- Dignity Health (Glendale, CA)
- …or related healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1...Certification preferred + Knowledge of managed care and payer environment preferred. **Overview**… more
- Dignity Health (Long Beach, CA)
- …or related healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1...Certification preferred + Knowledge of managed care and payer environment preferred. **Overview**… more
- Dignity Health (Los Angeles, CA)
- …or related healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1...Certification preferred + Knowledge of managed care and payer environment preferred. This… more
- Dignity Health (Merced, CA)
- …within 3 months of hiring + Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care and payer environment preferred. + ... **Responsibilities** **Position Summary** The RN Care Coordinator is responsible for overseeing the progression...least five (5) years of nursing experience + Certified Case Manager (CCM), + Accredited Case… more
- Sutter Health (Modesto, CA)
- …community resources. + A broad knowledge base of health care delivery and case management within a managed care environment required. + Comprehensive ... RN-Registered Nurse of California + OR LCSW-Licensed Clinical Social Worker + CCM-Certified Case Manager **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + 12… more
- Cedars-Sinai (Pasadena, CA)
- …and attends patient case conferences with appropriate providers including the care manager and social worker. Attends to any follow-up task emerging ... coordination orders for patients as determined by provider, care manager , and social work. Maintains a...experience in healthcare required. Three (3) years of previous care coordination and/or managed care … more
- Stanford Health Care (Palo Alto, CA)
- …knowledge of eligibility and enrollment requirements for Medicare, Medi-Cal, Workers Comp, Managed Care (HMO, PPO, POS, etc.), Children's Health Programs (CCS, ... Rotating - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Financial Counselor Level 1 role screens uninsured and… more
- Providence (Apple Valley, CA)
- …+ Associate's degree in a related field. + Medical Assistant Certification (CMA) upon hire. + Managed care or case management. + Experience with Mcg Care ... **Description** Under the direction of the Supervisor or Manager , this position is responsible for providing support...this position is responsible for providing support to the Care Management team who coordinates care for… more
- LA Care Health Plan (Los Angeles, CA)
- …Education Preferred Experience Required: At least 6 months of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant. Skills ... Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience working in a cross functional work environment. Preferred: Experience in Medi-Cal managed care . 1 year of experience in UM/Prior Authorization. Skills ... $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in… more