- LA Care Health Plan (Los Angeles, CA)
- … coordination functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management (CM). This position is ... care , palliative care , hospice care OR experience in Utilization Review or Care Management will be considered in lieu of direct patient care that… more
- WelbeHealth (Riverside, CA)
- …for our home health team to help our participants thrive. Reporting to the Home Care Manager , the Home Care Coordinator focuses on arranging, assessing, and ... in their homes and communities by providing comprehensive medical care and community-based services. It's our mission to serve...Degree preferred + Minimum of three (3) years of case management or nursing experience in a… more
- Sharp HealthCare (San Diego, CA)
- …the patient's well-being while on service and upon completion of service.Collaborates with Case Manager for referrals/transition of therapy needs with the local ... and reassesses as per policy.Evaluates patient outcomes and effectiveness of patient care measures, reporting to management or physician any significant changes… more
- Elevance Health (Los Angeles, CA)
- …process improvement, quality assurance, and adherence to applicable medical policy, care management best practices, relevant clinical standards, and member ... - Friday 8am - 5pm PST_ The Mgr l Care Mgmt is responsible for managing a team of...license in applicable state(s) required. + Certification as a Case Manager preferred. + Additional schooling or… more
- Chenega Corporation (Edwards AFB, CA)
- …child physical safety and emotional well-being; refer involved children to the treatment or case manager for follow-on care . + Immediately reports any ... or mental health on-call provider if the treatment or case manager is unavailable, to establish safety...contact with the victim and will provide continuity of care in the event of DAVA position turnover. +… more
- Providence (CA)
- …WA, MT, OR, CA, TX or NM are encouraged to apply.** The ADM Sr. Leave Case Manager is an experienced professional, operating under general supervisor of a ... manager and adjudicates/administers leave and disability cases under federal,...responsible for both complex and routine leave and disability case management . Providence caregivers are not simply… more
- Hospice Of San Joaquin (Stockton, CA)
- …of the Director of Home Care Services and the direction of the RN Case Manager , according to the policies and procedures of Hospice of San Joaquin. CLINICAL ... nursing care . + Makes recommendations to the Case Manager for action/follow-up of patients. +...+ Develops a nursing style, which demonstrates constructive time management , conflict resolution and problem solving. + Participates in… more
- LA Care Health Plan (Los Angeles, CA)
- …II collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID:… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …the health care system. The PCC may work closely with member's case management team to resolve member concerns, access, medical and psychosocial related ... The PCC will identify and reduce barriers to members' care , assist the member in locating and accessing resources,...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Ventura County (Ventura, CA)
- …environment through the use of individual, family, or group therapy, case management , interagency collaboration, and community organization; and, performs ... safe and acceptable discharge plan. The incumbent will perform assessments, psycho-education case management for patients and their families in collaboration… more