicians, other practitioners, caregivers and the community. ... social needs of the patient. The goal of the Care Manager LCSW is to advocate for...medical office/clinic setting. **Preferred qualifications:** + 3 years of Care management and Managed Care … more
- CenterWell (Sacramento, CA)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home… more
- Sutter Health (Oakland, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... **Organization:** CPMC-California Pacific Med Center **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… more
