- Sutter Health (Goleta, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
- HCA Healthcare (Riverside, CA)
- …**_Note: Eligibility for benefits may vary by location._** Come join our team as a Manager of Case Management. We care for our communities and employees! ... invested over 156,000 hours impacting our communities. As a Manager of Case Management with Riverside Community...it relates to different payers such as Medicare, Medi-cal, Managed Care and private insurance plans. Riverside… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- Clinical Case Manager Location:Los Angeles, CA Job ID:3713 Salary:$30.65 - $32.26 Per Hour Area of Interest:Clinical Division:Adult Services Shift Type:Day About ... order to prepare individuals for further success. The Clinical Case Manager I provides Intensive Case...- accompany participants to activities and services + Coordinate Care and Case Management as part of… more
- Elevance Health (Walnut Creek, CA)
- …therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope ... **Telephonic Nurse Case Manager II** **Location: Virtual: This...years "telephonic" Case Management experience with a Managed Care Company. + Managed … more
- Sharp HealthCare (San Diego, CA)
- …care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- Lompoc Valley Medical Center (Lompoc, CA)
- … management certification is preferred. + Skills/Ability: Working knowledge of managed care requirements, discharge planning and hospital information systems ... equity. Position Summary + Reports to the Director of Case Management + Plan, organize and deliver utilization management...with discharge planning and transfer to appropriate levels of care to meet their needs within the hospital or… more
- Sutter Health (San Francisco, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to… more
- Sutter Health (Burlingame, CA)
- …AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... joining Sutter Health! **Organization:** Bay Administration **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… more
- Sutter Health (Roseville, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... confirm medical necessity is met and at the appropriate level of care . Coordinates the utilization management, resource management, discharge planning, post-acute … more
- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case / Care Managers in coordinating and arranging services for members. + Provides… more