div> We all face challenges and transitions in our lives, and when we do, we must be able to count on the strength of community for support.
.
Serve as a liaison with multiple internal and external personnel and organizations including, but not limited to, SHC hospitals, clinics, outside health care facilities, providers, governmental agencies, insurance companies, cruise lines, air and ground ambulance companies. Responsible for facilitating effective communication and assistance to achieve desire outcomes with case management, social work, physicians, business services, patients and their family members, other department staff and other internal and external customers.
p>The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing--s-p-m1--.
Los Angeles, CA30+ days ago
p>Required Licenses/Certifications: • Req Registered Nurse - RN (CA DCA) • Req Basic Life Support (BLS) Healthcare Provider from American Heart Association • Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. • Performs and documents InterQual assessments upon admission • Performs and documents InterQual assessments upon a change in level of care • Performs and documents InterQual assessments at least every three days • Performs and documents InterQual assessments upon discharge.
Inglewood, CA30+ days ago
Inglewood, California30+ days ago
Leimert Park, California30+ days ago
div>This position reports to the Enhanced Care Management (ECM) Program Manager this position provides support to the ECM Program to ensure engagement, enrollment and follow up on members related to the ECM as well as other clinical programs in which case management are central. Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs.
Assists in providing services related to the initial case assessment by: coordinating with patients and their families to evaluate needs, goals, and current services with day-to-day supervision; determining initial eligibility, benefits, and education for all admissions with day-to-day supervision; entering authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) with general guidance; supporting others in exploring options to assure that quality, cost-efficient care is provided; and leveraging working knowledge to assess medical necessity for hospital admission and required level of care to inform physicians. Supports efforts to remain updated on current research, policies, and procedures by: coordinating with others to attend seminars, workshops, and approved educational programs and workshops specific to professional needs; contributing to the implementation of systems, processes, and methods to maintain team knowledge of community resources, with some guidance; analyzing operational team data and key metrics applied to own work with limited guidance; making suggestions for change or improvement as needed with minimal guidance; and learning about and adhering to policies and regulations impacting the teams work with minimal guidance.
Under the direction of the clinical staff, the Discharge Planner performs multiple activities that support the movement and transitions of patients out of the inpatient hospital setting, using current knowledge of hospital processes and community services. SKILLS:
Exemplary communication, coordination and problem-solving skills, with emphasis on customer service toward patients, families, community providers and payors.
Riverside, California30+ days ago
li>Under the direction of the Program Manager, act as the program’s/regional center’s liaison to at least two community agencies, parent groups or programs: attend meetings, provide information about the program/regional center and act as a resource for that program. Under direction of the Program Manager in concert with Resource Development and Transportation Program and with the Quality Assurance Program, arrange for placement of consumers in residential facilities, and/or other programs as clinically indicated and approved by the Interdisciplinary Team.
Riverside, California30+ days ago
p>SUMMARY: Under the direct supervision of the Program Manager, the Consumer Services Coordinator (CSC) is responsible for coordinating the services and supports that are available to persons with developmental disabilities and their families in accordance with the Lanterman Developmental Disabilities Services Act. - Bachelor’s degree from an accredited college or university and one year of experience, including case management, in intellectual/developmental disabilities, social work, special education, early childhood development, or a related field.
Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.
Requsition ID: 437924 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Job Shift: Multiple shifts available Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Torrance 21311 Madrona Ave Work Location: PMI Madrona-Torrance Workplace Type: Remote Pay Range: $57.28 - $88.92 The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.
Riverside, California30+ days ago
Please click the following link to apply: Case Management Trainee (Part-Time and Full-Time). SUMMARY: Under the direct supervision of the Program Manager, the Consumer Services Coordinator (CSC) is responsible for coordinating the services and supports that are available to persons with developmental disabilities and their families in accordance with the Lanterman Developmental Disabilities Services Act.
Riverside, California30+ days ago
Please click the following link to apply: Case Management Trainee (Part-Time and Full-Time). SUMMARY: Under the direct supervision of the Program Manager, the Consumer Services Coordinator (CSC) is responsible for coordinating the services and supports that are available to persons with developmental disabilities and their families in accordance with the Lanterman Developmental Disabilities Services Act.
