- Sharp HealthCare (San Diego, CA)
- …the Chief Medical Officer (CMO) who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer (COO) who is ... responsible for non- clinical appeals and grievances. **Required Qualifications** + 3 years'...utilization review, appeals or member services in a managed care environment. **Preferred Qualifications** + Bachelor's degree in business… more
- Sharp HealthCare (San Diego, CA)
- …the Chief Medical Officer (CMO) who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer (COO) who is ... responsible for non- clinical appeals and grievances. **Required Qualifications** + 3 years'...utilization review, appeals or member services in a managed care environment **Preferred Qualifications** + Bachelor's Degree Business Administration… more
- CVS Health (Sacramento, CA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed...be able to maintain compliance turn-around times, with accurate case resolution or research. Remain a part of the… more
- ZOLL Medical Corporation (San Jose, CA)
- …work collaboratively with office staff/healthcare provider to bring patient's case to the staff's attention as appropriate, including following:Prioritize competing ... objectives (patient's plan of care , any potential transition of care , reorder...documentation and possible end of use) based on independent clinical acumen and knowledge of ZOLL's medical devices to… more
- UCLA Health (Los Angeles, CA)
- …to incoming callers regarding the referral intake process. Process managed care authorizations. Typing, faxing and maintain daily/weekly records regarding internal ... and incoming transplant program referrals. Delivering CICARE World Class Care expectations in all dealings with patients, referring physicians, medical groups,… more
- Sharp HealthCare (La Mesa, CA)
- …patient care or discharge planning requirements. Public Health RN, case finding, data collection and excellent communication skills preferred.** **What You Will ... Or Bachelor's Degree in Nursing + 2 Years experience as a program manager/ coordinator and/or case manager which includes developing a program from concept… more
- Select Medical (Los Angeles, CA)
- …process. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and ... and Select Medical Century City / Los Angeles, CA Case Manager (CM) - Full Time (on-site) - 8...Payer/Referral Management. **Responsibilities** + Clinical Interventions/Discharge and Care Planning Management: Responsible… more
- International Rescue Committee (Oakland, CA)
- …risk of or suspected child abuse. This position oversees implementation of clinical case management, conducts intake assessments and protective factor surveys, ... Case Management team, serving as the social services coordinator for complex cases of newcomers living in Alameda...Coordination + Act as the primary focal point for Clinical Case Management for newcome families at… more
- Cedars-Sinai (CA)
- …24 hours a day, seven days a week available to all people in need. The ED Care Coordinator is a non- clinical team member skilled at engaging with patients ... and after their ED visit, working with the ED's clinical care team to enhance patient-centered ... and outcomes following ED discharge. As an ED Care Coordinator you will function as a… more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL CASE WORKER II (Community Programs) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4349084) Apply MEDICAL CASE WORKER II ... for Health for Homelessness) is seeking qualified candidates to fill emergency Medical Case Worker II (Housing for Health for Homelessness) vacancies related to the… more