- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Humana (Sacramento, CA)
- …the start time is 10:00AM EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. ... with MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in English and Spanish **Work-At-Home… more
- Sedgwick (Sacramento, CA)
- …resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents… more
- Palo Alto Networks (Santa Clara, CA)
- …Reviews (QBRs) + Skilled in AI-driven analytics, ITIL frameworks, and using case management systems (eg, Salesforce, ServiceNow, JIRA). Proficient in conducting ... of the customers. **Your Impact:** Operational Leadership and Team Management : + Guide the daily activities of a team...support + Anticipate and proactively manage escalations at the case and account levels using AI-driven insights and prediction… more
- Stanford Health Care (Palo Alto, CA)
- …revenue cycle certification- Health Care Quality (HACP, CPHQ, HCQM) certification- Case Management Certification (CCM) or clinical certification- Physician ... experience. + ICU/ED and Academic Medical Center experience preferred. + Case management , utilization review and/or direct provider interaction experience,… more
- Edwards Lifesciences (Irvine, CA)
- …legal counsel in complex investigations providing both subject matter expertise and case management to ensure fair outcomes, timely completion and documentation. ... of technology and best practices to enhance efficiency and consistency in case management and resolution. + Take on additional responsibilities that support the… more
- Huron Consulting Group (Los Angeles, CA)
- …roles * Liquidity management and business process improvement * Bankruptcy Case Management and Emergence * Business Assessments Managers play a vibrant, ... & Turnaround team provides comprehensive solutions to companies and their management teams, lenders, other creditors and stakeholders facing challenges driven by… more
- Sutter Health (Modesto, CA)
- …**SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... preferred. Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system: including… more
- Liberty Healthcare Corporation (Redding, CA)
- …to enhance public safety and prevent recidivism by providing intensive supervision, case management , and behavioral health services to adult sexual offenders ... growth, Liberty is now hiring for several new part-time Case Worker positions in the local area. These are...safer. What are the job responsibilities of a part-time Case Worker? + Primarily driving and escorting clients to… more
- Robert Half Legal (Beverly Hills, CA)
- …courtroom skills. + Collaborate with legal staff to ensure efficient and timely case management . Requirements Qualifications: + Admission to the California State ... an established firm. Key Responsibilities: + Assist senior attorneys in case preparation, including legal research, drafting motions, pleadings, and discovery… more