- Actalent (Moreno Valley, CA)
- …telephonic case management *Certificates required: RN license The RN Case Manager Assistant is responsible to conduct medical necessity screening and ... This position integrates national standards for case management scope of services including: Utilization ...c) implementation of the transition plan based on RN Case Manager and/or Social Worker (SW) assessment(s),… more
- Universal Health Services (Chino, CA)
- …best way possible given their specific needs. Responsible for providing quality case management , utilization review activities and psychotherapeutic services ... Ridge Hospital is currently seeking a compassionate and talented Case Manager (MSW) to join our team....preferred; + Written and oral communication skills, knowledge of utilization management & skills in case… more
- Emanate Health (Glendora, CA)
- …Two years recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, ... License Requirement:** Current California LVN License. BLS. Other certification in Case Management preferred. Delivering world-class health care one patient… more
- Universal Health Services (Riverside, CA)
- …by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, ... be assigned, deleted or changed at any time, at the discretion of management , formally, or informally, either verbally or in writing). 1. Assess available… more
- 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
- Emanate Health (Glendora, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… 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
- 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
- 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
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …in the appropriate posting, grading, and boarding of all supervisory/program manager positions across VALLHCS. Supervises the development of appropriate courses of ... as a member on various VALL Mental Health committees essential for management of MH operations. Responsible for development and implementation of a strategic… 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