NewRegistered Nurse - Senior RN Case Manager Professional Case ManagementRegistered Nurse - Senior RN Case ManagerVista, WAp>Our Senior RN-Case Managers Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with state-specific nurse practice act, and regulatory requirements. Please contact Rick Carey at (866) 776-0127 x350 or at rick.carey@procasemanagement.com today to learn more about our opportunities where you can make a difference in your own career!
Registered Nurse (RN) - Neurosurgery - Spring Valley Advocate AuroraRegistered Nurse (RN) - Neurosurgery - Spring ValleySan Diego, CAMust demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation .
RN Case Manager, Home Health AccentCare IncRN Case Manager, Home HealthOceanside, CA$108,000–$132,000 / yearp>Were proud to be named one of Americas Greatest Workplaces 2025 by Newsweek a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. Youll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care.
RN Case Manager (Peckham) Rady Children's HospitalRN Case Manager (Peckham)San Diego, CA$58.87–$101.33 / hourp>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. Job Categoryselect categoryAccountingAdmin ServicesAdministrativeAllied HealthBehavioral Health Srvcs AdminCardiac MRICardio-Thoracic Intensive CareCardiovascular SurgeryCatheterizationClinical NutritionClinical ProfessionalClinical ProfessionalsClinical SupportClinical Support PoolCommunity ServiceCompliance / LegalCritical Care UnitDevlp'l Scrng & Enhancmnt PrgmEchocardiogramElectroencephalogramFacilitiesFacility OperationsFood ServiceForensic & Supportive ServicesGastroenterologyHealthy StepsHeart InstituteHematology/Oncology IPHuman ResourcesInformation ServicesInformation TechnologyInpatient AdmittingKitchenLabLab - AdministrationLab - Blood BankLab - HematologyLeadershipMedical UnitNeonatal Intensive CareNeurologyNICU CHETNurse Triage Answering ServiceNursingOccupational TherapyOperating RoomOphthalmologyOphthalmology/Optical ShopOrthopedicsPatient Financial ServicesPFS - RCSSDPharmacyPhysiatryPsychiatry ResourcesSchool Health ContractsSkilled Nursing CareSocial ServicesSpeechSupport ServicesTransforming Mental HealthTrauma CenterTrauma PEI InitiativesUtilization Management.
RN Case Manager Serene HealthRN Case ManagerSan Diego, CA$90,000–$110,000 / yeardiv class="content-pay-transparency">Pay range$90,000—$110,000 USDBenefits. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
RN Hospice Case Manager - South OC MCM & Associates LLCRN Hospice Case Manager - South OCSan Juan Capistrano, CAp>Reliance Hospice and Palliative Care is looking for a compassionate RN Case Manager (Full-Time) to join a strong supportive team of professionals that provide hospice/palliative care around South Orange County with cities not limited to Laguna Niguel, Lake Forest, Rancho Santa Margarita, down to San Clemente.. (Aliso Viejo, Laguna Woods, Laguna Niguel, Lake Forest, Rancho Santa Margarita, Mission Viejo, San Juan Capistrano down to San Clemente).
RN Case Manager, Bilingual Required, Hybrid Position, TrueCare TrueCareRN Case Manager, Bilingual Required, Hybrid Position, TrueCareVista, CA$104,827–$162,482 / yearp>TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. Influence population health strategy through data analysis, quality improvement initiatives, and patient feedback to improve chronic care management and access to services.
Hospice RN Case Manager Full Time Newport HospiceHospice RN Case Manager Full TimeTemecula, CA$50–$54 / hourHospice Case Managers are vital members of our care team, providing compassionate, skilled nursing support to patients and families during end-of-life care. Medication Management: You are responsible for the entire medication profile, including reconciliation, pharmacy coordination, and symptom management (GIP/Continuous Care triggers).
RN Case Manager / RNCM Home Health $2.5k Sign-on! Mission HealthcareRN Case Manager / RNCM Home Health $2.5k Sign-on!Oceanside, CA$55–$65 / 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.
