- Sharp HealthCare (San Diego, CA)
- …acute patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...by phone.Tracks and documents key performance measures related to inpatient management per requirements.Reviews patient medical record including, but… more
- ERP International (Twentynine Palms, CA)
- …of the following certifications: (Must obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case Manager (CCM) o ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case ...Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of… more
- HCA Healthcare (Thousand Oaks, CA)
- …of optimal care and appropriate resource utilization . + You will provide case management services for both inpatient and observation patients as assigned. + ... you passionate about delivering patient-centered care?** Submit your application for RN Case Manager II BID position and spend more time at the bedside with… more
- Sharp HealthCare (La Mesa, CA)
- …Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... CA Board of Registered Nursing **Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for Case Manager … more
- UCLA Health (Santa Monica, CA)
- …Nursing staff) + CA RN License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
- Elevance Health (Costa Mesa, CA)
- **JR177558 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental ... health and substance use disorder inpatient and outpatient benefits through telephonic and written processes. Also provides telephonic support for crisis… more
- Ventura County (Ventura, CA)
- …guidelines, as well as Post Stabilization notifications; + Acts as a liaison and case manager between the inpatient facility and referral agencies; + ... and coordination of mental health nursing services for the Ventura County Inpatient Psychiatric unit. This role focuses on ensuring patients receive appropriate,… more
- Actalent (Sacramento, CA)
- …+ Working knowledge of EZ-CAP, EZ-Net, InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential preferred. + Background in ... of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued...ICU) + At least 1 year of experience in utilization review, case management, or hospital discharge… more
- Deloitte (Los Angeles, CA)
- …CDIP, CCM) + Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review, ... skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders + Other skills include… more
- Prime Healthcare (Chula Vista, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions,… more
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