- The County of Los Angeles (Los Angeles, CA)
- …work at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction ... to a line operation responsible for delivering psychological rehabilitation, case management , and/or psychiatric emergency services in the Department of Mental… more
- Amergis (Orange, CA)
- …to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and processing requests for ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Elevance Health (Costa Mesa, CA)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education and ... 5pm PST, this position includes weekends. The Med Mgmt Nurse is responsible for review of the...and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …a team may include Lead Medical Support Assistants, Program Support Assistants (PSA), Registered Nurses ( RN ) and AMSAs. Responsibilities Care in the Community ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… more
- Dignity Health (Woodland, CA)
- …RN Care Coordinator to coordinate care plans based on the utilization review activities performed by the RN Care Coordinator with compliance of federal ... to participate in performance improvement initiatives related to appropriate patient care management and perform other departmental duties as assigned. The care team… more
- Banner Health (Susanville, CA)
- …initiatives. Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their importance to ... progressive leadership development and competency. Must possess licensure as a professional nurse ( RN ) in the state of practice. Proven experience and… more
- Elevance Health (Costa Mesa, CA)
- …required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location: Virtual: This role...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... ** Nurse Manager of Care Coordination / Case Management ** **Sign On / Relocation Options** As our **...in Nursing or experience equivalent required. + Current CA RN licensure **Sign On / Relocation Options** **Overview** Dignity… more
- Fresenius Medical Center (Stockton, CA)
- …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... data collections and auditing activities. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review… more