RN Case Manager / RNCM (Home Health) $2.5k Sign-on! Mission HealthcareRN Case Manager / RNCM (Home Health) $2.5k Sign-on!Poway, Californiadiv>Pay range (depending on experience): $55-65 per hour This full-time position is eligible for a $2,500.00 hiring bonus! Schedule/Shift: M-F, Weekend & Holiday Rotation, On Call at Night Territory/Location: Poway, Ramona, Rancho Peñasquitos, Rancho Bernardo. Click Here. At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered.NewRN Case Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's Veterans Talented Medical SolutionsRN Case Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's VeteransSan Diego, CA$55–$75Talented Medical Solutions is thrilled to offer exciting travel opportunities for experienced RNCase Managers and Registered Nurses (RNs) interested in working with the VA on a government contract. To be considered, please send your most recent resume, active BLS certification (AHA or ARC), and RN jseymore@talentedmedicalsolutions.com, 623-268-7666.SRS – Case Manager – RN – Per Diem – Variable Shift Sharp HealthCareSRS – Case Manager – RN – Per Diem – Variable ShiftSan Diego, CaliforniaThe SRS RN CM II will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. The SRS RN CM II will manage multiple assignments effectively; compose written material; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; and work independently with minimal supervision.LVN Case Manager Assistant - San Diego - Home Health - FT (40) - 8:30 AM - 5:00 PM Kaiser PermanenteLVN Case Manager Assistant - San Diego - Home Health - FT (40) - 8:30 AM - 5:00 PMSan Diego, CAEssential Responsibilities: The individuals responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review b) care coordination, c) implementation of the transition plan based on RN Case Manager and/or Social Worker (SW) assessment(s), d) communication with interdisciplinary team during patient care conferences, e) management of concurrent disputes, f ) communication with patients and families regarding the plan of care established by RN, SW and Physician, g) collaboration with physicians, office staff and ancillary departments, h) clear, complete and concise documentation in electronic system, i) maintenance of accurate patient demographic and insurance information, j) identification and documentation of potentially avoidable days, k) identification and reporting of over and underutilization , l) and other duties as assigned. Job Summary: The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.Travel Nurse RN - Case Manager - $3,360 per week in San Marcos, CA FlexCareTravel Nurse RN - Case Manager - $3,360 per week in San Marcos, CASan Marcos, CA$3,360–$3,360li>Compact License State: No. Submit Without a License: No. Assignment Terms. Less hassle, more control: one recruiter, transparent pay, and concierge-level support that anticipates your needs.SRS - Case Manager - RN - Per Diem - Variable Shift Sharp Health PlanSRS - Case Manager - RN - Per Diem - Variable ShiftSan Diego, CA$68.45–$88.33 / hourp>The SRS RN CM II will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. The SRS RN CM II will manage multiple assignments effectively; compose written material; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; and work independently with minimal supervision.(RN) Palliative Nurse Case Manager - Per Diem University of California(RN) Palliative Nurse Case Manager - Per DiemSan Diego, CARemoteUC San Diego is a student-centered, research-focused, service-oriented public institution recognized as one of the top fifteen research universities worldwide, and a top ten public university. 15 years later, my work improves operational efficiencies, provides valuable programs to the university, and even helps students bring their innovations to life.California Workers Compensation Telephonic Nurse Case Manager (Remote) W. R. Berkley CorpCalifornia Workers Compensation Telephonic Nurse Case Manager (Remote)San Diego, CARemote$75,000–$88,000 / yearOur unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management. As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.Workers' Compensation Field Nurse Case Manager KEYSTONE MEDICAL RESOURCES INCWorkers' Compensation Field Nurse Case ManagerSan Diego, CAOur dedicated team of specialists collaborates closely with clients to achieve optimal outcomes, providing invaluable support to employers, claims staff, injured employees, and the medical community. Your responsibilities will include conducting comprehensive assessments, coordinating medical appointments and ancillary services, and ensuring seamless communication among all parties involved.Nurse Case Manager Loyal Source Government Services LLCNurse Case ManagerOceanside, CAli>The Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.Travel 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$2,605.60–$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.Case Manager LPN Pride GlobalCase Manager LPNSan Diego, CA$30–$32 / hourp>Pride Health is seeking a Case Manager LPN for one of our clients in San Diego, CA! 1+ years of Case Management/Care Coordination experience.Registered Nurse - Physical Medicine - Traumatic Brain Injury (TBI) Case Manager Spectrum Healthcare ResourcesRegistered Nurse - Physical Medicine - Traumatic Brain Injury (TBI) Case ManagerSan Diego, California$35–$50 / hourp style="margin:0px">The RN Phsyical Medicine - Tramatic Brain Injury (TBI) position requires: Possess a Baccalaureate Degree in Nursing or an Associate Degree in Nursing or a Diploma from a Nursing Program accredited by the National League for