Case Management Coordinator Health Source MSOCase Management CoordinatorAlhambra, CAFull timeJob Description: In the UM department, Case Management Coordinator is to assist with the coordinating of the day-to day activities in the medical group, request for authorization for ancillary services, and certify the group is utilizing the most cost effective provider. Also, identify patients found in out-of-network facilities and send the information timely to the concurrent-review nurse for coordination with the hospital and group.
Case Manager (Plaintiff Personal Injury) JobotCase Manager (Plaintiff Personal Injury)Burbank, CA$50,000–$72,800 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Our team is dedicated to delivering high-quality representation and compassionate client service, ensuring that every case is handled with diligence and care.
Pre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewLegal Case Manager -- Plaintiff Personal Injury JobotLegal Case Manager -- Plaintiff Personal InjuryCentury City, CA$30–$40 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Case Manager RN Health Source MSOCase Manager RNAlhambra, CAFull timeMonitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge.
Medical Malpractice Litigation Associate JobotMedical Malpractice Litigation AssociateLos Angeles, CA$145,000–$185,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. They are consistently named to the Best Lawyers “Best Law Firms” list and are a Certified Great Place to Work, emphasizing collaboration, responsiveness, and high-quality client service.
NewCare Manager RN - Medical Management Providence Health and ServicesCare Manager RN - Medical ManagementLong Beach, CA$57.28–$88.92 / hourTogether, 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. Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care.
NewTravel Nurse RN - Case Manager - $2,468 per week in Mission Viejo, CA Prime StaffingTravel Nurse RN - Case Manager - $2,468 per week in Mission Viejo, CAMission Viejo, CA$2,468.40Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect. travelers' refusal to float may result in termination of assignment and/or forfeiture of guaranteed hours.*****If required for the assignment, Client agrees to supply Providers with communication devices (i.e. cell phone, pager, etc.) needed to perform the duties as assigned at no cost to Provider or Agency.
NewTravel Nurse RN - Case Manager - $2,519 per week in Mission Viejo, CA Cynet HealthTravel Nurse RN - Case Manager - $2,519 per week in Mission Viejo, CAMission Viejo, CA$2,519Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 Hours (08:00 - 16:30) Experience: Minimum 2 years of acute medical care manager experience License: CA state license required; pending license accepted but must be licensed upon start Certifications: None specified Must-Have: Experience with care coordination and discharge planning; ability to organize and participate in family meetings Description: Start date: ASAP Floating expectation to different facilities as needed. Experience should include assessing patients and managing discharge plans independently.
NewTravel Nurse RN - Case Manager - $2,606 per week in Burbank, CA Prime StaffingTravel Nurse RN - Case Manager - $2,606 per week in Burbank, CABurbank, CA$2,605.60need Modified 7:00:00 AM Account Manager: Jordan Hinojos Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience: - Years of Experience: 2 Patient Ratio Experience: Charting System Experience: Required Charting System Name: Epic Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: Yes Certifications: Skills: Acute Hospital, Admission Criteria, Care coordination, CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and billing, Department of Health, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, Disease management, DRG (Diagnosis Related Groups), HIPAA guidelines (Health Insurance Portability and Accountability Act), ICU, MS, Needs Assessment/ Order DME, Plan of Care, SDU/PCU/IMC/Obs Unit Details Staffing & Scheduling Scheduling Type: Other Patient Ratios Days: 25 Patient Ratios Nights: - Patient Ratios Weekends: - Float Required: - Call Required: - Weekend Coverage: True Number of Weekend Shifts Per Contract: typically one full weekend per 4 weeks, subject to dept. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.
NewTravel Nurse RN - Case Manager - $2,519 per week in Burbank, CA Cynet HealthTravel Nurse RN - Case Manager - $2,519 per week in Burbank, CABurbank, CA$2,519Job Title: Case Manager Profession: Registered Nurse Specialty: Case Manager Duration: 13 weeks Shift: Day Hours per Shift: 8 hours (08:00 - 16:30) Experience: Minimum 2 years of acute hospital care management experience License: Active Registered Nurse License Certifications: Current certifications as required by the specialty Must-Have: Experience with care coordination and discharge planning Proficiency in computerized documentation Experience with assessing patients Description: Weekend requirement is typically one full weekend every four weeks, subject to departmental needs. Experience in managing goals and plans of care, including medical necessity assessments, is critical.
