- Elevance Health (Costa Mesa, CA)
- …Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex ... needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. +… more
- Sutter Health (Burlingame, CA)
- …level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across ... and community resources. When assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently… more
- Centene Corporation (Sacramento, CA)
- …to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. + Collaborates effectively with clinical ... work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a… more
- The County of Los Angeles (Los Angeles, CA)
- …advance the health of our patients and our communities by providing extraordinary care . Management Appraisal of Performance Plan (MAPP): This position is subject ... of community partner clinics - DHS annually provides direct care for over 600,000 unique patients, employs over 23,000...to the provisions of the Management Appraisal of Performance Plan (MAPP). Initial salary placement… more
- Sharp HealthCare (San Diego, CA)
- …Ambulatory Case Management (ACM) program that encompasses a patient centered care management approach that includes referral management , prior ... authorization, Case Management and Disease Care Management and Pharmacy. Manages the operations of the Hospital Case Management program and Ambulatory… more
- UCLA Health (Los Angeles, CA)
- …Throughout the evaluative process, the RN will teach and instruct patients on pre-operative care management and coordinate care with the physician, patient ... plans. The RN will utilize problem solving, systems planning and patient care management skills in a high volume work environment, and will complete… more
- Centene Corporation (Sacramento, CA)
- …a timely discharge between levels of care and facilities + Collaborates with care management on referral of members as appropriate + Performs other duties as ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Dignity Health (Folsom, CA)
- …offering well-rounded primary care services including: + Behavioral health + Weight management + Chronic care management + Remote patient management ... per encounter) + No nights or weekends; no call + Primary and preventative care including: + Adults and pediatric patients + Lab/imaging follow-up appointments + … more
- Sharecare (Sacramento, CA)
- …consistently directing and overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of this role include directly ... the greater team and aid in their personal development as a Care Manager. + Provide performance management for the team of Care Managers to include formal… more
- Elevance Health (Los Angeles, CA)
- …and ensuring regulatory compliance. Functions that this role oversees include case management , prescription verification, care management , nursing, and ... verification, and patient care processes. + Experience in care management within a pharmacy setting. + Thorough understanding of industry regulations… more