- CenterWell (Sacramento, CA)
- …Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction, execution ... Transitions of Care Management (TCM) program, and Episodic Consult (single-use case specific offerings) programs designed to improve quality and reduce costs… more
- Abbott (Ontario, CA)
- …technical, clinical, and programming assistance, primarily in support of 1-2 Territory Manager (s). + Assist Territory Managers in after-hours call support and ... and establishes strong rapport with customers. + Proficient in complex programming, case support. + Works seamlessly with Territory Manager (s) allowing them… more
- Amergis (Orange, CA)
- …/ Week Amergis Healthcare is seeking a highly motivated an experienced LMFT/LCSW Medical Case Manager to help support a health insurance agency! The Medical ... Case Manager (BHI Utilization Management) will be...California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of… more
- Actalent (Sacramento, CA)
- …to evaluate medical necessity. + Collaborate with hospital teams, providers, IPA case managers , and health plan representatives. + Conduct in-person hospital ... Utilization Review Nurse (LVN) - InpatientPrimary Responsibilities + Perform timely...per week; perform telephonic reviews and participate in interdisciplinary case reviews. + Escalate complex or ambiguous cases to… more
- Edwards Lifesciences (CA)
- …care + Identify therapy adoption opportunities in collaboration with sales reps and managers in local geographies + Serve as the designated expert on Edwards ... prepare contingency plans to address unforeseen occurrences + Document procedural case observations for regulatory requirements and ongoing continuous improvement +… more
- Guidehouse (Escondido, CA)
- …you will collaborate closely with Coders, Coding Educators, Coding Quality Auditors, Case managers , Quality Department and Providers to assure documentation is ... CDI software data entry for initial and follows up case reviews (or worksheet to include code and DRG...**:** + Bachelor's degree + One of the following: RN , MD, or MD Equivalent (MBBS) + 2-4 years… more
- Cedars-Sinai (CA)
- …Have!** A true leader strives to inspire-and at Cedars-Sinai, that's exactly what our Nurse Managers do. They've got a strong combination of clinical skills, ... BLS and ACLS from American Heart Assoc. + CA RN License + Specialty Certification or within one year...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
- Dignity Health (Grass Valley, CA)
- …or Utilization Management department in an acute care hospital. + Bachelor's Degree + California RN license (if a nurse ) or LCSW (if a Social Worker) We prefer ... under the director's accountability. + Consults and collaborates with other managers physicians administration and community based healthcare workers regarding care… more
- Valor Health (Gardena, CA)
- …in co-managed care collaboration with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health education ... health conditions. Provides supervision as needed to Mental Health Nurse Practitioners, Psychologists and social workers including psychosocial assessments,… more
- Dignity Health (Redding, CA)
- …liaison for our oral medication program, research coordinator, cancer registrars, case managers , registered dietitians, genetic counselors, hospitalists, ... are supported by their own team that includes and RN , MA & scheduler. We have 24 infusion chairs...oncology nurses. Our team of oncologists and our oncology nurse practitioner work in close collaboration with our outstanding… more