- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... related field or at least one year experience in case management , discharge planning or nursing ...Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least… more
- Amergis (Orange, CA)
- …Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Elevance Health (Costa Mesa, CA)
- …evening shifts from 11:30 AM to 8:00 PM (local time) The **Nurse Case Manager II** responsible for care management within the scope of licensure for members ... **Nurse Case Manager II** Location(s): California, Colorado,...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements**… more
- Elevance Health (Costa Mesa, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**...Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2… more
- Rep-Lite (Anaheim, CA)
- …, supporting surgeons and OR teams while also driving program growth and utilization . As the Clinical Account Manager , you will partner with surgeons, ... Clinical Account Manager - Surgical Robotics Position Overview We are...OR staff, and hospital leadership to deliver training, case coverage, and workflow optimization that ensures safe, effective,… more
- Providence (Mission Viejo, CA)
- …hospital or medical/office/clinic setting **Preferred Qualifications:** + 3 years of experience in utilization management or case management + Managed ... **Description** **Care Manager MSW Providence Mission Hospital in Mission Viejo,...Per Diem and will work 8-hour Day shifts.** Care Management is a collaborative practice model including the patients,… more
- CDM Smith (Irvine, CA)
- …project demands. **Preferred Qualifications:** * SAM, CSAM (Certified Software Asset Manager ), or SAMS (Software Asset Management Specialist) certifications ... Description:** CDM Smith is seeking a Senior IT Asset Management Specialist to lead and manage all aspects of...and improvements. * Provide insights that matter: Report on utilization , explain budget variances, and present forecasts to key… more
- CDM Smith (Irvine, CA)
- …our Specifications Group. We're looking for candidates with experience as a Senior Manager and Senior Specification Writer. At CDM Smith, we are invested in your ... of your team. - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. - Coordinating with your TDM… more
- Elevance Health (Costa Mesa, CA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more