- Universal Health Services (Temecula, CA)
- …Cardiac Rhythm Programs and Cardiac Surgery. For more information, please visit www.SWHtemeculavalley.com. Director of Case Management Reporting to the Chief ... Financial Officer, the Director of Case Management is responsible for the clinical,...Registered Nurse Program + Bachelor degree in nursing , health care management or other related… more
- Universal Health Services (Corona, CA)
- …Full-Time at Corona Regional Medical Center located in Corona, Ca. Reporting to the Director of Case Management , this position performs daily concurrent ... advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract....experience in an acute hospital setting required. Two years case management experience in an acute hospital… more
- Universal Health Services (Corona, CA)
- …Diem at Corona Regional Medical Center located in Corona, Ca. Reporting to the Director of Case Management , this position performs daily concurrent medical ... Two years nursing experience in an acute hospital setting required. Two years case management experience in an acute hospital within the past year preferred.… more
- 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
- 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
- ERP International (Camp Pendleton, CA)
- …community resources, etc. * Integrate CM and utilization management (UM) and integrate nursing case management with social work case management ... strength and disciplines of both nursing and social work to accomplish case management . * Provide assistance in the development and implementation of… 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 (Costa Mesa, 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 (Costa Mesa, 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
- Travelers Insurance Company (Diamond Bar, CA)
- …liability and damages analysis and has an understanding of the litigation process, relevant case and statutory law and litigation management skills for line of ... business. Leadership responsibilities including the selection, training, development, performance management and compensation recommendations and communication of staff. This… more
- Elevance Health (Cerritos, CA)
- …Responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated ... and/or outpatient psychiatric and chemical dependency treatment and extensive experience in case management and telephonic coaching with members with a broad… 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
- Molina Healthcare (Long Beach, CA)
- …of education and experience **Required Experience** 7 years of utilization and/or case management experience 7 years management experience **Preferred ... MBA with Healthcare emphasis) **Preferred Experience** 10 years of utilization and/or case management experience 10 years management experience **Preferred… 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