RN Supervisor, Case Management Community Health SystemRN Supervisor, Case ManagementFresno, CaliforniaQualifications: Education • Graduate of an approved nursing program required • Bachelor's Degree in Nursing (BSN) preferred Experience • 3 years of relevant experience in the healthcare industry or healthcare setting required • Experience in Case Management and providing mentorship, education, and training to interdisciplinary staff required • 1 year of supervisory experience in an acute care hospital preferred Licenses and Certifications • RN - Current State of California Registered Nurse license required • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required • ACM - Accredited Case Management Certification (ACMA) preferred Disclaimers: • Pay ranges listed are an estimate and subject to change. Responsibilities: At Community Regional Medical Center, you will help lead one of the region’s largest and most comprehensive case management programs, supporting a team of approximately 45 to 50 RN Case Managers within a department of more than 150 professionals across Case Management and Social Services.
RN Supervisor, Case Management Community Medical CenterRN Supervisor, Case ManagementFresno, CAEducation Graduate of an approved nursing program required Bachelor''s Degree in Nursing (BSN) preferred Experience 3 years of relevant experience in the healthcare industry or healthcare setting required Experience in Case Management and providing mentorship, education, and training to interdisciplinary staff required 1 year of supervisory experience in an acute care hospital preferred Licenses and Certifications RN - Current State of California Registered Nurse license required BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required ACM - Accredited Case Management Certification (ACMA) preferred. Directs patient assignments, staff scheduling, evaluations, patient flow, and assisting in meeting financial targets by effectively assisting in managing utilization, productivity, personnel, and supplies.
Director, Case Management Community Health SystemDirector, Case ManagementFresno, CaliforniaQualifications: Education • Bachelor's Degree in Healthcare or related field required Experience • 5 years of Case Management experience required • Previous management experience required • Experience with decreasing insurance denials, developing/overseeing programs that address length of stay and cost reduction, performance improvement initiatives and an understanding of Medicare/Medicaid payment rules, polices and regulations required Licenses and Certifications • RN - Current State of California Registered Nurse license Disclaimers: • Pay ranges listed are an estimate and subject to change. Leverages data and trends to achieve strategic goals specific to the severity-adjusted length of stay, physician, and patient satisfaction, with throughput and discharge planning.
Director, Case Management Community Medical CenterDirector, Case ManagementFresno, CAEducation• Bachelor''s Degree in Healthcare or related field required Experience• 5 years of Case Management experience required• Previous management experience required• Experience with decreasing insurance denials, developing/overseeing programs that address length of stay and cost reduction, performance improvement initiatives and an understanding of Medicare/Medicaid payment rules, polices and regulations required Licenses and Certifications• RN - Current State of California Registered Nurse license. Leverages data and trends to achieve strategic goals specific to the severity-adjusted length of stay, physician, and patient satisfaction, with throughput and discharge planning.
Case Management Assistant PRN Vibra Healthcare LLCCase Management Assistant PRNFresno, CA$15.75–$19.20 / hourThis may include but is not limited to: Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system. San Joaquin Valley Rehabilitation Hospital, located in Fresno, CA, is a 62 bed acute rehab hospital, providing rehabilitative services to people recovering from disabilities caused by injuries or illnesses.
Case Management Assistant Part Time - non-benefited position Vibra HealthcareCase Management Assistant Part Time - non-benefited positionFresno, CaliforniaPer diemThis may include but is not limited to: Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system. Posted Total Compensation: The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs.
Supervisor Case Management Valley Children's HospitalSupervisor Case ManagementMadera, CaliforniaThe incumbent will assist with recruitment and hiring of staff, evaluation of staff competency, coaching and counseling assigned staff, ongoing evaluation and refinement of staff development programs, and oversight of staff schedules. Licenses and Certifications RN - Registered Nurse License - CA-BRN - California Board of Registered Nursing (required).
Case Manager Kings Community Action OrganizationCase ManagerHanford, CAMeet and maintain KCAO hiring requirements which include: Criminal Record Clearance including California DOJ, FBI, Child Abuse Centralized Index (CACI), National Sex Offender Public Website (NSOPW), and the California Sex and Arson Registry (CSAR)(Megan's Law). EXPERIENCE/EDUCATION REQUIREMENTS: Bachelor's Degree in social services or related field in psychology, rehabilitation, or social work from an accredited four-year college, AND, one year work experience in related social service field.
