- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …Social Work: https://youtube.com/embed/enRhz\_ua\_UU Major Duties include but are not limited to the following: Case Manager : Functions as a case manager ... Physical Medicine and Rehabilitation based Pain Management Team and provides intensive case management services to Veterans experiencing chronic pain with or without… more
- Rady Children's Hospital San Diego (Escondido, CA)
- …to provide patients and families with assessment, interventions, support, advocacy, and case management as a primary provider and/or as ancillary support to the ... practices as a member of multi-disciplinary team, in the provision of clinical intervention and support to patients and families. The Social Worker assesses,… more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. ... all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential… more
- Sharp HealthCare (San Diego, CA)
- …all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential ... and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for… more
- Veterans Affairs, Veterans Health Administration (Santa Maria, CA)
- …aggressive behavior, or chronic psychiatric and medical problems. Function as an ongoing case manager for justice-involved Veterans who are being monitored by ... a state at the advanced practice level which included an advanced generalist or clinical examination, unless they are grandfathered by the state in which they are… more
- Sharp HealthCare (San Diego, CA)
- …position is responsible for conducting behavioral health psychosocial assessments and clinical interventions, inclusive of individual, group, and family therapy in ... with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's Degree… more
- Elevance Health (CA)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- Elevance Health (CA)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... oversight from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. + Typically has program… more
- Elevance Health (Walnut Creek, CA)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- ERP International (San Diego, CA)
- …MHP practice area to promote easy referral of patients. Inform the Clinic Manager of administrative/ clinical problems as they arise. Participate in all ... professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness. * Ensure compliance with standards… more