- InGenesis (Fremont, CA)
- …* Performs a variety of complex, professional, analytical, and confidential case management services. * Maintains Chronic disease registry and enter, tracks ... for overdue lab work. * Uses registry to target patients for chronic disease care management activities such as making sure patients come in for regular visits,… more
- Molina Healthcare (Carson, CA)
- …Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness,… more
- Highmark Health (Sacramento, CA)
- …which may include but not limited to fraud detection, corporate compliance, wellness/ disease management , and product development efforts. + Complete renewals, ... Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership. Analyzes… more
- Adecco US, Inc. (Cypress, CA)
- …Pharmacist license in California . Must reside within California . Strong knowledge of disease state management guidelines and the 5 Core Elements of MTM ... data to generate clinical recommendations according to Medication Therapy Management and Retrospective Drug Utilization Review program protocols providing clinical… more
- Fresenius Medical Center (San Bernardino, CA)
- …staff, physicians, field management and staff, and payers, including disease management entities. + Develops and maintains exceptional working relationships ... at a frequency determined by Clinical Quality leadership. Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program and… more
- Highmark Health (Sacramento, CA)
- …which may include but not limited to fraud detection, corporate compliance, wellness/ disease management , and product development efforts. + Complete renewals, ... Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership. Analyzes… more
- Highmark Health (Sacramento, CA)
- …participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, ... SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current… more
- Veterans Affairs, Veterans Health Administration (Lancaster, CA)
- …longitudinal fashion, and focuses on prevention, health promotion, coordination and chronic disease management . Responsibilities The Social Worker functions as a ... Veterans with high risk cohort's issues and offers case management in a proactive effort designed to prevent psychosocial...primary focus is on the acuity level and case management with an understanding for reduction in the acuity… more
- Cedars-Sinai (Los Angeles, CA)
- …+ Coordinates referrals and secures appointments with various CSMNS disease management programs. **Qualifications** **Education:** + Graduation from ... The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon discharge from...+ Valid CA RN license required + Certified Case Management (CCM) RN preferred **Experience:** + 3 years of… more
- San Diego Community College District (San Diego, CA)
- … + the soil food web and organic soil fertility enhancement + plant pathology, disease management and integrated pest management + small fruit orchard ... permaculture, agroecology, bio-intensive) + compost production + water conservation and management techniques + irrigation systems for arid & semi-arid systems +… more