- Alameda Health System (Oakland, CA)
- …or critical care experience; broad clinical background. Within the last 3 years, experience in Case Management in an acute setting or utilization review at a ... and certain positions in the Emergency Department). Preferred Licenses/Certifications:Certification in Case Management , CCMC or ACM. Bilingual Preferred. **PAY… more
- LA Care Health Plan (Los Angeles, CA)
- …work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case /Utilization Management and supporting regulations, policies, protocols, and ... 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case /Care/Utilization Management in an acute care or health plan setting. Minimum… more
- Sharp HealthCare (San Diego, CA)
- … Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager . ... (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager . +… more
- Prime Healthcare (San Dimas, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... Paid time off + 401K retirement plan + Outstanding Medical + Dental + Vision coverage + Tuition reimbursement...them accordingly or as per facility's procedure. Assists with case management referrals, discharge planning as assigned,… more
- City of Long Beach (Long Beach, CA)
- …point of contact for internal and external stakeholders regarding leave management , retirement, medical plan enrollment, payroll, injury claims, return-to-work ... HUMAN RESOURCES OFFICER-HARBOR (LEAVES AND PAYROLL MANAGEMENT ) Print (https://www.governmentjobs.com/careers/longbeach/jobs/newprint/5020949) HUMAN RESOURCES OFFICER-HARBOR (LEAVES… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light… more
- Alameda Health System (Alameda, CA)
- …and resources that may influence their treatment options and discharge plans; assists case manager nurses with complex social situations and discharge planning. ... of Social Work Education with Required Experience: Two years of Social work or Case Management experience in an acute setting or protective services. Preferred… more
- Sharp HealthCare (San Diego, CA)
- …services, and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical ... Works collaboratively with other plan functions that interface with medical management such as provider relations, member...with the Quality Improvement Director. + Assists in POS/PPO Case Management and high-cost review with CMO… more
- Alameda Health System (San Leandro, CA)
- …and resources that may influence their treatment options and discharge plan; assists case manager nurses with complex social situations and discharge planning. ... of Social Work Education. Required Experience: Two years of Social work or Case Management experience in an acute setting or protective services. Preferred… more
- Sharp HealthCare (San Diego, CA)
- …for use by themselves, Medical Directors, the Hospitalist Physician and/or Case Manager .Identifies and refer requests for review by higher level staff ... To provide, support, and help facilitate care coordination services provided by the Case Manager . This position is responsible for the care and services… more