- Sharp HealthCare (San Diego, CA)
- …members to case management or quality management as appropriate for utilization or quality issues while maintaining department processes in compliance with the ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:**… more
- Sharp HealthCare (San Diego, CA)
- … Management experience, preferably in a Managed Care setting. + Experience as a case manager or discharge planner interacting with managed care payers. **Other ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:**… more
- Prime Healthcare (La Palma, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in… more
- Molina Healthcare (San Diego, CA)
- …Certified Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... Minimum three years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review. **Required License, Certification, Association**… more
- Prime Healthcare (National City, 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
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of Joint ... under the general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and completeness of clinical… more
- Hospice Of San Joaquin (Stockton, CA)
- …therapists, DME suppliers, and other health care providers in the absence of the case manager to ensure coordination of patient care. JOB QUALIFICATIONS: 1. ... the Team Leader will handle phone calls from RN Case Managers and assist with care coordination as requested,...assist with care coordination as requested, back up the LVN Supervisor in the receipt of patient phone calls… more