Nursing Accrediting Commission (NLNAC) or by the Commission on Collegiate Nursing Education (CCNE). A Joint Commission Certified Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 600 civilian and military hospitals with a team of 5,600 affiliated health care professionals.NewNurse Manager - Utilization Review & Case Management Macpower Digital Assets Edge Private LimitedNurse Manager - Utilization Review & Case ManagementSan Diego, CA$166,000–$172,000 / yearThis is the department that moves patients to higher level of care or that moves them through to get the patients home and make sure they have the care they need at home. Notes: This job position is for rotating on-call after hours, including weekends and holidays. BASIC QUALIFICATIONS: Minimum three years of experience in utilization management and discharge planning in an acute care setting to also include supervisory or management experience.Case Manager Specialty RN-Per Diem - OB/GYN Kaiser PermanenteCase Manager Specialty RN-Per Diem - OB/GYNSan Diego, CAli>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.Home Health Clinical Manager (RN) Mission HealthcareHome Health Clinical Manager (RN)San Diego, Californiaa href="https://drive.google.com/file/d/1SbsmcGH6O08rEoobpgFGPE7pc_P-1MyS/view?usp=sharing" rel="nofollow">Click Here. At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. Pay range (depending on experience): $125-$130K Schedule/Shift: Full-time, Exempt role Territory/Location: San Diego, CA.NewBSN, Case Manager, Spanish Required TrueCareBSN, Case Manager, Spanish RequiredVista, CA$92,977–$139,466 / yearli>Knowledge of medical terminology, legal and technical aspects of a medical records system, HIPAA guidelines, and ICD-10 and CPT codesComputer proficiency, particularly with Electronic Health/Medical Record systems and Microsoft Office (Outlook, Excel, PowerPoint, Word). TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities.RN Unit Manager Reo Vista Healthcare CenterRN Unit ManagerSan Diego, CAFull timeMust be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners. Certificates, Licenses, Registrations LVN/LPN Valid License or RN Valid Licensee in the state you are working.Hospice Clinical Manager RN Mission HealthcareHospice Clinical Manager RNMurrieta, CA$103,000–$128,000 / yearReviews and evaluates each case through a variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services; and is available at all times during operating hours to assist clinicians as appropriate. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare's core values.Registered Nurse, Home Health AccentCare IncRegistered Nurse, Home HealthSan Marcos, CA$108,058.78–$132,071.84 / yearThe position combines the activities of direct and indirect patient care and directs staff nurses, LVNs, CHHAs in the delivery of the individual patient's plan of care as well as identifying interdisciplinary needs and coordination of the allied health clinicians. If you meet these qualifications, we would love to meet you: Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.Case Manager - Inpatient - La Jolla Scripps HealthCase Manager - Inpatient - La JollaLa Jolla, CAp>As a Case Manager you will be responsible for the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs including coordination with providers, navigators and ancillary and community resources across the system and care continuum. In addition, you will be responsible for: Addresses payer issues that impact care, develops a transition plan of care from inpatient to post-acute that includes a safe discharge plan.Case Manager - Inpatient - Mercy San Diego Scripps HealthCase Manager - Inpatient - Mercy San DiegoSan Diego, CAp>As a Care Manager of Inpatient Case Management, you will be responsible for the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs including coordination with providers, navigators and ancillary and community resources across the system and care continuum. Addresses payer issues that impact care, develops a transition plan of care from inpatient to post-acute that includes a safe discharge plan.Case Manager Poway Healthcare CenterCase ManagerPoway, CAFull timeUtilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.Clinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - Days Sharp HealthCareClinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - DaysLa Mesa, CaliforniaThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. The Clinical Case Manager's (CCM) role is to be a patient advocate providing patients and their families with a point of care approach, and guiding them through the healthcare system providing information regarding services, education, funding and access to care.Registered Nurse - Clinical Case Consultant - ECM Pacific Health GroupRegistered Nurse - Clinical Case Consultant - ECMSan Diego, CA$85,000–$95,000p>This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews.Medical Case Manager - Workers' Compensation ForzaCareMedical Case Manager - Workers' CompensationDel Mar, CAFounded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.Clinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - Days Sharp Health PlanClinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - DaysLa Mesa, CA$53.57–$69.12 / hourThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. The Clinical Case Manager''s (CCM) role is to be a patient advocate providing patients and their families with a point of care approach, and guiding them through the healthcare system providing information regarding services, education, funding and access to care.Case Manager I - Case Management - Sharp Grossmont Hospital - FT - Days Sharp HealthCareCase Manager I - Case Management - Sharp Grossmont Hospital - FT - DaysLa Mesa, CaliforniaThe RN CM I will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. 