Riverside, California30+ days ago
p>This position would provide services to consumers in the Riverside Lower Desert Transition area, which includes driving to Palm Springs, 29 Palms, Thousand Palms, Palm Desert, Rancho Mirage, Cathedral City, Whitewater, Blythe, Morongo Basin, Desert Hot Springs, North Shore, Bermuda Dunes, Thermal, Cabazon, Mecca, Coachella, Landers, Pioneertown, Joshua Tree, Yucca Valley, Indio, La Quinta, Indian Wells. Please click the following link to apply: Case Management Trainee (Part-Time and Full-Time).
Riverside, California30+ days ago
Please click the following link to apply: Case Management Trainee (Part-Time and Full-Time). SUMMARY: Under the direct supervision of the Program Manager, the Consumer Services Coordinator (CSC) is responsible for coordinating the services and supports that are available to persons with developmental disabilities and their families in accordance with the Lanterman Developmental Disabilities Services Act.
Riverside, California30+ days ago
Please click the following link to apply: Case Management Trainee (Part-Time and Full-Time). - Bachelor’s degree from an accredited college or university and one year of experience, including case management, in intellectual/developmental disabilities, social work, special education, early childhood development, or a related field.
California, CA30+ days ago
Country Code+1+1242+1246+1264+1268+1284+1340+1441+1473+1649+1664+1670+1671+1684+1758+1767+1784+1849+1868+1869+1876+1939+20+211+212+213+216+218+220+221+222+223+224+225+226+227+228+229+230+231+232+233+234+235+236+237+238+239+240+241+242+243+244+245+248+249+250+251+252+253+254+255+256+257+258+261+262+264+265+266+267+268+269+27+290+291+297+298+299+30+31+32+33+34+345+350+351+352+353+354+355+356+357+358+359+36+370+371+372+373+374+375+376+377+378+379+380+381+382+385+386+387+389+39+40+41+420+421+423+43+44+45+46+47+48+49+500+501+502+503+504+505+506+507+508+509+51+52+53+54+55+56+57+58+590+591+593+594+595+596+597+598+599+60+61+62+63+64+65+66+670+672+673+674+675+676+677+678+679+680+681+682+683+685+686+687+688+689+690+692+7+77+81+82+84+850+852+853+855+856+86+872+880+886+90+91+92+93+94+95+960+961+962+963+964+965+966+967+968+970+971+972+973+974+975+976+977+98+992+993+994+995+996+998Phone Number. Req ID 17047 Working Title Discharge Planner, Part Time -8:30 am - 5:00 pm, Case Management Department Case Management Business Entity Cedars-Sinai Medical Center Job Category Patient Services Job Specialty Case Management Additional Locations Los Angeles,CA,United States Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $33.58 - $52.05.
Long Beach, CA30+ days ago
Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
p>We are hoping you will join us as a Supervisor Case Management and help shape the future of healthcare where you'll be an integral part of our Case Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Riverside, CA30+ days ago
Includes sending the appropriate packet of information from the medical record required for the level of care You will monitor Medicare patients planned discharge dates and delivers the Important Medicare Message (IMM) to the patient per facility policy What qualifications you will need:Associate Degree preferredMedical Knowledge and terminology requiredMinimum of one-year experience in a health care setting required Benefits Riverside Community Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The CMA will provide administrative support in Case Management functions You will coordinate with RN Case Manager and Social Workers for support needed You will provide clerical support in multidisciplinary rounds, including updating NATE Tempo at direction of team You will make referrals through the web-based referral system (nH Discharger/other) to the specific post-acute care (PCA) providers requested.
Marquez%40pihhealth.org%7C1234f44474844f48e14a08d9ebe9053e%7Ca58ef208b7dc40aa8f166eb35263cb1c%7C0%7C0%7C637800208320708287%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=itjUBuUESomy5k8fnqLUf2EuyxVcl4xXjgaKar5hjhA%3D&reserved=0" rel="noopener nofollow noreferrer" target="_blank">PIHHealth.org or follow us on Facebook,
Los Angeles, CA30+ days ago
p>If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$146686.htmld.
Essential Duties:
- Partners with members of the Continuum of Care team both case managers and social workers (RN Case Manager, SW Case Manager) in an effort to provide patients and family members a smooth, coordinated patient transition from hospital to home and/or the next level of care.
The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information.
