- Prime Healthcare (Inglewood, CA)
- …supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization ... We are seeking a strategic and compassionate Director of Case Management to lead our dynamic ...Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination… more
- HCA Healthcare (Riverside, CA)
- …+ Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree ... Community Hospital! **Job Summary and Qualifications** The Coordinator of Case Management (RN CM) is responsible for...path, we encourage you to apply for our Coord Case Mgmt opening. We review all applications.… more
- HCA Healthcare (Riverside, CA)
- …+ Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree ... This role would be an evening shift position. The Coordinator of Case Management (RN CM) is responsible for promoting patient-centered care by coordinating the… more
- CVS Health (Sacramento, CA)
- …+ SAP/DOT experience. + CISM experience. + Human Resource and/or Supervisory experience. + Case management , Utilization Review , or Utilization ... event response. Provides member clinical assessments and triage into care. Performs case management across scope of all types of management referrals,… more
- Sedgwick (Sacramento, CA)
- …Six (6) years of related line of business experience in telephonic case management (TCM) and/or utilization review or equivalent combination of education ... quality initiatives ensuring that the clinical work product meets regulatory, jurisdictional, case management and company Best Practice requirements. **ARE YOU… more
- HCA Healthcare (Riverside, CA)
- …Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review / management + You will consult ... of quality and cost improvement, and develops systems to review utilization of resources and objectively measure...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …preferred. + Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem Positions: ... + Reports to the Director of Case Management + Plan, organize and deliver utilization ...required. Must demonstrate knowledge of current utilization management principles, third party payor review requirements,… more
- Stanford Health Care (Palo Alto, CA)
- …and analysis experience. + ICU/ED and Academic Medical Center experience preferred. + Case management , utilization review and/or direct provider ... revenue cycle certification- Health Care Quality (HACP, CPHQ, HCQM) certification- Case Management Certification (CCM) or clinical certification- Physician… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all ... team members of Utilization Management , Patient and Provider Services, Claims...Denial Letters, when needed. + Prepares Utilization Review Reports as needed. + Assists the Case… more
- Cedars-Sinai (Beverly Hills, CA)
- …innovation. **A Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The ... coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims...Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case… more