- Sutter Health (Santa Rosa, CA)
- …team to implement the established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in ... Bay **Position Overview:** An experienced RN who is responsible for the overall management of patients, including the provision of direct care with a designated… more
- Cedars-Sinai (CA)
- …and Acute Rehab Facilities to determine bed availability and communicates with the case management team. Assists patients with Durable Medical Equipment (DME) as ... resources and social supports required. One (1) year of utilization management or managed care experience preferred....Planner -per diem, 10:00 pm - 6:30 am - Case Management **Department** : Case … more
- Emanate Health (Glendora, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
- Providence (Apple Valley, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.). + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... **Description** **Care Manager RN at Providence St. Mary Medical Center...are Per Diem and will work 8-hour Variable Shifts.** Case Management is a collaborative practice including… more
- Sevita (Hayward, CA)
- …every day. Join us today, and experience a career well lived. **Day Program Manager ** **Salary - $58,240 Salary+OT** SUMMARY The Day Program Manager is ... care, advocacy, stakeholder relations, regulatory compliance, staffing, training, financial management and maintenance of the physical environment. ESSENTIAL JOB… more
- Ventura County (Ventura, CA)
- …direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management , and quality improvement functions to ... experience in Case Management , Disease Management , Quality Assurance, HEDIS and/or Utilization Review....Managed Health Care Plan. + Experience working as a case manager in a health plan … more
- CenterWell (San Diego, CA)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services...care to all patients served by the location. Receives case referrals. Reviews available patient information related to the… more
- Envista Holdings Corporation (San Diego, CA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... + Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and… more
- Sutter Health (Oakland, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... LICENSURE** + RN-Registered Nurse of California Required + Certified Case Manager (CCM) Preferred. **EXPERIENCE** + Minimum...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Technical Applications Manager II Job Category: Information Technology Department: IT...Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case … more