- Travelers Insurance Company (Walnut Creek, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Completes outside investigation as needed per case specifics. + Actively engages in the identification, selection and direction… more
- Maxim Healthcare (San Bernardino, CA)
- …complaints and changes in condition to management teams including appropriate payer and case manager + Enters all appropriate patient information into the system ... the initial intake of patient needs and assisting with case coordination to ensure a high degree of customer...High School Degree (or equivalent) and current Licensed Practical Nurse (LPN) licensure preferred; one (1) year of experience… 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. ... other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates… 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. ... other healthcare providers or identified through assessment. Assists Care Management Nurse with discharge planning efforts as requested; obtains or coordinates… more
- LA Care Health Plan (Los Angeles, CA)
- …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
- Cordis (Los Angeles, CA)
- …and works in partnership with the Territory Manager and Associate Territory Manager to achieve daily sales objectives through case support and product ... Responsible for direct revenue generation (transactional Business) through direct case support. Reports to National Clinical Sales Director. **Responsibilities** +… more
- Travelers Insurance Company (Diamond Bar, CA)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to...fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and… more
- The County of Los Angeles (Los Angeles, CA)
- …to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of Mental ... line operations work as team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable to hospitals or clinics of… more
- Elevance Health (Los Angeles, CA)
- …plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to ... on ways to reduce health risks. + Prepares reports to document case and compliance updates. + Establishes and maintains relationships with agencies identified… more
- Travelers Insurance Company (Irvine, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. +… more