- Prime Healthcare (Ontario, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications: 1. Knowledge in discharge planning/ utilization management / case management terminology… more
- Providence (Anaheim, CA)
- …Rehab, Pediatrics, Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... Degree in Nursing or + Master's Degree in related field. + Certification in Case Management (CCM, ACM) upon hire. + Specialty Certification in Oncology,… more
- Insight Global (Irvine, CA)
- …job requirements * Participates in educational programs to enhance care management ( utilization management and case management ) compliance knowledge ... their largest healthcare clients in California. The Delegation Oversight Manager is responsible for oversight and management ...license * 3- 5 years Managed Care Experience in Utilization Management and/or Case … more
- Providence (Fullerton, CA)
- …in Oncology, Rehab, Pediatrics, Transplant, or Wound Care + 3 years Experience in utilization management or case management . **Why Join Providence?** ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...office/clinic setting. **Preferred Qualifications:** + Upon hire: Certification in Case Management (CCM, ACM) + Preferred upon… more
- Providence (Mission Viejo, CA)
- **Description** Care Manager RN is a Per Diem role that will...Wound Care upon hire. + 3 years Experience in utilization management or case management ... or + Master's Degree In a related field. + Certification in Case Management (CCM, ACM) upon hire. + Specialty Certification in Oncology, Rehab, Pediatrics,… more
- Advatix, Inc. (Santa Fe Springs, CA)
- …replenishment Operations Management + Ensure adequate staffing, equipment, and space utilization to fulfill production goals during peak holiday weeks as well as ... FULFILLMENT CENTER MANAGER Role Summary The Fulfillment Center Manager...logistics in an X-square-foot building + Responsible for the management of personnel, quality assurance/food safety, inventory accuracy, production,… more
- Deloitte (Costa Mesa, CA)
- …on project delivery covering aspects such as quality, timelines, risk, and issue management . + Track internal metrics such as utilization , Budget Vs Spend, ... in the AML and Economic Trade Sanctions domain. As an Anti-Money Laundering Analytics Manager , you will have the opportunity to be on the forefront of helping… more
- Elevance Health (Woodland Hills, CA)
- …(ABA)** services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- Interactive Government Holdings, Inc. (Los Alamitos, CA)
- …detail of all forms and documents required of Recruit Warriors, as well as case management of Recruit Warrior records using web-based systems, to maximize their ... Requirements Major responsibilities include (not all inclusive): Provide comprehensive individual Case Management of Recruit Warrior Shipper Packets and IADT… more
- Prime Healthcare (Garden Grove, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... and Work Experience Required qualifications: + Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions,… more
- Insight Global (Irvine, CA)
- …as a liaison between Health Plan delegated entities and Clinical Services Operational teams ( Utilization Management and Case Management ) * Serves as ... of clinical experience working as an LVN/LPN * 2+ years of care management , utilization review (prior authorization) or discharge planning experience *… more
- Illumination Foundation (Orange, CA)
- …Angeles County and the Inland Empire. Job Description The Enhanced Care Management Program Coordinator is an administrator role dedicated to upkeep, management ... skills. This individual will also be centrally involved in communicating information to management and lead housing entities, and will be relied on for insight into… more
- Elevance Health (Woodland Hills, CA)
- …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... to Medical Director Associates. Works independently with oversight from immediate manager . May be responsible for an entire clinical program and/or independently… more