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.Case Manager (CM), PRN LifePoint Health IncCase Manager (CM), PRNEscondido, CAOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Palomar Health Rehabilitation Institute is a 52-bed inpatient rehabilitation hospital located in Escondido, California, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast.Case Manager Balboa Nursing & Rehabilitation CenterCase ManagerSan Diego, CAFull timeUtilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.CA Telephonic Case Manager II CorVel Healthcare CorporationCA Telephonic Case Manager IISan Diego, CARemote$32.18–$48.68 / hourPart timePay 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. A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management.Case Manager I - Case Management - Sharp Grossmont Hospital - FT - Days Sharp Health PlanCase Manager I - Case Management - Sharp Grossmont Hospital - FT - DaysLa Mesa, CA$61.74–$70.17 / hourp>The RN CM I will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. 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.Field Case Manager Part-Time Murrieta-Temecula-San Clemente, CA Charles Taylor LtdField Case Manager Part-Time Murrieta-Temecula-San Clemente, CATemecula, CA$57,500–$62,500 / yearli>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.Field Case Manager Full-Time Murrieta-Temecula-San Clemente, CA Charles Taylor LtdField Case Manager Full-Time Murrieta-Temecula-San Clemente, CATemecula, CA$115,000–$125,000 / yearli>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.Case Manager Loma Linda University Medical CenterCase ManagerMurrieta, CARelate and communicate positively, effectively and exhibit professional behavior at all times; work calmly and respond courteously when under pressure; be assertive and consistent in following policies; teach, and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records, and written documents necessary to position. Job Summary: The Case Manager serves as a key member of the patient care delivery team and works efficiently in a fast-paced environment and utilizes clinical expertise, discretion and independent judgment in performing the nursing process (assessment, care planning, intervention, evaluation) within a patient-centered care professional practice model (Duffy''s Quality-Caring Model) as it relates to case management functions.Acute Care Case Mgr II $30K Hiring Incentive Palomar HealthAcute Care Case Mgr II $30K Hiring IncentiveEscondido, CAProvides decision support for the treatment care team regarding documentation elements required by regulatory agencies and payers, e.g., Medicare, Medi-Cal, Health Plans, and Contracts; helps team understand the interrelationship of reimbursement with efficient and appropriate utilization of resources and service. Minimum Education: As required by certification and/or licensurePreferred Education: Bachelor's Degree and/or National Certification in Utilization Review or Case ManagementMinimum Experience: 1 - 3 years of directly related RN experiencePreferred Experience: 3 - 5 years acute care nursing experience.Acute Care Case Mgr II- $30K Hiring Incentive Palomar HealthAcute Care Case Mgr II- $30K Hiring IncentiveEscondido, CA$52.07–$75.79 / hourProvides decision support for the treatment care team regarding documentation elements required by regulatory agencies and payers, e.g., Medicare, Medi-Cal, Health Plans, and Contracts; helps team understand the interrelationship of reimbursement with efficient and appropriate utilization of resources and service. Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job.Case Manager I Full Time Days Knight Health Holdings LLCCase Manager I Full Time DaysSan Diego, CA$89,000–$109,000 / yearli>Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.Licensed Social Worker Case Manager / PRN Select Specialty Hospital - San DiegoLicensed Social Worker Case Manager / PRNSan Diego, CaliforniaResponsibilities: We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.Case Manager Camino Health CenterCase ManagerSan Juan Capistrano, CAp>Under the direction of the Clinic Manager, the Case Manager works as part of the Enhanced Care Management (ECM) team and Primary Care Provider (PCP) care team to provide high-quality, efficient, and service-oriented patient/member care while demonstrating the health center's core values. The Case Manager works closely with ECM and their care team to organize activities necessary to successfully meet requirements established by managed care plans, HEDIS clinical quality measures, and FQHC clinical performance measures.12345Resume ResourcesFree Resume TemplatesFree Resume BuilderSimilar Job SearchesCNA JobsLicensed Vocational Nurse JobsLPN JobsLVN JobsNurse Manager JobsNurse Practitioner JobsPsychiatric Nurse JobsRegistered Nurse JobsRN Jobs
NewRN Case Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's Veterans Talented Medical SolutionsRN Case Managers Needed ASAP in COLORADO / Govt Contract with VA / Serving our country's VeteransSan Diego, CA$55–$75Talented Medical Solutions is thrilled to offer exciting travel opportunities for experienced RNCase Managers and Registered Nurses (RNs) interested in working with the VA on a government contract. To be considered, please send your most recent resume, active BLS certification (AHA or ARC), and RN jseymore@talentedmedicalsolutions.com, 623-268-7666.