NewTravel Nurse RN - Case Manager - $2,222 per week in Burbank, CA OneStaff MedicalTravel Nurse RN - Case Manager - $2,222 per week in Burbank, CABurbank, CA$2,222.42Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.
NewTravel Nurse RN - Case Manager - $2,105 per week in Mission Viejo, CA OneStaff MedicalTravel Nurse RN - Case Manager - $2,105 per week in Mission Viejo, CAMission Viejo, CA$2,105.45Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.
NewTravel Nurse RN - Case Manager - $2,222 per week in Mission Viejo, CA OneStaff MedicalTravel Nurse RN - Case Manager - $2,222 per week in Mission Viejo, CAMission Viejo, CA$2,222.42Employee Assistance Program Free to all employees who’d like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter. You can choose to specialize in treating people with diseases like HIV/AIDS or cancer, or you can work with patients of certain age groups like geriatrics or pediatrics.
PT 20 hours Case Manager Continuing Care Social Work (Bilingual) Kaiser PermanentePT 20 hours Case Manager Continuing Care Social Work (Bilingual)Harbor City, CA$50.96Coordinates 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 planning and outside agencies regarding continued care/treatment or hospitalization or referral to support services or placement.
NewTravel Nurse RN - Case Manager in Burbank, CA SkyBridge HealthcareTravel Nurse RN - Case Manager in Burbank, CABurbank, CA$50.16–$59.28 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager in Santa Monica, CA SkyBridge HealthcareTravel Nurse RN - Case Manager in Santa Monica, CASanta Monica, CA$50.16–$59.28 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager in Downey, CA SkyBridge HealthcareTravel Nurse RN - Case Manager in Downey, CADowney, CA$51.15–$60.45 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager in Mission Viejo, CA SkyBridge HealthcareTravel Nurse RN - Case Manager in Mission Viejo, CAMission Viejo, CA$50.16–$59.28 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewTravel Nurse RN - Case Manager - $2,340 per week in Burbank, CA Advantis Medical StaffingTravel Nurse RN - Case Manager - $2,340 per week in Burbank, CABurbank, CA$2,340Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Burbank, CA 91505. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
NewTravel Nurse RN - Case Manager - $2,339 per week in Santa Monica, CA Advantis Medical StaffingTravel Nurse RN - Case Manager - $2,339 per week in Santa Monica, CASanta Monica, CA$2,339Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Santa Monica, CA 90404. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
NewTravel Nurse RN - Case Manager - $2,394 per week in Mission Viejo, CA Advantis Medical StaffingTravel Nurse RN - Case Manager - $2,394 per week in Mission Viejo, CAMission Viejo, CA$2,394Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Mission Viejo, CA 92691. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
NewTravel Nurse RN - Case Manager - $2,603 per week in Mission Viejo, CA Advantis Medical StaffingTravel Nurse RN - Case Manager - $2,603 per week in Mission Viejo, CAMission Viejo, CA$2,603Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Case Manager Registered Nurse (RN) for an exciting new travel job in Mission Viejo, CA 92691. If you are an experienced Case Manager Registered Nurse (RN) with a passion for providing exceptional patient care, just let us know you’re interested.
