- Trinity Health (Fresno, CA)
- …Reporting to the Director, CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- UCLA Health (Los Angeles, CA)
- …degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a hospital, medical ... analyzing volumes and financial data for clinical services and case types. You will manage a portfolio of contracts...health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital… more
- Elevance Health (Palo Alto, CA)
- …you a check, or ask you for payment as part of consideration for employment. ** Managed Care Coordinator Clinician Non RN** + Job Family: MED > Licensed/Certified ... MA, WOBURN + MA, NEWTON 55 CHAPEL ST **Description** ** Managed Care Coordinator Clinician Non RN** **Location:**...of an RN, with overall responsibility for the member's case , as required by applicable state law and contract,… more
- Molina Healthcare (San Diego, CA)
- …psychology, gerontology, public health or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical or ... locality with reliable transportation. **Preferred Experience** 3-5 years in case management, disease management, managed care...(LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health… more
- Stanford Health Care (Palo Alto, CA)
- …social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, Medi-Cal, Medicare, and other third-party ... Overview** This role ensures the provision of quality patient care by ensuring the clinical competence of Case... care by ensuring the clinical competence of Case Managers, Social Workers, Complex Case Managers… more
- Rady Children's Hospital San Diego (Murrieta, CA)
- …support and consultation to the main ECM Program staff. Participates in interdisciplinary case conferencing care planning. Facilitates and ensures that all ECM ... an end date of 06/30/26** JOB SUMMARY: The Enhanced Care Management (ECM) Supervisor manages the daily operations of...is not limited to patient access to ECM services, case identification and prioritization, patient triage, case … more
- Molina Healthcare (Los Angeles, CA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **_We are seeking a CASE MANAGER for our CALIFORNIA Health...locality with reliable transportation. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- The Arora Group (Twentynine Palms, CA)
- … Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California, to provide care to family members of Active ... program. + Perform clinical assessments of the patients and managed care records that include clinical input...+ American Nurses Credentialing Center Nurse Case Manager (RN-NCM) + National Academy of Certified Care… more
- Sutter Health (San Francisco, CA)
- **Organization:** CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible for Care Coordination, Care ... the acute care patient experience. The RN Case Manager works in collaboration with the...knowledge base of health care delivery and case management within a managed care… more
- Molina Healthcare (CA)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical… more
- Sharp HealthCare (San Diego, CA)
- …knowledge and understanding of applicable accreditation and regulatory statutes related to health care , managed care , case management practice.Serves as ... & Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience in managed care **Essential Functions** + Able to...with knowledge of patient and issues.If patient is being managed by Case Management, discusses requests for… more
- Horizon Services, Inc. (Hayward, CA)
- …arranging transportation, assisting with ongoing care and discharge planning. The case manager will collaborate frequently with the Program Manager , ... JOB TITLE: Case Manager LOCATION: LAMBDA Drop-In Center...working relationships with community providers and managed care organizations. + Assist with case management… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor. + Maintain adherence...for professional growth and development as related to the case manager position and maintenance of CM… more
- Elevance Health (Costa Mesa, CA)
- …48 hours of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II** is responsible for performing care management within the scope of ... payment as part of consideration for employment. **Telephonic Nurse Case Manager II** + Job Family: MED...years "telephonic" Case Management experience with a Managed Care Company. + Managed … more
- Pipeline Health System, LLC (East Los Angeles, CA)
- Job Title: Case Manager /RN/8hrs. Base Rate: $46.07 -... Coordinator whenever days are questioned or denied by managed care plan. + Identify and track ... $64.51 Job Summary: The Case Manager is responsible for managing and coordinating the care of the patients in the acute care setting. Analyzes patient's… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision ... broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... Other Continued college education + Bachelor's Degree + Certified Case Manager (CCM) - Commission for ...to manage length of stay and resource utilization within case managed patients populations.Assists the department in… more
- Universal Health Services (Sacramento, CA)
- Responsibilities Sierra Vista Hospital is seeking a Case Manager for the Social Services Department. If you're passionate about working in the behavioral health ... those suffering from emotional, behavioral and addiction problems. POSITION SUMMARY The Case Manager is responsible for managing the treatment activities offered… more
- A Bright Future, Inc. (Sacramento, CA)
- …of the entire staff assigned to work at specific homes, coordinating personal care , training, and support to meet the goals and objectives of the individuals ... and Supervise Community Living Instructors. + Assure labor is managed in a way that meets budgetary guidelines. +...Community Living Instructors. + Assure IHSS is maximized and managed for each individual served. + Assure Section 8… more
- Actalent (Bakersfield, CA)
- … care , or community setting. Knowledge of healthcare and managed care preferred. Licenses/Certifications: Current California RN license. Responsibilities: ... to start. The main responsibility will be to perform care management duties to assess, plan and coordinate all...* Develop, assess and adjust, as necessary, the care plan and promote desired outcome * Assess the… more