SRS – Case Manager – RN – Per Diem – Variable Shift Sharp HealthCareSRS – Case Manager – RN – Per Diem – Variable ShiftSan Diego, CaliforniaThe SRS RN CM II will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. The SRS RN CM II will manage multiple assignments effectively; compose written material; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; and work independently with minimal supervision.
LVN Case Manager Assistant - San Diego - Home Health - FT (40) - 8:30 AM - 5:00 PM Kaiser PermanenteLVN Case Manager Assistant - San Diego - Home Health - FT (40) - 8:30 AM - 5:00 PMSan Diego, CAEssential Responsibilities: The individuals responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review b) care coordination, c) implementation of the transition plan based on RN Case Manager and/or Social Worker (SW) assessment(s), d) communication with interdisciplinary team during patient care conferences, e) management of concurrent disputes, f ) communication with patients and families regarding the plan of care established by RN, SW and Physician, g) collaboration with physicians, office staff and ancillary departments, h) clear, complete and concise documentation in electronic system, i) maintenance of accurate patient demographic and insurance information, j) identification and documentation of potentially avoidable days, k) identification and reporting of over and underutilization , l) and other duties as assigned. Job Summary: The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
Travel Nurse RN - Case Manager - $3,360 per week in San Marcos, CA FlexCareTravel Nurse RN - Case Manager - $3,360 per week in San Marcos, CASan Marcos, CA$3,360–$3,360li>Compact License State: No. Submit Without a License: No. Assignment Terms. Less hassle, more control: one recruiter, transparent pay, and concierge-level support that anticipates your needs.
SRS - Case Manager - RN - Per Diem - Variable Shift Sharp Health PlanSRS - Case Manager - RN - Per Diem - Variable ShiftSan Diego, CA$68.45–$88.33 / hourp>The SRS RN CM II will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. The SRS RN CM II will manage multiple assignments effectively; compose written material; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; and work independently with minimal supervision.
(RN) Palliative Nurse Case Manager - Per Diem University of California(RN) Palliative Nurse Case Manager - Per DiemSan Diego, CARemoteUC San Diego is a student-centered, research-focused, service-oriented public institution recognized as one of the top fifteen research universities worldwide, and a top ten public university. 15 years later, my work improves operational efficiencies, provides valuable programs to the university, and even helps students bring their innovations to life.
California Workers Compensation Telephonic Nurse Case Manager (Remote) W. R. Berkley CorpCalifornia Workers Compensation Telephonic Nurse Case Manager (Remote)San Diego, CARemote$75,000–$88,000 / yearOur unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley's operating units with reliable results, and reduced time and expenses associated with case management. As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers.
Workers' Compensation Field Nurse Case Manager KEYSTONE MEDICAL RESOURCES INCWorkers' Compensation Field Nurse Case ManagerSan Diego, CAOur dedicated team of specialists collaborates closely with clients to achieve optimal outcomes, providing invaluable support to employers, claims staff, injured employees, and the medical community. Your responsibilities will include conducting comprehensive assessments, coordinating medical appointments and ancillary services, and ensuring seamless communication among all parties involved.
Nurse Case Manager Loyal Source Government Services LLCNurse Case ManagerOceanside, CAli>The Case Manager shall collect, organize, record, and communicate data relevant to primary health assessments including a detailed medical history in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. The Nurse Case Manager, hereafter referred to as the Case Manager, shall provide a full range of professional health nursing principles, practices, and procedures in clinical settings in order to analyze the full scope of problems associated with providing appropriate, cost effective care to Department of Defense (DOD) beneficiaries.
Travel 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$2,605.60–$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.
Case Manager LPN Pride GlobalCase Manager LPNSan Diego, CA$30–$32 / hourp>Pride Health is seeking a Case Manager LPN for one of our clients in San Diego, CA! 1+ years of Case Management/Care Coordination experience.
