NewCare Manager Transition of Care (RN) Centene Corporation GroupCare Manager Transition of Care (RN)CA$27.02–$48.55 / hourPosition Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members.
Mental Health Case Manager I/II Behavioral Health Services IncMental Health Case Manager I/IIHollywood, CAAbility to build a collaborative support system with community employers, agencies and organizations, employing eligible clients as they move into the transitional period. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements which may be inherent in the position.
RN Case Manager - Full Time, Days (Culver City) Southern California HospitalsRN Case Manager - Full Time, Days (Culver City)Culver City, CAFull timeRequired QualificationsOne year of case management experience or 1 year nursing leadership experienceCurrent Licensure as a Registered Nurse in the State of CaliforniaIn-depth knowledge and strong understanding of patient throughput, care coordination, and care planning processesAbility to assess medical stability for discharge and evaluate medical necessity for continued acute hospitalizationComputer/EMR Proficiency and LiteracyKnowledge of CMS, Medicare, Medi-Cal and Managed Care reimbursementFamiliarity of Joint Commission, CMS, CDPH requirementsExcellent written and verbal communication skills in EnglishAbility to establish and maintain effective working relationships across the organizationAbility to facilitate and lead interdisciplinary roundsPreferred QualificationsBachelor of Science in NursingCertified Case Manager (CCM)Acute Hospital Case Management ExperienceFamiliarity with AllScripts Care ManagementProficiency with Milliman Care Guidelines or InterqualBilingual skills to communicate effectively with patients and familiesEssential Job Functions / Major Areas of ResponsibilityThe essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position. Makes timely and appropriate referrals to, and seeks consultation with others when needed, the patient-centered provision of services; such as Social Services (i.e., Durable Power of Attorney).Reviews medical necessity utilizing medical staff-approved evidence-based decision support criteria.
Case Manager Assistant BLANCO & ARIAS APCCase Manager AssistantTorrance, CAFull timeScan, sort, and process incoming and outgoing mail; route correspondence to the appropriate case files and team membersAssist case managers and attorneys in organizing and maintaining client case files and legal documents. Blanco & Arias APC is looking for a motivated and detail-oriented Case Manager entry level Assistant to join our dynamic legal team in Torrance, CA.
Hospice Registered Nurse Case Manager Digital Recruting SolutionsHospice Registered Nurse Case ManagerOntario, CaliforniaThe Role : The Hospice Registered Nurse Case Manager is responsible for planning and directing compassionate hospice care, supporting patients and their families through individualized care plans and community health education. The Hospice Registered Nurse Case Manager reports directly to the Clinical Manager or Director of Patient Care Services (DPCS), ensuring seamless communication and support in delivering high-quality care.
Case Manager Perfected ClaimsCase ManagerPasadena, CAThe Case Manager will be cross-trained in all areas of case management: Intake Qualification, Medical Record Retrieval Coordination, Medical Record Review, Plaintiff Form Fulfillment, Client Engagement, Quality Assurance, and Post Settlement Coordination. Responsible for inbound and outbound communication (calls/emails/texts) with clients to obtain case-related details, confirm information, complete documentation/questionnaires, and provide case and settlement status updates.
Bilingual Case Manager Perfected ClaimsBilingual Case ManagerPasadena, CAThe Case Manager will be cross-trained in all areas of case management: Intake Qualification, Medical Record Retrieval Coordination, Medical Record Review, Plaintiff Form Fulfillment, Client Engagement, Quality Assurance, and Post Settlement Coordination. Responsible for inbound and outbound communication (calls/emails/texts) with clients to obtain case-related details, confirm information, complete documentation/questionnaires, and provide case and settlement status updates.
Social Services Coordinator, Los Angeles-Pico Union National Health FoundationSocial Services Coordinator, Los Angeles-Pico UnionLos Angeles, CAWe are targeting Food Access, with an emphasis on increasing the availability of health and fresh foods in under-resourced communities, Housing, with a focus on providing shelter and care for individuals who have been released from the hospital, the Built Environment, prioritizing the removal of the barriers to health in the Historic South Los Angeles community, and Education, with a focus on risk prevention and support for pregnant and parenting teens to complete their education. The Social Services Coordinator applies professional experience and independent judgment to complex tasks and supports organizational goals; performs a wide variety of administrative functions to assess needs and ensure program objectives are met; serves as a community and organizational resource on issues of healthcare and housing.
