- LA Care Health Plan (Los Angeles, CA)
- …Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management . The position is responsible for providing oversight, ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …II will oversee clinical and casework services performed by the multi-disciplinary case management team. Provides the supervision of registered AMFT/ACSW and ... per BBS rules. Primary clinical advisor to the Clinical Director . Reporting to the Clinical Director , the...intervention and management ; Meets regularly with multi-disciplinary case management team to review services provided… more
- Sharp HealthCare (San Diego, CA)
- …experience as an LVN in a hospital or clinical setting. + 2 Years utilization/ Case Management experience, preferably in a Managed Care setting. + Experience as ... training.** **What You Will Do** To provide comprehensive utilization management and coordination of care for SRS Members. Ensure...a case manager or discharge planner interacting with managed care… more
- Elevance Health (CA)
- **Medical Management Clinician Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... Friday 7:00 AM - 3:30 PM PST The **Medical Management Clinician Senior** is responsible for ensuring appropriate, consistent...May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or… more
- Scripps Health (San Diego, CA)
- …direction of the Manager or Supervisor of Logistics, the Inventory Management Coordinator will work collaboratively and independently with department Managers and ... Director , Staff, Vendors, Suppliers, Supply Chain Contracts and Procurement...Procurement Department, MMIS, Finance, and Revenue. Responsibilities include: inventory management of all stock and non-stock items and following… 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. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- City and County of San Francisco (San Francisco, CA)
- …the Social Services field performing duties in the area of eligibility determination, case management , data management , employment services or training. ... projects and workgroups. + Provides technical support for assigned program management systems to ensure smooth functionality and responsiveness to stakeholders. +… more
- CVS Health (Sacramento, CA)
- …Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. + Assists management with training new ... feedback, + Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …and job performance DUTIES AND RESPONSIBILITIES + As -part of a multi-disciplinary Case Management team, performs primary alcohol and drug counseling functions ... are consistently and effectively delivered; + As part of the Case Management Team, conducts crisis intervention + Leads or coordinates group, individual,… more
- City and County of San Francisco (San Francisco, CA)
- …neglect, self-neglect, and financial abuse. The PSW performs professional investigations and case management services to victims of abuse. This includes ... following or closely related areas: Adult Protective Services, intensive case management such as MSSP/Linkages, medical social...other job titles, when directed by the Human Resources Director . A passing score must be achieved on the… more