- Martin Luther King, Jr. Community Hospital (Lakewood, CA)
- …Workplace violence prevention annually. Direct patient care or care coordination, utilization , case /disease management experience a plus Experience ... and send your resume to ###@mlkch.org POSITION SUMMARY The Manager of Care Management will supervise and... metrics: quality, outcomes, productivity of staff work, financial, case volume/mix and provides scheduled reporting to the Director… more
- Martin Luther King, Jr. Community Hospital (Lakewood, CA)
- …to payors. The role integrates and coordinates the functions of utilization management , care progression and care transition. The Case Manager I ... resume to ###@mlkch.org POSITION SUMMARY The purpose of the Case Manager I position supports the physician...and recommends strategies for resolution. Evaluation Develops and evaluates case management plans and protocols in collaboration… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …Specialty: RN Case Manager Experience: 1+ year of recent case management or discharge planning experience preferred License: Active State or Compact ... Providence Little Company of Mary Medical Center San Pedro- Case Management Job Type Travel Offering Nursing...and utilization review skills Description: The RN Case Manager coordinates patient care plans and… more
- Martin Luther King, Jr. Community Hospital (Los Angeles, CA)
- …or related experience required. Internals with at least 18 months acute care case management /coordination experience will be considered in lieu of nursing ... Current California Nursing license Current Basic Life Support (BLS) Certification in Case Management preferred. ED Care Managers: Must complete annual Workplace… more
- 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
- ICW Group (Woodland Hills, CA)
- …evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and ... to ensure quality and appropriate service delivery of the case management process. + Performs initial and...reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,… 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
- 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
- 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
- Elevance Health (Cerritos, CA)
- …quickly learn and adapt to new technologies preferred. + Previous experience in utilization management with a broad range of experience with complex ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more
- GE Vernova (Huntington Beach, CA)
- …vital to health, safety, security and improved quality of life. As a Customer Success Manager (CSM) at GE Vernova, you will play a critical role in driving the ... Description** **Roles and Responsibilities** + **Customer Advocacy & Relationship Management ** + Serve as the primary technical relationship owner post-deployment,… more
- ICW Group (Woodland Hills, CA)
- … case management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program ... AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management , and… 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
- 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
