- 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)
- Utilization Management / Medical Management Nurse - CA (JR169412) **Virtual:** This role enables associates to work virtually full-time, with the exception ... critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate… more
- Dignity Health (Long Beach, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu...least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case … 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
- Providence (Fullerton, CA)
- …Certification in Case Management (CCM, ACM) + 3 years Experience in utilization management or case management . + Experience with Psychiatric ... **Description** **Care Manager MSW at Providence St. Jude Medical Center,...excellence in surgical and clinical care by Healthgrades. Care Management is a collaborative practice model including the patients,… more
- Providence (Fullerton, CA)
- …**Preferred Qualifications:** + Master's Degree in Nursing. + 5 years in experience as a utilization / case manager in an acute care setting. + Experience in a ... **Description** **Clinical Program Manager RN at Providence St. Jude Medical Center,...Registered Nurse License + 3 years of experience in Utilization Management . + Experience working with InterQual… 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 (Orange, CA)
- …**Preferred Qualifications:** + Master's Degree Nursing. + 5 years Experience as a utilization / case manager in an acute care setting. + Experience ... California Registered Nurse License. + 3 years Experience in Utilization Management . + Experience working with InterQual...**Job Shift:** Day **Career Track:** Nursing **Department:** 7540 SJO CASE MGMT **Address:** CA Orange 1100 W Stewart Dr… more
- Providence (Orange, CA)
- …or medical office/clinic setting. **Preferred qualifications:** + 3 years of Experience in utilization management or case management + Experience ... **Description** **Care Manager MSW at Providence St. Joseph Hospital Orange...Care, Women's Services and Best Mammogram Imaging Center. Care Management is a collaborative practice model including the patients,… more
- Eaton Corporation (Santa Ana, CA)
- Eaton's Electrical Division is seeking an EHS (Environmental Health and Safety) Manager to join our team. This position is based in Santa Ana, CA. Relocation will be ... misses, first aids, observations, positive interruptions, etc.) and lagging (total recordable case rate, days away case rate, greenhouse reduction, total waste,… more
- Elevance Health (Costa Mesa, CA)
- …staff supervision._ **Preferred Skills, Capabilities, and Experiences:** + Previous experience in case management / utilization management with a broad ... **Behavioral Health Care Manager I** **Carelon Behavioral Health** **Location: Preferred candidate will live within a commuatble distance to one of our CA offices.**… more
- Providence (Mission Viejo, CA)
- …model, hospital or medical/office/clinic setting. **Preferred Qualifications:** + 3 years experience in utilization management or case management . + ... **Description** **Care Manager MSW at Providence Mission Hospital in Mission...excellence in women's services by Healthgrades and Newsweek. Care Management is a collaborative practice model including the patients,… more
- Providence (Anaheim, CA)
- …Rehab, Pediatrics, Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... Degree in Nursing or + Master's Degree in related field. + Certification in Case Management (CCM, ACM) upon hire. + Specialty Certification in Oncology,… more
- Dignity Health (Long Beach, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers...least five (5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case … more
- Dignity Health (Long Beach, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
- Illumination Foundation (Stanton, CA)
- …Role The Program Coordinator is an administrator role dedicated to upkeep, management , and oversight of front-end and back-end programmatic processes. These include ... skills. This individual will also be centrally involved in communicating information to management and lead housing entities and will be relied on for insight into… more
- Prime Healthcare (La Palma, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and… more
- Griffith Company (Brea, CA)
- …methods and sequence of operations. + Coordinate manpower and equipment utilization . + Assist project manager in conducting effective ... specifications. + Direct and supervise foreman. + Coordinate with Project Manager /Project Engineer/Estimator. + Supervise and update the project schedule. + Interact… 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