- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...experience in care management including knowledge of complex care management and care … more
- LA Care Health Plan (Los Angeles, CA)
- …HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management, Care Management, Clinical Case Management, Disease Management preferred. ... Technical Applications Manager II Job Category: Information Technology Department: IT...ZeOmega, Altruista, Thrasys) required. Functional knowledge of Utilization Management, Care Management, Clinical Case Management, Disease Management… more
- Sutter Health (Modesto, CA)
- …contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social ... This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure...AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a… more
- Sutter Health (Modesto, CA)
- …contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social ... This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure...**SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a… more
- Banner Health (CA)
- …you belong at Banner Health. Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or CCS and/or RHIT ... **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue...specific patient types and specialties in combination with the Case Mix Index and case financial information… more
- LA Care Health Plan (Los Angeles, CA)
- …managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. Previous care ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light… more
- Sharp HealthCare (San Diego, CA)
- …Nursing; Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Case Manager (ACM) - American Case Management Association (ACMA) **Hours** **:** **Shift Start Time:**...practices. **What You Will Do** The Sr Specialist Integrated Care Management is a key member of the Integrated… more
- Stanford Health Care (Palo Alto, CA)
- …clinical presentations, reviewing treatment plans and collaborating to develop and implement complex Occupational Therapy care plans. Supervises patient care ... around the world to ensure the highest quality of care o Work with a highly skilled group of...for mentorship, education, and skill enhancement o Frequent in-services, case studies and journal clubs for continued learning o… more
- Stanford Health Care (Palo Alto, CA)
- … clinical presentations, reviewing treatment plans and collaborating to develop and implement complex Physical Therapy care plans. Supervises patient care ... around the world to ensure the highest quality of care o Work with a highly skilled group of...for mentorship, education and skill enhancement o Frequent inservices, case studies and journal clubs for continued learning o… more
- Travelers Insurance Company (Irvine, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... **Who Are We?** Taking care of our customers, our communities and each...has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills.… more