Medical Case Manager (RN) Kinetic Personnel Group, Inc.Medical Case Manager (RN)Orange, CA$45–$65 / hourKinetic Personnel Group is currently recruiting a Medical Case Manager (RN) for a $3 billion-dollar a year government public health plan (government agency) is renowned for its work in the community and being a great place to work. Performs post-discharge assessments to identify members post-hospital or post-emergency department discharge needs including but not limited to: Members physical, functional, social and psychological status.
Nurse Case Manager l - California HMO Elevance HealthNurse Case Manager l - California HMOCerritos, California$73,920–$120,960 / yearThe Nurse Case Manager l (California HMO) is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewNurse Case Manager L - California HMO Elevance HealthNurse Case Manager L - California HMOCerritos, CA$73,920–$120,960 / yearThe Nurse Case Manager l (California HMO) is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Social Services Director (SNF Post Acute Case Manager) The OrchardsSocial Services Director (SNF Post Acute Case Manager)Rancho Mission Viejo, CAStarting at the time of SNF Admission, the SNF Case Manager oversees the SNF stay with a focus on patient experience, length of stay management and transition planning to ensure delivery of high-quality care during the SNF stay, and safe timely transition to the next level of care upon discharge. Initiates and maintains communication and collaboration with SNF staff, physicians, and other caregiving disciplines to develop, implement and evaluate a transition plan of care for each patient (i.e., medication reconciliation, post-discharge appointments and services).
Case Manager II-Lead Care Manager Simple Solutions PsychotherapyCase Manager II-Lead Care ManagerRancho Cucamonga, CaliforniaServes as Lead Care Manager for members with complex co-occurring conditions, including individuals experiencing homelessness with serious mental illness, justice-involved adults and transition-age youth re-entering the community, individuals with high utilization patterns (frequent ED or inpatient use), pregnant and postpartum individuals with complex needs, and members transitioning from incarceration, hospitals, or institutions. Master of Social Work (MSW) preferred, OR Bachelor's degree in Social Work, Psychology, Nursing, Public Health, or related field with three (3) or more years of progressive case management experience in Medi-Cal managed care, ECM, Community Supports, Health Homes, Whole Person Care, behavioral health, hospital case management, or community-based care coordination.
Case Manager II-Lead Care Manager SIMPLE SOLUTIONS PSYCHOTHERAPYCase Manager II-Lead Care ManagerRancho Cucamonga, CAFull timeServes as Lead Care Manager for members with complex co-occurring conditions, including individuals experiencing homelessness with serious mental illness, justice-involved adults and transition-age youth re-entering the community, individuals with high utilization patterns (frequent ED or inpatient use), pregnant and postpartum individuals with complex needs, and members transitioning from incarceration, hospitals, or institutions. Master of Social Work (MSW) preferred, OR Bachelor's degree in Social Work, Psychology, Nursing, Public Health, or related field with three (3) or more years of progressive case management experience in Medi-Cal managed care, ECM, Community Supports, Health Homes, Whole Person Care, behavioral health, hospital case management, or community-based care coordination.
Hssp Substance Abuse Case Manager - SPA 6 & 7 The People ConcernHssp Substance Abuse Case Manager - SPA 6 & 7Los Angeles, CAQualifications: High School Diploma or GED or EquivalentCertification in substance abuse counseling (CADC I, CADC II, CADC III, or similar credentials.)Current, valid California Driver's with an acceptable driving record and reliable vehicleAble to transport members in your vehicleMinimum two (2) years' experience as a substance abuse counselor and/or case manager, in a licensed and/or accredited substance abuse treatment facilityAble to work in a high tolerance Harm Reduction model with members who have multiple barriersComputer literacy, including knowledge of Microsoft Word, Outlook and ExcelDetail oriented with excellent time management, organizational, written, verbal, and computer skillsAble to learn quickly and work effectively with a wide range of constituencies and with minimal supervisionAble to obtain and maintain CPR/First Aid certification. Los Angeles, CA 90062Main Street Apartments- 100 W 55th St, Los Angeles, CA 90037The Remi- 1216 Nadeau St, Los Angeles, CA 90001Watt works- 9502 Compton Ave., Los Angeles, CA 90021Central Apartments- 2106 Central Avenue, Los Angeles, CA 90011Bell Oasis- 5502 K St, Bell, CA 90201Vista de JJ Apartments- 128 S. 6th Street Montebello, CA 90640.
