- Alameda Health System (San Leandro, CA)
- …The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and ... focus of these service efforts are to provide timely delivery of intensive case management services during the transitional period beginning with hospitalization… more
- Alameda Health System (San Leandro, CA)
- …The SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and ... of these service efforts are to provide timely delivery of intensive case management servicesduring the transitional period beginning with hospitalization and… more
- System One (Sacramento, CA)
- …is static or regressive + Maintain accurate, up-to-date documentation in the established case management record system. + Communicate changes in eligibility for ... program services, expectations, rights and responsibilities. + Obtain and review necessary case acceptance authorizations/consents including income verification… more
- Sutter Health (Roseville, CA)
- …SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- CVS Health (Sacramento, CA)
- …within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... overcome barriers to meeting goals and objectives. + Utilizes case management processes in compliance with regulatory...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Sutter Health (San Francisco, CA)
- …Pacific Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute ... A broad knowledge base of health care delivery and case management within a managed care environment....within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Sutter Health (Burlingame, CA)
- …**SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... Utilization Review , levels of care, and observation...Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery… more
- The County of Los Angeles (Los Angeles, CA)
- …Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: *In ... of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical...appropriateness of the level of care. For this examination, Case Management is a collaborative process that… more
- UCLA Health (Los Angeles, CA)
- …Health Nursing staff) + CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + ... of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital… more
- VNA Health (Santa Barbara, CA)
- …$5,000 sign on BONUS! Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers (RN CM) to join our Home Health care team. The RN CM ... organizes and directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her caseload to include:… more