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.
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Los Angeles, CA6 days ago
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.
Los Angeles, CA6 days ago
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
Culver City, CA30+ days ago
Collaborates effectively with clinical and administrative leadership, physicians, nurses and a wide variety of other staff to ensure that service expectations and length of stay goals are met. Responsibilities for Internal CandidatesAssists Director of Case Management to implement strategic plans, unit/department goals and objectives, business initiatives, and to monitor financial plans and budgets.
Inglewood, California30+ days ago
Marina del Rey, CA30+ days ago
p>Primary Duties and Responsibilities: • Performs evaluation and or assessment within the established/communicated timeframe • Documents appropriate reviews for assigned patients using utilization review tool • Provides telephonic review for identified contracted/private patients • Collaborates with on-site and/or outside reviewers • Keeps patients informed of progress and provides information related to disease progression • Collaborates with discharge planner to make orders and arranges for home care equipment, healthcare needs, and works with third-party payers to validate orders • Educates patients and families on all aspects of patients' hospitalization and continuing care • Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers • Interacts professionally with patient/family/caregivers and involves them in the formation of the plan of care and discharge needs • Coordinates with multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient • Maintains department cleanliness and safety. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.
Marina del Rey, CA30+ days ago
p>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 16354 Working Title RN Case Manager - Case Management - Part time - Day Shift - Marina del Rey Hospital Department Case Management Business Entity Cedars-Sinai Marina Hospital Job Category Patient Services Job Specialty Case Management Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $59.90 - $92.84.
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.
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.
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.
Beverly Hills, CA29 days ago
In collaboration with the Inpatient Specialty Program (ISP) hospitalists, the Case Manager will assist patients from the time they are admitted until they are discharged from the hospital by assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered and to ensure that quality care is delivered in a cost-effective manner. Authorizes all appropriate services based upon covered benefits and necessity of care provided in the: a) Member's home or residence b) Acute Care c) Skilled Nursing Facility d) Rehabilitation Facility e) Home Health Care f) Custodial Care facility or Board and Care Facility.
Marina del Rey, CA30+ days ago
p>Qualifications • Education: Associates degree in Nursing (required) • Bachelors degree in Nursing (preferred) • Certifications/Licenses: Current and valid California RN License (required) • Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred) • Experience: Two (2) years of nursing experience in an acute care setting (required) • One (1) year of Case Management experience (preferred). This position offers an outstanding opportunity to work in a dynamic inpatient setting where you will plan and coordinate patient care from pre-hospitalization through discharge.
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.
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.
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.
The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
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.
Baldwin Park, CA5 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.
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, 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.
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.
Lakewood, California30+ days ago
TORRANCE, California4 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.
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.
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.
Torrance, California24 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.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. 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. Harbor City, CA8 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. 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. 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. West Covina, CA11 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. 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. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. ul>Lead multidisciplinary team (MDT) meetings, including presenting case updates, identifying compliance considerations, and coordinating cross-functional responses to support timely, equitable, and policy-aligned case management. - Carry out assigned Case Management and Education Specialist responsibilities in support of the Executive Director of Title IX & Inclusion/Title IX Coordinator to ensure continuity of Equity Programs and Compliance operations.
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