NewTravel Nurse RN - Case Manager - $2,606 per week in Mission Viejo, CA Prime StaffingTravel Nurse RN - Case Manager - $2,606 per week in Mission Viejo, CAMission Viejo, CA$2,605.60ID: 62855832 Shift: Day 5x8-Hour (08:00 - 16:30) Description: Job Description Start date: ASAP Floating Expectation: Float to the Laguna Facility Ratios: 1:25 Years of experience REQ: 2-year acute medical Care Manager experience performing Care Coordination First-timers accepted: No - requires travel experience, HARDSTOP Weekend REQ: Weekend Rotation CA state license: Yes Pending License accepted: Yes, but must be licensed upon start date RTO Restrictions: No more than 7 daysHospital Highlights Type of Facility: Acute Care Facility Scrub Color: Turquoise or Business Casual Modified 12:00:00 AM Account Manager: Jordan Hinojos Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience: - Years of Experience: 2 Patient Ratio Experience: Charting System Experience: Required Charting System Name: Epic Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: Preferred Trauma Level II Experience: Preferred Travel Experience Required: Yes Certifications: Skills: Acute Hospital, Appeals and Denials, Care coordination, CMS: Centers for Medicare and Medicaid Services, Department of Health, Disability case management, Discharge Planning, Disease management, DRG (Diagnosis Related Groups), Emergency Department*, HIPAA guidelines (Health Insurance Portability and Accountability Act), ICU*, MS, Needs Assessment/ Order DME, OSHA, Plan of Care, Surgical Services*, The Joint Commission/ Core Measure/National Safety Goals, Worker s comp case management, Workers Compensation, extra checklist required, Epic Unit Details Staffing & Scheduling Scheduling Type: Other Patient Ratios Days: 25 Patient Ratios Nights: - Patient Ratios Weekends: - Float Required: - Call Required: - Weekend Coverage: True Number of Weekend Shifts Per Contract: varies to meet dept needscase load does increase on weekends depending on census Pre-Approved Time Off: one Orientation Hours: 40 Facility & Patient Care Details Patient Age Groups: Adults, Geriatrics Daily Census: up to 25 Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: Epic is a hardstop requirementCASE MANAGERS DO NOT DO UTILIZATION REVIEW Special Procedures/Unit Details: Experience with Assessing patients, Care Coordination, and Discharge Planning. Over 20 hours requires PM approval Modules are completed pre-start, and annually Time spent on modules is self-reported, completion is recorded in Workramp transcripts Submittal Details: #Tier3 Travel ComplianceWe must have these three things before your traveler can be reviewed by our clinical team so please submit with this information is their upcoming interview availability?.Please confirm the DOB and full SSN is correct in Connect.
NewTravel Nurse RN - Case Manager - $2,467 per week in Burbank, CA Coast Medical ServiceTravel Nurse RN - Case Manager - $2,467 per week in Burbank, CABurbank, CA$2,467Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
NewTravel Nurse RN - Case Manager - $2,425 per week in Mission Viejo, CA Coast Medical ServiceTravel Nurse RN - Case Manager - $2,425 per week in Mission Viejo, CAMission Viejo, CA$2,425Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
NewTravel Nurse RN - Case Manager - $2,434 per week in Santa Monica, CA Coast Medical ServiceTravel Nurse RN - Case Manager - $2,434 per week in Santa Monica, CASanta Monica, CA$2,433.50Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler.
NewTravel Nurse RN - Case Manager - $2,078 to $2,322 per week in Santa Monica, CA Prime Time HealthcareTravel Nurse RN - Case Manager - $2,078 to $2,322 per week in Santa Monica, CASanta Monica, CA$2,077.54–$2,321.95Prime Time Healthcare is seeking dynamic individuals like you to join our team in Santa Monica, CA and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
NewTravel Nurse RN - Case Manager - $2,078 to $2,322 per week in Mission Viejo, CA Prime Time HealthcareTravel Nurse RN - Case Manager - $2,078 to $2,322 per week in Mission Viejo, CAMission Viejo, CA$2,077.54–$2,321.95Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Case Manager - $1,968 to $2,200 per week in Mission Viejo, CA Prime Time HealthcareTravel Nurse RN - Case Manager - $1,968 to $2,200 per week in Mission Viejo, CAMission Viejo, CA$1,968.19–$2,199.74Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
NewTravel Nurse RN - Case Manager - $2,233 per week in Santa Monica, CA Lancesoft IncTravel Nurse RN - Case Manager - $2,233 per week in Santa Monica, CASanta Monica, CA$2,232.58We are currently seeking qualified candidates for RN . Shift 5x8 Days, 08:00:00-16:00:00, 8.00-5.
NewTravel Nurse RN - Case Manager - $2,233 per week in Burbank, CA Lancesoft IncTravel Nurse RN - Case Manager - $2,233 per week in Burbank, CABurbank, CA$2,232.58We are currently seeking qualified candidates for RN . Shift 5x8 Days, 08:00:00-16:00:00, 8.00-5.
