- Providence (Anaheim, CA)
- **Description** Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the ... community. The care management process encompasses excellent communication, both verbal and written,...of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience… more
- Stanford Health Care (Palo Alto, CA)
- …least 3 years in a surgical specialty as a Physician Assistant (PA) or Nurse Practitioner (NP), with a preference for at least 1 year in Plastic/Reconstructive ... is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line.… more
- CVS Health (Sacramento, CA)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- Elevance Health (CA)
- …with leadership in enhancing training and orientation materials. + May complete quality audits and assist management with developing associated corrective action ... **Medical Management Clinician Senior** **Location:** This role enables associates...not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians.… more
- The County of Los Angeles (Los Angeles, CA)
- …care staff in the use of electronic health data registries and care management platforms. + Participates in other quality improvement initiatives shepherded by ... Functions + Collaborates with medical providers, patient care staff, and unit management in the design, delivery, and evaluation of educational curricula and… more
- Providence (Petaluma, CA)
- **Description** Care Manager RN - Case Management at Providence Petaluma Valley Hospital in Petaluma, CA. This position is Per Diem and will work 8-hour Day shifts. ... plan for a caseload of patients. The Case Manager will establish quality monitoring indicators, collection of data, analysis, documentation and the reporting… more
- Rising Medical Solutions (Los Angeles, CA)
- …Your Career with Rising Medical Solutions Are you an experienced workers' compensation nurse case manager eager to bring your expertise to a team that's passionate ... of dedicated professionals committed to elevating the standards of medical case management for workplace injuries and find a collaborative environment where your… more
- Humana (Sacramento, CA)
- …3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time management ... Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards knowledge is a… more
- Sutter Health (Modesto, CA)
- …OR Master's (or current enrollment with completion within 2 years) in Case Management or Health Administration with relevant acute hospital experience + OR or ... must have Masters in Social Work) **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + OR LCSW-Licensed Clinical Social Worker + CCM-Certified Case… more
- The County of Los Angeles (Los Angeles, CA)
- …health of our patients and our communities by providing extraordinary care . MANAGEMENT APPRAISAL OF PERFORMANCE PLAN (MAPP) This position is subject to the ... provisions of the Management Appraisal of Performance Plan (MAPP). Initial salary placement...+ Directs the development of educational programs based on quality assurance data to evaluate and monitor quality… more