Registered Nurse - Physical Medicine - Traumatic Brain Injury (TBI) Case Manager Spectrum Healthcare ResourcesRegistered Nurse - Physical Medicine - Traumatic Brain Injury (TBI) Case ManagerSan Diego, California$35–$50 / hourp style="margin:0px">The RN Phsyical Medicine - Tramatic Brain Injury (TBI) position requires: Possess a Baccalaureate Degree in Nursing or an Associate Degree in Nursing or a Diploma from a Nursing Program accredited by the National League for Nursing Accrediting Commission (NLNAC) or by the Commission on Collegiate Nursing Education (CCNE). A Joint Commission Certified Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 600 civilian and military hospitals with a team of 5,600 affiliated health care professionals.
NewNurse Manager - Utilization Review & Case Management Macpower Digital Assets Edge Private LimitedNurse Manager - Utilization Review & Case ManagementSan Diego, CA$166,000–$172,000 / yearThis is the department that moves patients to higher level of care or that moves them through to get the patients home and make sure they have the care they need at home. Notes: This job position is for rotating on-call after hours, including weekends and holidays. BASIC QUALIFICATIONS: Minimum three years of experience in utilization management and discharge planning in an acute care setting to also include supervisory or management experience.
Case Manager Specialty RN-Per Diem - OB/GYN Kaiser PermanenteCase Manager Specialty RN-Per Diem - OB/GYNSan Diego, CAli>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.
Home Health Clinical Manager (RN) Mission HealthcareHome Health Clinical Manager (RN)San Diego, Californiaa href="https://drive.google.com/file/d/1SbsmcGH6O08rEoobpgFGPE7pc_P-1MyS/view?usp=sharing" rel="nofollow">Click Here. At Mission Healthcare, we believe in fostering an inclusive workplace where diversity is valued and every employee feels respected, accepted, and empowered. Pay range (depending on experience): $125-$130K Schedule/Shift: Full-time, Exempt role Territory/Location: San Diego, CA.NewBSN, Case Manager, Spanish Required TrueCareBSN, Case Manager, Spanish RequiredVista, CA$92,977–$139,466 / yearli>Knowledge of medical terminology, legal and technical aspects of a medical records system, HIPAA guidelines, and ICD-10 and CPT codesComputer proficiency, particularly with Electronic Health/Medical Record systems and Microsoft Office (Outlook, Excel, PowerPoint, Word). TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities.RN Unit Manager Reo Vista Healthcare CenterRN Unit ManagerSan Diego, CAFull timeMust be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners. Certificates, Licenses, Registrations LVN/LPN Valid License or RN Valid Licensee in the state you are working.Hospice Clinical Manager RN Mission HealthcareHospice Clinical Manager RNMurrieta, CA$103,000–$128,000 / yearReviews and evaluates each case through a variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services; and is available at all times during operating hours to assist clinicians as appropriate. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare's core values.Registered Nurse, Home Health AccentCare IncRegistered Nurse, Home HealthSan Marcos, CA$108,058.78–$132,071.84 / yearThe position combines the activities of direct and indirect patient care and directs staff nurses, LVNs, CHHAs in the delivery of the individual patient's plan of care as well as identifying interdisciplinary needs and coordination of the allied health clinicians. If you meet these qualifications, we would love to meet you: Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.Case Manager - Inpatient - La Jolla Scripps HealthCase Manager - Inpatient - La JollaLa Jolla, CAp>As a Case Manager you will be responsible for the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs including coordination with providers, navigators and ancillary and community resources across the system and care continuum. In addition, you will be responsible for: Addresses payer issues that impact care, develops a transition plan of care from inpatient to post-acute that includes a safe discharge plan.Case Manager - Inpatient - Mercy San Diego Scripps HealthCase Manager - Inpatient - Mercy San DiegoSan Diego, CAp>As a Care Manager of Inpatient Case Management, you will be responsible for the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs including coordination with providers, navigators and ancillary and community resources across the system and care continuum. Addresses payer issues that impact care, develops a transition plan of care from inpatient to post-acute that includes a safe discharge plan.Case Manager Poway Healthcare CenterCase ManagerPoway, CAFull timeUtilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.Clinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - Days Sharp HealthCareClinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - DaysLa Mesa, CaliforniaThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. The Clinical Case Manager's (CCM) role is to be a patient advocate providing patients and their families with a point of care approach, and guiding them through the healthcare system providing information regarding services, education, funding and access to care.Registered Nurse - Clinical Case Consultant - ECM Pacific Health GroupRegistered Nurse - Clinical Case Consultant - ECMSan Diego, CA$85,000–$95,000p>This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews.Medical Case Manager - Workers' Compensation ForzaCareMedical Case Manager - Workers' CompensationDel Mar, CAFounded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.Clinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - Days Sharp Health PlanClinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - DaysLa Mesa, CA$53.57–$69.12 / hourThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. The Clinical Case Manager''s (CCM) role is to be a patient advocate providing patients and their families with a point of care approach, and guiding them through the healthcare system providing information regarding services, education, funding and access to care.Case Manager I - Case Management - Sharp Grossmont Hospital - FT - Days Sharp HealthCareCase Manager I - Case Management - Sharp Grossmont Hospital - FT - DaysLa Mesa, CaliforniaThe RN CM I will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. 