For-jobs-where-work-will-be-performed-in-unincorporated-LA-County,-the-employer-provides-the-following-statement-in-accordance-with-the-Los-Angeles-County-Fair-Chance-Ordinance.-Criminal-history-may-have-a-direct,-adverse,-and-negative-relationship-on-the-following-job-duties,-potentially-resulting-in-the-withdrawal-of-the-conditional-offer-of-employment: Consistently-supports-compliance-and-the-Principles-of-Responsibility-(Kaiser-Permanente's-Code-of-Conduct)-by-maintaining-the-privacy-and-confidentiality-of-information,-protecting-the-assets-of-the-organization,-acting-with-ethics-and-integrity,-reporting-non-compliance,-and-adhering-to-applicable-federal,-state,-and-local-laws-and-regulations,-accreditation,-and-licensure-requirements-(where-applicable),-and-Kaiser-Permanente's-policies-and-procedures. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
p>For-jobs-where-work-will-be-performed-in-unincorporated-LA-County,-the-employer-provides-the-following-statement-in-accordance-with-the-Los-Angeles-County-Fair-Chance-Ordinance.-Criminal-history-may-have-a-direct,-adverse,-and-negative-relationship-on-the-following-job-duties,-potentially-resulting-in-the-withdrawal-of-the-conditional-offer-of-employment: - Consistently-supports-compliance-and-the-Principles-of-Responsibility-(Kaiser-Permanente's-Code-of-Conduct)-by-maintaining-the-privacy-and-confidentiality-of-information,-protecting-the-assets-of-the-organization,-acting-with-ethics-and-integrity,-reporting-non-compliance,-and-adhering-to-applicable-federal,-state,-and-local-laws-and-regulations,-accreditation,-and-licensure-requirements-(where-applicable),-and-Kaiser-Permanente's-policies-and-procedures. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:
Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
Baldwin Park, CA6 days ago
At our 91-bed hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it - empowering them to take the next step in their recovery journey. This role oversees the coordination of care for patients and families through effective management of clinical service delivery, ensuring quality outcomes and efficient resource utilization.
Baldwin Park, CA30+ days ago
p>For-jobs-where-work-will-be-performed-in-unincorporated-LA-County,-the-employer-provides-the-following-statement-in-accordance-with-the-Los-Angeles-County-Fair-Chance-Ordinance.-Criminal-history-may-have-a-direct,-adverse,-and-negative-relationship-on-the-following-job-duties,-potentially-resulting-in-the-withdrawal-of-the-conditional-offer-of-employment: - Consistently-supports-compliance-and-the-Principles-of-Responsibility-(Kaiser-Permanente's-Code-of-Conduct)-by-maintaining-the-privacy-and-confidentiality-of-information,-protecting-the-assets-of-the-organization,-acting-with-ethics-and-integrity,-reporting-non-compliance,-and-adhering-to-applicable-federal,-state,-and-local-laws-and-regulations,-accreditation,-and-licensure-requirements-(where-applicable),-and-Kaiser-Permanente's-policies-and-procedures. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:
Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
TORRANCE, California5 days ago
At Voyage Healthcare, we help connect nurses, therapists, and allied health pros with high-paying travel jobs at top-rated facilities across the U.S. With thousands of openings nationwide, you can earn up to $3,500+ per week (depending on your specialty, location, housing, and benefits)—all while making a real impact on the communities that need you most. We're hiring experienced RN Case Management for a 13-week contract in Torrance, California — earn up to ($2220 - $2337 per week) while providing essential care at a leading facility.
Lakewood, California30+ days ago
Torrance, California30+ days ago
p/>Annual Salary Range: $108,805.00 - $175,760.00 per year
The FBCM Manager is responsible for overseeing the operational aspects of the FBCM team across all levels of facility-based care, including admissions at Torrance Memorial Medical Center (TMMC), out of area (OOA) acute hospitals, both medical and behavioral and skilled level of care (SNF), while maximizing efficiency across the FBCM team.
- The Manager, FBCM collaborates with IPA leadership, Torrance Memorial Health System, including hospitalists, physicians, other providers and external partners to ensure that members receive the right care, at the right time, in the right place.
- Under the direction of departmental leadership, collaborate with other departments within the Torrance Memorial Health System, including the Care Coordination Center, Home Health, Inpatient Case Management, inpatient physicians (ED, Hospitalists, etc.) and network physicians to integrate care and achieve optimal clinical outcomes for members.
