- 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...employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by… more
- ERP International (San Diego, CA)
- …* Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical ... other personalized interventions. * Direct and supervise care provided by other healthcare professionals. * Accountable for making patient care assignments based on… more
- Alameda Health System (Oakland, CA)
- …McKesson Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate action when ... the Care Management physician advisor of any concurrent denials. + Prepares case reports; documents treatment plan, progress notes and discharge summary related… more
- Elevance Health (Sacramento, CA)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Abbott (San Diego, CA)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...and performing work; monitors performance and reports status to manager . Technical proficiencies and performance are at the highest… more
- Sanofi Group (Los Angeles, CA)
- …and/or specialty product experience (ie medical benefit coverage) + 5-10 years of prior case management experience or healthcare experience + 5-10 years of prior ... and coaching for success. We are an innovative global healthcare company, committed to transforming the lives of people...support of patient access + Partner with Field Sales, Case Management and Market Access teams to ensure FRMs… more
- J&J Family of Companies (Los Angeles, CA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,..., CARTOMERGE (TM) and the Stockert RF generator) during case procedures within an assigned geography, and in a… more
- Defense Health Agency (Fort Irwin, CA)
- …additional medical care/diagnostic testing such as lab, x-ray, referral management, pharmacy, Nurse Case Manager (NCM), etc. Reviews, at the minimum, next day ... mission to "Train the Force". Our organization has the mission to provide world-class healthcare to the 12,000 Soldiers and Family Members of the NTC, Fort Irwin and… more
- LA Care Health Plan (Los Angeles, CA)
- …II is responsible for assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with a high level of ... targeted and random audits for non-clinical grievance and appeal case documentation. Ensure A&G Non-Clinical staff is following all...parties as needed. This position will keep the QA Manager aware of trends, deficiencies and any potential issues… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …of all services provided + Other Tasks that may be required by the Program Manager ESSENTIAL DUTIES: + Assign case load of LVN Team, mentor, monitor services ... benefits. JOB SUMMARY AND PURPOSE Under the direct supervision of the Program Manager , and working in collaboration of the Medical Director, Clinical Director and… more