NewRN Case Manager, Home Health AccentCare, Inc.RN Case Manager, Home HealthCulver City, CARemote$108,058.78–$132,071.84The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. What You Need to Know: This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteLos Angeles, CARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
NewAdministration, Physician Advisor/UM Medical Director Provider Solutions & DevelopmentAdministration, Physician Advisor/UM Medical DirectorLos Angeles, CA$325,000–$380,000 / yearOther principal responsibilities of the role shall be to provide clinical expertise to Care Management in the form of strategic partnership as well as in the addressing of escalations that include admission status determinations, delays in discharge and the providing of clinical input for denial management. This is an opportunity to facilitate and further develop strong collaborative and positive mutually supported relationships between the medical center and its physicians to improve clinical quality, resource utilization and increase value while maintaining and improving our mission outcomes.
Medical Case Manager, BHI Utilization Management - Covered California CalOptimaMedical Case Manager, BHI Utilization Management - Covered CaliforniaOrange, CA$90,820–$145,312 / yearWe are hoping you will join us as a Medical Case Manager, BHI Utilization Management - Covered California and help shape the future of healthcare where you'll be an integral part of our Behavioral Health 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.
Manager, Case Management Nurse Management- Population Health Management Blue Cross and Blue Shield AssociationManager, Case Management Nurse Management- Population Health ManagementLong Beach, CAThis position oversees the day-to-day operations of business units and execution of departmental goals and objectives, to promote the delivery of quality, cost-effective healthcare services based on medical necessity and contractual benefits across the continuum of care. 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.
Director of Case Management Utilization Management Prime Healthcare Services IncDirector of Case Management Utilization ManagementInglewood, CA$108,160–$163,800 / yearAn award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Preferred leadership style and ideal candidate is a forward-thinking professional who thrives in a collaborative, fast-paced healthcare setting and is passionate about driving positive patient outcomes and reducing readmissions.
Director of Case Management - Utilization Management Centinela Hospital Medical CenterDirector of Case Management - Utilization ManagementInglewood, California$108,160–$163,800 / yearFull timeAn award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Preferred leadership style and ideal candidate is a forward-thinking professional who thrives in a collaborative, fast-paced healthcare setting and is passionate about driving positive patient outcomes and reducing readmissions.
ED Case Management Utilization RN, PD Mid-shift Kaiser PermanenteED Case Management Utilization RN, PD Mid-shiftBaldwin Park, CA$72.95–$89.28 / hourFor-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.
Bilingual Care Coordinator, Outpatient Case Management (Remote, Mon-Fri, 8am-5pm Pacific Required) Alignment Healthcare IncBilingual Care Coordinator, Outpatient Case Management (Remote, Mon-Fri, 8am-5pm Pacific Required)CARemote$41,472–$62,208 / yearYou'll play an important role in supporting members enrolled in case management by assisting with care coordination activities, scheduling and service coordination, and helping members navigate their care plan and available resources. Alignment Health is seeking an compassionate, customer service oriented, and organized, care coordinator (bilingual Spanish highly preferred) to join the remote outpatient case management team.
CA Medical Case Manager II CorVel CorpCA Medical Case Manager IILos Angeles, CARemote$32.18–$48.68 / hourIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
NewCase Management Associate - Maternity (Remote-CST/MST/PST) ProgenyHealth, Inc.Case Management Associate - Maternity (Remote-CST/MST/PST)CARemoteThe Case Management Associate will assist the Case Management department in the administration of CM functions to include telephonic outreach to members; monitoring of member eligibility; updating database information and research of support services for families. Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas as well as interact professionally and effectively with members, clients, and staff from all departments within and outside the company.
Case Manager (RN) Utilization Management Prime Healthcare Services IncCase Manager (RN) Utilization ManagementChino, CA$43.25–$58.21 / hourRequired 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.
Case Manager Utilization Management Prime Healthcare Services IncCase Manager Utilization ManagementAnaheim, CA$30.28–$43.32 / hourThe methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. 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.
Case Manager - Utilization Management West Anaheim Medical CenterCase Manager - Utilization ManagementAnaheim, California$30.28–$43.32 / hourFull timeThe methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. 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.
NewCase Management Coordinator Astiva Health, Inc.Case Management CoordinatorOrange, CAStrong working knowledge of prior authorization, case management principals, and regulations governing Medi-Cal, Medicare, and other government and commercial healthcare programs. Ensure all documentation and communication is complete and updated to partners at the IPA or MSO level and all clinical teams are updated to authorize patient services.