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.Case Manager (CM), PRN LifePoint Health IncCase Manager (CM), PRNEscondido, CAOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Palomar Health Rehabilitation Institute is a 52-bed inpatient rehabilitation hospital located in Escondido, California, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast.Case Manager Balboa Nursing & Rehabilitation CenterCase ManagerSan Diego, CAFull timeUtilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.CA Telephonic Case Manager II CorVel Healthcare CorporationCA Telephonic Case Manager IISan Diego, CARemote$32.18–$48.68 / hourPart timePay 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. A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management.Case Manager I - Case Management - Sharp Grossmont Hospital - FT - Days Sharp Health PlanCase Manager I - Case Management - Sharp Grossmont Hospital - FT - DaysLa Mesa, CA$61.74–$70.17 / hourp>The RN CM I will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. 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.Field Case Manager Part-Time Murrieta-Temecula-San Clemente, CA Charles Taylor LtdField Case Manager Part-Time Murrieta-Temecula-San Clemente, CATemecula, CA$57,500–$62,500 / yearli>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.Field Case Manager Full-Time Murrieta-Temecula-San Clemente, CA Charles Taylor LtdField Case Manager Full-Time Murrieta-Temecula-San Clemente, CATemecula, CA$115,000–$125,000 / yearli>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.Case Manager Loma Linda University Medical CenterCase ManagerMurrieta, CARelate and communicate positively, effectively and exhibit professional behavior at all times; work calmly and respond courteously when under pressure; be assertive and consistent in following policies; teach, and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records, and written documents necessary to position. Job Summary: The Case Manager serves as a key member of the patient care delivery team and works efficiently in a fast-paced environment and utilizes clinical expertise, discretion and independent judgment in performing the nursing process (assessment, care planning, intervention, evaluation) within a patient-centered care professional practice model (Duffy''s Quality-Caring Model) as it relates to case management functions.Acute Care Case Mgr II $30K Hiring Incentive Palomar HealthAcute Care Case Mgr II $30K Hiring IncentiveEscondido, CAProvides decision support for the treatment care team regarding documentation elements required by regulatory agencies and payers, e.g., Medicare, Medi-Cal, Health Plans, and Contracts; helps team understand the interrelationship of reimbursement with efficient and appropriate utilization of resources and service. Minimum Education: As required by certification and/or licensurePreferred Education: Bachelor's Degree and/or National Certification in Utilization Review or Case ManagementMinimum Experience: 1 - 3 years of directly related RN experiencePreferred Experience: 3 - 5 years acute care nursing experience.Acute Care Case Mgr II- $30K Hiring Incentive Palomar HealthAcute Care Case Mgr II- $30K Hiring IncentiveEscondido, CA$52.07–$75.79 / hourProvides decision support for the treatment care team regarding documentation elements required by regulatory agencies and payers, e.g., Medicare, Medi-Cal, Health Plans, and Contracts; helps team understand the interrelationship of reimbursement with efficient and appropriate utilization of resources and service. Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job.Case Manager I Full Time Days Knight Health Holdings LLCCase Manager I Full Time DaysSan Diego, CA$89,000–$109,000 / yearli>Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.Licensed Social Worker Case Manager / PRN Select Specialty Hospital - San DiegoLicensed Social Worker Case Manager / PRNSan Diego, CaliforniaResponsibilities: We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.Case Manager Camino Health CenterCase ManagerSan Juan Capistrano, CAp>Under the direction of the Clinic Manager, the Case Manager works as part of the Enhanced Care Management (ECM) team and Primary Care Provider (PCP) care team to provide high-quality, efficient, and service-oriented patient/member care while demonstrating the health center's core values. The Case Manager works closely with ECM and their care team to organize activities necessary to successfully meet requirements established by managed care plans, HEDIS clinical quality measures, and FQHC clinical performance measures.12345Resume ResourcesFree Resume TemplatesFree Resume BuilderSimilar Job SearchesCNA JobsLicensed Vocational Nurse JobsLPN JobsLVN JobsNurse Manager JobsNurse Practitioner JobsPsychiatric Nurse JobsRegistered Nurse JobsRN Jobs
NewBSN, Case Manager, Spanish Required TrueCareBSN, Case Manager, Spanish RequiredVista, CA$92,977–$139,466 / yearli>Knowledge of medical terminology, legal and technical aspects of a medical records system, HIPAA guidelines, and ICD-10 and CPT codesComputer proficiency, particularly with Electronic Health/Medical Record systems and Microsoft Office (Outlook, Excel, PowerPoint, Word). TrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities.