Case Manager (Behavioral Health) United Health Centers of the San Joaquin ValleyCase Manager (Behavioral Health)Fresno, CaliforniaWorks closely with the primary care provider and other members of the patient care team to: Provide direct care to UHC patients with behavioral health problems or social service needs. This position works closely with the Health Center Manager and other site management personnel to ensure smooth operations and seamless integration of behavioral health functions into the overall functions of the clinic.
Case Manager - EPOCH RH Community BuildersCase Manager - EPOCHFresno, CaliforniaFor members residing in Respite Care, timely coordination, hands-on navigation, and consistent case management are essential to supporting stabilization, reducing barriers to care, and preparing members for a successful transition back into the community. Collect, enter, and maintain required program data, including housing placements, case notes, services, assessments, and member updates within the program’s HMIS project, CES HMIS.
Case Manager (Behavioral Health) United Health Centers of San Joaquin ValleyCase Manager (Behavioral Health)Fresno, CAWorks closely with the primary care provider and other members of the patient care team to: Provide direct care to UHC patients with behavioral health problems or social service needs. This position works closely with the Health Center Manager and other site management personnel to ensure smooth operations and seamless integration of behavioral health functions into the overall functions of the clinic.
Case Manager - CalAIM Fresno RH Community BuildersCase Manager - CalAIM FresnoFresno, CaliforniaThe Case Manager also serves as the primary point of contact for a client’s care team, which may include primary care providers, behavioral health professionals, housing support services, SUD providers, and natural supports. Educate clients on how to attend and prepare for regular medical appointmentsProvide guidance on how untreated or unmanaged medical conditions may worsen over time.
Utilization Review Case Manager Extra on Call Nights Trinity HealthUtilization Review Case Manager Extra on Call NightsFresno, CA$49.47–$71.74 / hourDescription: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
NewRegistered Nurse (RN) / Case Manager Sante HealthRegistered Nurse (RN) / Case ManagerFresno, CAFull timeMaintain current knowledge of Medicare, Medi-Cal and all health plans contracted with Santé.Provide assistance and education to staff and physicians in resolving questions or problems involving patient treatment plans, medical staff relations, interpersonal conflicts and patient care providers. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
Case Manager Harmony Roze Staffing & RecruitingCase ManagerFresno, CaliforniaFocus on clients service needs, complete intake forms, create case files, maintain said files and case/contact notes. Ability to maintain accurate client records and organized files, with strong ability to document actions/statements concisely and objectively.
Utilization Review Case Manager Extra On Call Nights Trinity Health CorporationUtilization Review Case Manager Extra On Call NightsFresno, CA$49.47–$71.74 / hourDescription: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
Case Manager STARS BEHAVIORAL HEALTH GROUPCase ManagerFresno, CARole specific Benefits & Reimbursements: Mileage reimbursement included at a rate of $0.85 per mile and Monthly stipend included (Cell phone / Internet). What you bring to SBHG: Education & Experience: One of the following pathways is required: An associate degree in a social service field plus two (2) years of experience in a mental/behavioral health setting.
RN Case Manager Extra On Call Trinity Health CorporationRN Case Manager Extra On CallFresno, CA$53.18–$77.11 / hourDescription: Reporting to the Manager CareCoord&SocalSvcs, Social Services, this position coordinates care and service for defined patient populations across the acute care continuum. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
Case Manager/ Group Facilitator (Out Patient) Sierra Meadows Behavioral HealthCase Manager/ Group Facilitator (Out Patient)Fresno, CAThis position is ideal for someone who is engaging, organized, and passionate about helping others grow in a structured, supportive environment with Group-heavy position serving two programs, with case management. This role combines group facilitation and case management, allowing you to build strong connections with clients while supporting their overall treatment journey.
NewRegistered Nurse - Clinical Case Consultant - ECM Pacific Health GroupRegistered Nurse - Clinical Case Consultant - ECMSan Joaquin, CA$85,000–$95,000 / yearThis position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. The Clinical Case Consultant works closely with Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, Behavioral Health staff, healthcare providers, health plans, hospitals, and community-based organizations to ensure members receive coordinated, high-quality, person-centered care.