- Prime Healthcare (Montclair, CA)
- …focused. Responsibilities Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned ... assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid… more
- LA Care Health Plan (Los Angeles, CA)
- …RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management / Case Management experience in a hospital or HMO setting . ... Utilization Management Nurse Specialist RN II Job Category: Clinical...Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims… more
- Humana (Sacramento, CA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The curiosity to… more
- LA Care Health Plan (Los Angeles, CA)
- …members manage health conditions (including chronic disease). (10%) Care Coordination, Case Management , and System Navigation: Participating in care coordination ... Care Management Community Health Worker II (12 Month Contract)...and case management . Making referrals and providing follow-up....and case management . Making referrals and providing follow-up. Coordinating transportation to… more
- Elevance Health (Los Angeles, CA)
- … and determines appropriate area to refer or assign case (utilization management , case management , QI, Med Review). + Provides information regarding ... **Medical Management Specialist I** Location: **Virtual** - This role...Friday, 8:00 am to 4:30 pm (PST)** The **Medical Management Specialist I** is responsible for providing non-clinical support… more
- Highmark Health (Sacramento, CA)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Cisco (San Jose, CA)
- …Own the strategic decisions on how our industry-leading SIEM, SOAR, UEBA, and case management capabilities package together across editions - directly shaping ... with emphasis on integrated platform thinking versus point product management . **Minimum Qualifications** + 10+ years in product ...protected basis. Cisco will consider for employment, on a case by case basis, qualified applicants with… more
- Providence (Irvine, CA)
- …Diploma or GED + 2 years Leave, Disability, Accommodation or similar case management experience **Preferred Qualifications:** + Bachelor's Degree Business ... **Description** The Leave Case Manager serves at the main contact and...Administration, Human Resources, Risk Management Or equivalent educ/experience **Why Join Providence?** Our best-in-class… more
- Meta (Menlo Park, CA)
- …best-in-class applicable software/tools (eg social media monitoring and investigations, case management software, etc.), investigative strategies, and research ... seeking a full-time Regional Investigator to join our Global Security Threat Management Team. This broad role demands practical experience of operational, strategic,… more
- Cardinal Health (Sacramento, CA)
- …to guide successful implementation. . Build strong partnerships across Patient Access, Case Management , Specialty Hubs, Pharmacy Operations, IT, and executive ... role reporting to the Director of Business Transformation and Change Management . This consultant will be responsible for driving adoption, inspiring stakeholders,… more