Substance Abuse Case Manager, SPA 4 The People ConcernSubstance Abuse Case Manager, SPA 4Los Angeles, CAQualifications: High School Diploma or GED or EquivalentCertification in substance abuse counseling (CADC I, CADC II, CADC III, or similar credentials.)Current, valid California Driver's with an acceptable driving record and reliable vehicleAble to transport members in your vehicleMinimum two (2) years' experience as a substance abuse counselor and/or case manager, in a licensed and/or accredited substance abuse treatment facilityAble to work in a high tolerance Harm Reduction model with members who have multiple barriersComputer literacy, including knowledge of Microsoft Word, Outlook and ExcelDetail oriented with excellent time management, organizational, written, verbal, and computer skillsAble to learn quickly and work effectively with a wide range of constituencies and with minimal supervisionAble to obtain and maintain CPR/First Aid certification. Los Angeles, CA 90018The Lodge- 656-660 Stanford Ave., Los Angeles, CA 90021The Mayer- 5500 Hollywood Blvd, Los Angeles, CA 90028,Vermont Corridors- 433 S. Vermont Los Angeles, CA 90020Washington Crossing- 4601 Washington Blvd, Los Angeles, CA 90016Wilcox- 1040 N.
Substance Abuse Case Manager - SPA 2 & 5 The People ConcernSubstance Abuse Case Manager - SPA 2 & 5Los Angeles, CAQualifications: High School Diploma or GED or EquivalentCertification in substance abuse counseling (CADC I, CADC II, CADC III, or similar credentials.)Current, valid California Driver's with an acceptable driving record and reliable vehicleAble to transport members in your vehicleMinimum two (2) years' experience as a substance abuse counselor and/or case manager, in a licensed and/or accredited substance abuse treatment facilityAble to work in a high tolerance Harm Reduction model with members who have multiple barriersComputer literacy, including knowledge of Microsoft Word, Outlook and ExcelDetail oriented with excellent time management, organizational, written, verbal, and computer skillsAble to learn quickly and work effectively with a wide range of constituencies and with minimal supervisionAble to obtain and maintain CPR/First Aid certification. Westchester, CA 90045Thatcher- 3311 Thatcher Avenue, Venice, CA 90292The Laurel- 1413 Michigan Ave., Santa Monica, CA 90404The Collection- 3705 S. McLaughlin Ave., Los Angeles, CA 90066Iris Apartments- 2444 Barry Ave., Los Angeles, CA 90064Scattered Sites- WS.
Hssp Substance Abuse Case Manager - SPA 7 & 8 The People ConcernHssp Substance Abuse Case Manager - SPA 7 & 8Los Angeles, CAQualifications: High School Diploma or GED or EquivalentCertification in substance abuse counseling (CADC I, CADC II, CADC III, or similar credentials)Current, valid California Driver's with an acceptable driving record and reliable vehicleAble to transport members in your vehicleMinimum two (2) years experience as a substance abuse counselor and/or case manager, in a licensed and/or accredited substance abuse treatment facilityAble to work in a high tolerance Harm Reduction model with members who have multiple barriersComputer literacy, including knowledge of Microsoft Word, Outlook and ExcelDetail oriented with excellent time management, organizational, written, verbal, and computer skillsAble to learn quickly and work effectively with a wide range of constituencies and with minimal supervisionAble to obtain and maintain CPR/First Aid certification. On occasion walk or drive to different local sitesWill necessitate working in busy and loud environmentsWill be exposed to elements like cold, heat, dust, noise and odorMay need to bend, stoop, twist, and sit throughout the day.
RN Case Manager - Value Based Service Organization - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaRN Case Manager - Value Based Service Organization - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CA$53–$87.45 / hourSome of the major duties of a Case Manager include: Documenting patients' case management plans and on-going activities; Identifying patients 'insurance coverage or other sources of payment for services; Identifying and addressing patient risk factors and/or obstacles to care; Identifying patient needs, current services, and available resources, then connecting the patient to services and resources to meet established goals; Communicating the care preferences of patients, serving as their advocate, and verifying that interventions meet the patient's needs and treatment goals; Screening patients and/or population for healthcare needs; Developing a patient-focused case management plan; and Educating the patient/family/caregiver about the case management process and evaluating their understanding of the process. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Case Manager Generalist Volunteers of America Los AngelesCase Manager GeneralistSouth Gate, CA$22.91–$24.12 / hourAbility to perform under circumstances of possible emotional stress and conflicts dealing with difficult, uncooperative, and potentially aggressive clients as VOALA serves the neediest of the needy in our programs which may include clients with homelessness, mental-illness, substance abuse, recently released from incarceration and other challenges. VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans’ services, homeless shelters, low-income housing program as well as drug and alcohol rehabilitation.