Registered Nurse - Case Manager Apidel TechnologiesRegistered Nurse - Case ManagerIrvine, CAContractorAcute Hospital; Long Term Acute Care/Rehab/Skilled Nursing; Admission Criteria; Care Coordination; Discharge Planning; Utilize InterQual Criteria; Utilize Milliman Guidelines; UR Admission Criteria; UR Appeals and Denials; UR Concurrent Review; UR Continued Stay Reviews; UR Medical Necessity; UR Retrospective Review; UR Utilize InterQual Criteria; UR Utilize Milliman Guidelines; CMS: Centers for Medicare and Medicaid Services; CPT (Current Procedural Terminology) coding and billing; Department of Health; DRG (Diagnosis Related Groups); HEDIS (The Healthcare Effectiveness Data and Information Set) Measures; HIPAA guidelines (Health Insurance Portability and Accountability Act); ICD 10 Coding; NCQA (National Committee for Quality Assurance); OSHA; The Joint Commission/ Core Measure/National Safety Goals. Case Manager and Utilization Review RN for Cancer Specialty Hospital.
Case Aide/ vCSRI (UEC) CSUSBCase Aide/ vCSRI (UEC)San Bernardino, CaliforniaUnder minimal supervision of the Center Manager, the Case Aide will work independently to: Handle incoming and outgoing correspondence, providing information, and responding and directing calls and inquiries in an efficient manner. University Enterprises Corporation at CSUSB ("UEC") supports the university's educational mission by providing quality services that complement the instructional program.
Case Aide/ vCSRI (UEC) CSU CareersCase Aide/ vCSRI (UEC)San Bernardino, CaliforniaUnder minimal supervision of the Center Manager, the Case Aide will work independently to: Handle incoming and outgoing correspondence, providing information, and responding and directing calls and inquiries in an efficient manner. University Enterprises Corporation at CSUSB ("UEC") supports the university's educational mission by providing quality services that complement the instructional program.
EAP Case Manager (Fixed Term Contract) Lyra HealthEAP Case Manager (Fixed Term Contract)Ontario, CanadaFull timeOutside of the United States, for example in the EU, Switzerland and the UK, you may have the right to request access to, or a copy of, your personal information, including in a portable format; request that we delete your information from our systems; object to or restrict processing of your information; or correct inaccurate or outdated personal information in our systems. In the role, you will be; working with a wide range of presenting issues and severity, robustly managing risk cases, quickly assessing clinical needs, implementing clinically appropriate treatment plans and monitoring and case managing.
Care Coordinator, Enhanced Care Management Koinonia Family Services -Care Coordinator, Enhanced Care ManagementTustin, CaliforniaECM Care Coordinators are responsible for tasks such as visiting client homes, attending in-person meetings, and engaging with community partners, often in locations not easily accessible by alternative transportation methods. Under the supportive guidance of the ECM Supervisor, you will work with the ECM team to provide services to youth and families as follows: Conduct assessments of individuals' needs and formulate individualized care plans.
RN Case Manager - ED - Days - FT - Orange University of CaliforniaRN Case Manager - ED - Days - FT - OrangeIrvine, CA2025 University of California, Irvine, UCI Health, and UC Regents. Sign-up to be notified of hiring events, newly posted job opportunities, and much more.
RN Case Manager Bristol Hospice, LLCRN Case ManagerOntario, CAAre you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities.
NewForklift Operator / Case Picker CJ LogisticsForklift Operator / Case PickerBloomington, CaliforniaAs a lead logistics partner (LLP), third-party logistics provider (3PL) and supply chain consultant, we help customers leverage supply chain management as a competitive advantage, reducing total system costs, transforming business processes, improving service and facilitating growth and change. The Forklift Operator is responsible for the safe and efficient operation of forklifts, electric pallet jacks (EPJ), and other material handling equipment (MHE) to ensure accurate order fulfillment and inventory management in support of daily warehouse operations.
ABA Case Manager Positive Behavior StepsABA Case ManagerSan Dimas, CA$27–$30 / hourThis is a traveling position supporting clients in-homes, in-schools, and community settings across Los Angeles County, with occasional time at our San Dimas clinic. ABA Case Manager (BCaBA and Master’s-Level Candidates Welcome) Salary: $27.00-$30.00 /per hour (Based on experience) Schedule: Full-Time | Part-Time | Flexible Schedule.
