- Prime Healthcare (National City, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/205657/ case - manager utilization - management ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
- Select Medical (San Diego, CA)
- …doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …and staff while furnishing guidance in areas of clinical quality, practice patterns, utilization management , case management , and patient satisfaction. ... nurses working with the Rady Children's Health Network. The Utilization Management Medical Director will collaborate closely...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Sharp HealthCare (San Diego, CA)
- …and cost effective care for patients throughout the continuum. The Clinical Case Manager facilitates and coordinates services with health care professionals ... the achievement of quality and cost outcomes. The Clinical Case Manager is responsible for accurately completing...care degree. + 3 Years recent clinical nursing or case management experience. + California Registered Nurse… more
- Sharp HealthCare (San Diego, CA)
- …acute patient 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 ...rounds, as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or… more
- Sharp HealthCare (San Diego, CA)
- …5 Years Acute care or clinical experience in area of specialty. + 2 Years Utilization / Case Management experience, preferably in a Managed Care setting. + ... Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for ...area of expertise. + Proficient knowledge and understanding of utilization management , case management… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …discharge needs, quality of care, and implementing the utilization management process for acute inpatients. Case Managers perform concurrent review ... length of stay, and avoidable delays in discharge. The Case Manager collaborates with the family, the...years nursing in an acute hospital or 2 years Case Management , Utilization Review, or… more
- Sharp HealthCare (La Mesa, CA)
- …performance planning, competency and individual development planning process.Maintain current knowledge of case management , utilization management , and ... Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for ...Allscripts.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for… more
- Sharp HealthCare (San Diego, CA)
- …American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... employer business practices. **What You Will Do** The Clinical Case Manager 's (CCM) role is to be...of specialty. + Previous clinical experience with cancer care, case management or patient teaching. + Experience… more
- Molina Healthcare (San Diego, CA)
- **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works ... assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or… more
- Molina Healthcare (San Diego, CA)
- …care and outpatient care management for members pursuing a transplant. Transplant Case Manager works to ensure that patients progress toward desired outcomes ... assessments of members per regulated timelines and determines who may + qualify for case management based on clinical judgment, changes in member's health or +… more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... adverse health outcomes, and utilize condition-specific targeted interventions, disease management , case management or complex...experience. + 2 Years Population Health experience. + Certified Case Manager (CCM) - Commission for … more
- CenterWell (San Diego, CA)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- CBRE (San Diego, CA)
- … management within the context of business results (business case , larger economic implications, business risk, etc) **SUPERVISORY RESPONSIBILITIES** + Provides ... Sr. Construction Project Manager Job ID 213511 Posted 08-Apr-2025 Service line...Segment Role type Full-time Areas of Interest Construction, Project Management Location(s) San Diego - California - United States… more
- Sharp HealthCare (San Diego, CA)
- …+ Participates in risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs, HEDIS reporting, ... to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective review Process. Performs… more
- Knowles Precision Devices (San Diego, CA)
- …Type: Full Time Location: San Diego, California Reporting To: Production Manager Compensation: $70,000 - $80,000 / year Description The Manufacturing Production ... stay within planned levels and report pertinent planning information back to management . + Monitor Inventory Levels: Keep track of raw materials, work-in-progress… more
- Sharp HealthCare (San Diego, CA)
- …with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's ... in a behavioral health setting + Acute/psychiatric hospital experience, discharge planning/ case management experience **Essential Functions** + Communication and… more
- Bayer (San Diego, CA)
- …**Reference Code:** 845233 **Contact Us** **Email:** hrop_###@bayer.com **Job Segment:** Marketing Manager , Manager , CRM, Cardiac, Marketing, Management , ... responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication...& messaging; + In collaboration with the Area General Manager (AGM), contribute to & inform sentiment tracking along… more
- Sharp HealthCare (San Diego, CA)
- …with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's ... to members of the healthcare team.Attends and participates in meetings and assists management in decision making in absence of Manager /Lead. + Patient… more
- CDM Smith (San Diego, CA)
- …of cloud technologies, including design patterns, planning, configuration, and resource management in Microsoft Azure and other cloud platforms. * Develop DevSecOps ... (AAD), RBAC, IAM configuring role assignments, conditional access, and identity management . * Incorporate security best practices into cloud architecture and ensure… more