- Travelers Insurance Company (Diamond Bar, CA)
- …through the best possible outcome + Collaborate with our internal nurse resources ( Medical Case Manager ) in order to integrate the delivery of ... and indemnity position of the claim with a Medical Case Manager . Independently handles...returning injured party to work and coordinating the appropriate medical treatment in collaboration with internal nurse … more
- Pipeline Health System, LLC (Gardena, CA)
- Case Manager Registered Nurse ...in order to identify patient needs and effectively communicate medical necessity and treatment plan to payers. + Reviews ... RN - Per Diem 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include utilization review, discharge planning,… more
- Elevance Health (Costa Mesa, CA)
- **"Telephonic" Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... hours of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II** is...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- Pipeline Health System, LLC (Gardena, CA)
- RN Case Manager Full Time 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include utilization review, ... in order to identify patient needs and effectively communicate medical necessity and treatment plan to payers. + Reviews...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… more
- Prime Healthcare (Garden Grove, CA)
- …(https://careers-primehealthcare.icims.com/jobs/170816/registered- nurse -%28rn%29 case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Founded in 1982,Garden Grove Hospital Medical Centeris a 167-bed community hospital centrally located...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred + Five years acute… more
- Prime Healthcare (Inglewood, CA)
- …(https://careers-primehealthcare.icims.com/jobs/173623/registered- nurse %2c-rn case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Centinela Hospital Medical Centerhas been serving the communities of Inglewood...a related field. At least one year experience in case management, discharge planning or nursing management;2. CCM or… more
- Crawford & Company (Los Angeles, CA)
- … case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and ... medical status, identifies needs and obstacles to medical case resolution and RTW by providing...experienceand one of the below: * Certification as a case manager from the URAC-approved list of… more
- Amergis (Orange, CA)
- Amergis Healthcare looking to hire multiple Medical Case Manager LVN's in Orange County. T he Medical Case Manager (LVN) (Concurrent Review) will ... for answering themedical appropriateness, quality and cost effectiveness of proposedhospital/ medical /surgical services in accordance with established criteria. Position Details:… more
- Cedars-Sinai (Los Angeles, CA)
- …most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to… more
- STG International (Los Angeles, CA)
- STGi is currently seeking a qualified Case Manager candidates for the Department of Housing and Urban Development (HUD) and Veterans Affairs (VA) Supportive ... Housing (HUD/VASH) Program. The Case Manager will provide clinical ... Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse… more
- Dignity Health (Northridge, CA)
- …for more information. RN Case Manager (Care Coordinator) Case Manager Northridge Hospital Medical Center The RN Care ... **Overview** Founded in 1955, Dignity Health - Northridge Hospital Medical Center is a 394-bed, acute care, nonprofit community...Nursing (BSN)) or related healthcare field. preferred + Certified Case Manager (CCM), Accredited Case … more
- Aveanna (Torrance, CA)
- RN Case Manager - Clinical Supervisor - Sign-On Bonus ApplyRefer a FriendBack Job Details Requisition #: 197077 Location: Torrance, CA 90502 Category: Nursing ... Salary: $80,000.00 - $85,000.00 per year Position Details RN Case Manager - Clinical Supervisor Aveanna Healthcare...scheduling. This is a fantastic opportunity for a talented nurse looking to expand their footprint in the healthcare… more
- WelbeHealth (Carson, CA)
- …comprehensive medical care and community-based services. The WelbeHealth Clinical Nurse Manager is accountable for the delivery of high-quality ambulatory ... of the Clinical Services Director (CSD), the WelbeHealth Clinical Nurse Manager organizes and directs the day-to-day...Hire, retain, coach, develop, supervise, and ensure the RN Case Managers, Clinic RN, Medical Assistants, and… more
- Adecco US, Inc. (Long Beach, CA)
- Adecco Healthcare is searching for a **Registered Nurse ( Case Manager Experience)** to become part of our client's team in **Long Beach, CA** . This position ... to drive to OC-LA area (mileage reimbursement provided) **Job Summary** The Registered Nurse ( Case Management) role reports to the Chief Medical Officer and… more
- WelbeHealth (Carson, CA)
- …vulnerable seniors with better quality and compassion in a value-based model, and the Registered Nurse (RN) Case Manager directly guides this care as a ... stay in their homes and communities by providing comprehensive medical care and community-based services. It's our mission to...on the interdisciplinary team (IDT). Reporting to the Clinic Manager , the RN Case Manager … more
- Amergis (Orange, CA)
- The LPN/LVN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... delivery, and compliance with medical regime. Essential Duties and... regime. Essential Duties and Responsibilities: + Documents patient case information within a database system + Performs chart… more
- Prime Healthcare (Lynwood, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/157925/ case - manager -rn%2c--utilization-review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... core values of quality, compassion and community! St. Francis Medical Center, a member of Prime Healthcare, offers incredible...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- UCLA Health (Los Angeles, CA)
- …the philosophy and objectives set forth by the Director of Transplant Services, the Nurse Manager for the solid organ transplant program is accountable for the ... Center QA/PI program. Additional responsibilities include assessing and monitoring medical case management protocols to maintain effective long-term patient… more
- Molina Healthcare (Long Beach, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS ... Utilization Review is required for this role. Experience with Case Management is a plus._** **_This is a remote...requests within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and… more
- Somatus (Long Beach, CA)
- …be the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Accrual of 3 weeks' Vacation (PTO) + Professional ... and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care team consisting of nurses, dietitians,… more