- Elevance Health (Costa Mesa, CA)
- …and providers. **How you will make an impact** : + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... ** Clinical Operations Associate Medical Director** **Carelon Medical Benefits...necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …to provide patients and families with assessment interventions, support, advocacy and case management as a primary provider and/or as ancillary support. Practices as ... part of a multi-disciplinary team in the provision of clinical intervention and support to patients and families. The MSW assesses develops treatment plans and… more
- Alameda Health System (Oakland, CA)
- …satisfaction in connection with the delivery of services. + Work with the quality manager to improve clinical outcomes, the quality of patient care and the ... for such patients. + Consult and cooperate with the clinical departments to facilitate patient care. + Refer patients...documentation in the Electronic Health Record. + On a case -by- case basis, take all necessary actions to… more
- Valor Health (Gardena, CA)
- …in co-managed care collaboration with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health education ... focused counseling, education and referral for resources and benefits, and case management. Develops program content and organizes & leads activities planned… more
- Amergis (Orange, CA)
- …/ Week Amergis Healthcare is seeking a highly motivated an experienced LMFT/LCSW Medical Case Manager to help support a health insurance agency! The Medical ... Case Manager (BHI Utilization Management) will be...and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent will be… more
- Alameda Health System (Oakland, CA)
- …practice as a Registered Nurse in the State of California Preferred Licenses/Certifications: Certified Case Manager (CCM) or Accredited Case Manager ... coordinators to ensure the delivery of regulatory notices. 11. Submit clinical documentation and coordinate with insurance companies to secure proper authorizations.… more
- Dignity Health (Santa Maria, CA)
- …Chart Review, Observation. + Annual Performance Evaluations: Assists Therapy Manager /Supervisor in annual performance reviews of therapy assistants and aides ... of licensure including CE courses necessary to attain expertise appropriate for clinical level II. (NA - per diem) Measurement: Observation. + Discontinuation of… more
- Option Care Health (Los Angeles, CA)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... gathering preadmission information, collaborating with internal (intake) and external ( case managers, discharge planners) partners to ensure quality of service… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, CA,… more
- Rady Children's Hospital San Diego (San Diego, 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 ... a member of multi-disciplinary team, in the provision of clinical intervention and support to patients and families. The...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more