- Prime Healthcare (Montclair, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/230024/case-manager-%28rn-%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the "100 Top Hospital" in the nation award from IBM… more
- Prime Healthcare (San Dimas, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/229285/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...Starting April 1 2015. Minimum 5 years work experience post -graduation of an accredited school of nursing and a… more
- Prime Healthcare (Lynwood, CA)
- …to compassion, quality, and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from the ... admission and across the continuum of the health care management . Works on behalf of the advocate, promoting cost...Starting April 1 2015. Minimum 5 years work experience post -graduation of an accredited school of nursing and a… more
- Sutter Health (Oakland, CA)
- …22, CHA Consent Manual, CDPH and TJC. + A broad knowledge base of post - acute levels of care and associated regulatory compliance requirements. + General ... Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the… more
- Sharp HealthCare (La Mesa, CA)
- …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... as Allscripts.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Alameda Health System (San Leandro, CA)
- …background. Within the last 3 years, experience in Case Management in an acute setting or utilization review at a medical group or health plan. Required ... Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management . **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The… more
- Sharp HealthCare (San Diego, CA)
- …guidelines developed by the OON Department to insure that clinical and utilization management information is clearly and concisely communicated within the ... competency and individual development planning process.Maintains current knowledge of case management , utilization management , and discharge planning, as… more
- Alameda Health System (Oakland, CA)
- …of the inpatient Care Management across all AHS facilities, including post - acute care facility for ensuring efficient patient flow, beginning when a ... of financial analyses including cost of care to reimbursement, denials management , and non-reimbursed services, promoting effective resource utilization ,… more
- Dignity Health (Sacramento, CA)
- …on care coordination, communication, and collaboration with utilization management , nursing, physicians, ancillary departments, insurers, and post - acute ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
- Sutter Health (Emeryville, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop...for Medicare and Medicaid Services (GR) Grouper (CMS) preferred. Post - acute levels of care such as Home… more