- Sharp HealthCare (San Diego, CA)
- …End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification ; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited ... Degree + Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED + Accredited Case Manager (ACM) - American Case Management Association… more
- Alameda Health System (Oakland, CA)
- …clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate action when cases do not meet ... criteria. Escalates to the attending physician, and the Care Management physician advisor of any concurrent denials. + Prepares case reports; documents treatment… more
- Alameda Health System (San Leandro, CA)
- …insurance, governmental, and accrediting agency standards to determine criteria concerning admissions , treatment, and length of stay of patients. Takes appropriate ... - coordinates denials with the attending physician, and the UR physician advisor . Prepares case reports; documents treatment plan, progress notes and discharge… more