Specifically, Case Manger will educate/update BeOne Corporate Account Directors, Market Access Directors, Field Account Managers, Specialty Pharmacy Partners, Healthcare Providers, Patients/Caregivers on the myBeOne Patient Support Program and Specialty Pharmacy/Distribution Network as needed. Ability to multitask, prioritize, problem solve and manage communication with Oncology Nurse Advocates, Specialty Pharmacies, Corporate Account Directors, Field Market Access Directors and Account Managers across multiple geographies and time zones.
Enable extraordinary moments default Respiratory Care Coordinator II Oxygen Case Management Pulmonary Outpatient Clinic Primary Location Fontana, California Facility Name Fontana Medical Center Schedule Part-time Shift Day Salary $48.84 - $63.19 / hour Job Number 1422082 Date Posted 04/24/2026 Submit Interest Save Job Job Summary: In addition to the responsibilities listed below, this position is also responsible for planning, developing, coordinating, and implementing respiratory care programs for patients with various respiratory conditions including Community Acquired Pneumonia (COP), Chronic Obstructive Pulmonary Disease (COPD), asthma, or related conditions; working with managers, physicians, and health care staff to identify and lead the resolution of pulmonary care system and equipment issues; providing advanced respiratory consultation to patients, family members, and caregivers on education and care plans prior to discharge to home health, nursing, or outpatient care; developing and coordinating respiratory education programs within the organization and for the community to promote awareness and increase understanding of risks and prevention related to pulmonary illnesses; developing and overseeing quality programs and leading maintenance to ensure optimal operation of equipment and instruments; and leading pulmonary care functions that expedite each patients work-up and follow-up in hospitals and/or clinics. Ensures that patients receive the highest quality care by: assuming responsibility for the quality, safety, and efficiency of therapy services; resolving moderately complex service/care issues, unusual occurrences (UOs), and patient complaints/grievances; collaborating across teams to maintain a competitive position in the health care industry by maximizing access, improving efficiency, and maintaining quality outcomes of therapy services; ensuring efficiency through cross-communication between appropriate service lines to enhance care coordination and patient experience; and developing new products and services that align with company goals and member needs.
Torrance, California25 days ago
The Level II RN Case Manager is accountable for a designated patient caseload and plans effectively in order to ensure patients receive the right care in the most appropriate setting, manage the length of stay, and promote efficient utilization of resources.Core Under supportive supervision, the Case Management Nurse I position supports the physician and interdisciplinary team in the provision of patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers.Harbor City, CA9 days ago li>Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families. Consults with internal and external physicians, health care providers, discharge planners, and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement. Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families. Consults with internal and external physicians, health care providers, discharge planners, and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. As a successful candidate, you will: Utilize the Case Management process to effectively communicate and coordinate patient care, ensuring a seamless experience for patients receiving cancer treatment. It's a culture where you have the freedom to experiment and push your talents as far as they can go.
Job Title: Case Management Attorney Type of Position: Full-time Location: Remote but must be able to meet with clients on occasion at our Los Angeles Office Pay: $100K/year – $160/year Job Description: Core duties and responsibilities include the following. Parker have recovered over a billion dollars for their clients' personal injury and wrongful death claims caused by the negligence of a third party. REQUIRED: Resume, References, Pay Expectation Larry H. li>Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families. The Case Management Coordinator also provides support to the department by checking the department voicemail, retrieving orders from the printer and distributing to appropriate staff, retrieving faxes and documenting in BAR, faxing CCS referrals, faxing Interqual reviews and documenting in BAR, ordering supplies, scheduling meetings, greeting visitors. This includes but, is not limited to, faxing inquiries, arranging ambulance transportation, making phone calls to skilled nursing facilities, home health agencies, durable medical equipment companies, infusion agencies, family members, etc. West Covina, CA12 days ago The Case Management Coordinator also provides support to the department by checking the department voicemail, retrieving orders from the printer and distributing to appropriate staff, retrieving faxes and documenting in BAR, faxing CCS referrals, faxing Interqual reviews and documenting in BAR, ordering supplies, scheduling meetings, greeting visitors. This includes but, is not limited to, faxing inquiries, arranging ambulance transportation, making phone calls to skilled nursing facilities, home health agencies, durable medical equipment companies, infusion agencies, family members, etc. Required Qualifications: Minimum 5 years'' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license At least one year experience in case management, discharge planning or nursing management Experience and knowledge in basic to intermediate computer skills. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. |
|