Hospice RN Case Manager / RNCM North OC Mission HealthcareHospice RN Case Manager / RNCM North OCIrvine, CA$58–$62 / hourWe believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare's core values. Communication Consent: By submitting an application, you acknowledge and consent to receive communications-including emails, phone calls, and text messages-from Mission Healthcare and its recruiters regarding your application and potential employment opportunities.
FINANCIAL CASE MANAGER, SPARKPOINT OC United Way WorldwideFINANCIAL CASE MANAGER, SPARKPOINT OCIrvine, CAFor descrption pls check this url https://careers.unitedway.org/jobs/job/administrative-coordinator-56442 .
Major Case Specialist, Auto Liability The Travelers Companies IncMajor Case Specialist, Auto LiabilityDiamond Bar, CA$99,100–$163,400 / yearAs a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Major Case Specialist, Auto Liability TravelersMajor Case Specialist, Auto LiabilityDiamond Bar, CaliforniaAs a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Management Analyst City Council RedlandsManagement AnalystRedlands, CA$900–$2,200Schedules and oversees meeting spaces in various locations; When assigned to the Police Department: Prepares and processes DAG-71 forms for DEA Equitable Sharing; Serves as Department Notary; Serves as Department liaison for SB90 and Fee Study and with Turbo Data (parking citations) and the Citys Revenue Division; Acts as Police Executive Assistant to the Chief of Police in his/her absence; Negotiates and coordinates in the development of contracts for professional services; and. Public Employees Retirement System (PERS) - 2% @ 55 for employees who are considered a "classic" member of Cal PERS or a current member of another California public retirement system who is hired on or after January 1, 2013; Public Employees Retirement System (PERS) - 2% @ 62 for an employee who becomes a "new" member of Cal PERS for the first time on or after January 1, 2013 (and who was not a member of another California public retirement system prior to that date; employee contributes 50% of CalPERS normal cost rate.
Senior WIM Investigator, Enterprise Protection Program, Workplace Incident Management Amazon.com IncSenior WIM Investigator, Enterprise Protection Program, Workplace Incident ManagementIrvine, CATo accomplish this, the Senior WIM Investigator will lead multi-disciplinary teams comprised of cross-functional stakeholders (e.g., Human Resources, Employee Relations, Legal), and security partners (e.g., site security, intelligence analysts) to assess the behavior, investigate actions, and implement the appropriate protective measures to resolve the concern while appropriately supporting persons involved. The ideal candidate must have a passion for helping people; is a self-starter and a creative problem-solver; possess strong analytical skills; demonstrates high judgment during high stress situations; must be an excellent oral and written communicator; and have a high degree of integrity.
Bilingual Spanish RN, Care Management (Riverside) SCAN Health PlanBilingual Spanish RN, Care Management (Riverside)Riverside, CaliforniaRemotePerform nursing related California Integrated Care Management (CICM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk For Avoidable Hospital Or ED Utilization, Adults Living In The Community At Risk Of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back To The Community, Documented Dementia, Serious Mental Illness (SMI) & Substance Use Disorder (SUD). The Registered Nurse (RN) – Care Management is a clinically accountable role responsible for delivering high-touch, person-centered care management to members with complex medical needs who cannot be effectively supported through telephonic care management alone.
*Discharge Planner II Utilization Management Prime Healthcare Services Inc*Discharge Planner II Utilization ManagementMontclair, CA$25–$36.21 / hourMontclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the "100 Top Hospital" in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades, and the Women''s Choice Award for America''s Best Emergency Care. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
*Discharge Planner Utilization Management Prime Healthcare Services Inc*Discharge Planner Utilization ManagementMontclair, CA$21–$23.39 / hourMontclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the "100 Top Hospital" in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades, and the Women''s Choice Award for America''s Best Emergency Care. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
NewSocial Worker, Care Management - Riverside COPE Health SolutionsSocial Worker, Care Management - RiversideRiverside, CA$79,200–$110,000 / yearThe Social Worker will work on a multidisciplinary healthcare team in a primary in person/telephonic setting; focusing on coaching and coordination of care for patients needing navigation and addressing patient care needs and follow up after clinical care. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers.
Family Nurse Practitioner- Enhanced Care Management Community Health Systems Inc (US)Family Nurse Practitioner- Enhanced Care ManagementRiverside, CAProvide leadership and oversight to Enhanced Case Management teams during Systematic Caseload Reviews (SCR), offering specialized expertise in both medically and behaviorally complex cases. JOB SUMMARY: The Nurse Practitioner is responsible for providing primary healthcare to patients and families, focusing on health maintenance, disease prevention, patient education and counseling.