RN Unit Manager Reo Vista Healthcare CenterRN Unit ManagerSan Diego, CAFull timeMust be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurse and other ancillary partners. Certificates, Licenses, Registrations LVN/LPN Valid License or RN Valid Licensee in the state you are working.
Hospice Clinical Manager RN Mission HealthcareHospice Clinical Manager RNMurrieta, CA$103,000–$128,000 / yearReviews and evaluates each case through a variety of means such as home visits, conferences, record review and the services provided by clinicians; discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services; and is available at all times during operating hours to assist clinicians as appropriate. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare's core values.
Registered Nurse, Home Health AccentCare IncRegistered Nurse, Home HealthSan Marcos, CA$108,058.78–$132,071.84 / yearThe position combines the activities of direct and indirect patient care and directs staff nurses, LVNs, CHHAs in the delivery of the individual patient's plan of care as well as identifying interdisciplinary needs and coordination of the allied health clinicians. If you meet these qualifications, we would love to meet you: Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
Case Manager - Inpatient - La Jolla Scripps HealthCase Manager - Inpatient - La JollaLa Jolla, CAp>As a Case Manager you will be responsible for the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs including coordination with providers, navigators and ancillary and community resources across the system and care continuum. In addition, you will be responsible for: Addresses payer issues that impact care, develops a transition plan of care from inpatient to post-acute that includes a safe discharge plan.
Case Manager - Inpatient - Mercy San Diego Scripps HealthCase Manager - Inpatient - Mercy San DiegoSan Diego, CAp>As a Care Manager of Inpatient Case Management, you will be responsible for the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs including coordination with providers, navigators and ancillary and community resources across the system and care continuum. Addresses payer issues that impact care, develops a transition plan of care from inpatient to post-acute that includes a safe discharge plan.
Case Manager Poway Healthcare CenterCase ManagerPoway, CAFull timeUtilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
Clinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - Days Sharp HealthCareClinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - DaysLa Mesa, CaliforniaThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. The Clinical Case Manager's (CCM) role is to be a patient advocate providing patients and their families with a point of care approach, and guiding them through the healthcare system providing information regarding services, education, funding and access to care.
Registered Nurse - Clinical Case Consultant - ECM Pacific Health GroupRegistered Nurse - Clinical Case Consultant - ECMSan Diego, CA$85,000–$95,000p>This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews.
Medical Case Manager - Workers' Compensation ForzaCareMedical Case Manager - Workers' CompensationDel Mar, CAFounded in 2022, ForzaCare is a purpose-driven organization that helps injured individuals recover faster and return to work safely through coordinated, clinically appropriate care. You'll act as the central point of coordination, connecting the injured worker, medical providers, employers, and insurance carriers to ensure timely, transparent, and effective care management.
Clinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - Days Sharp Health PlanClinical Case Manager - Oncology - Sharp Grossmont Hospital - FT - DaysLa Mesa, CA$53.57–$69.12 / hourThe actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. The Clinical Case Manager''s (CCM) role is to be a patient advocate providing patients and their families with a point of care approach, and guiding them through the healthcare system providing information regarding services, education, funding and access to care.
Case Manager I - Case Management - Sharp Grossmont Hospital - FT - Days Sharp HealthCareCase Manager I - Case Management - Sharp Grossmont Hospital - FT - DaysLa Mesa, CaliforniaThe RN CM I will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. 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.
Case Manager (CM), PRN LifePoint Health IncCase Manager (CM), PRNEscondido, CAOur diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Palomar Health Rehabilitation Institute is a 52-bed inpatient rehabilitation hospital located in Escondido, California, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast.
Case Manager Balboa Nursing & Rehabilitation CenterCase ManagerSan Diego, CAFull timeUtilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.
CA Telephonic Case Manager II CorVel Healthcare CorporationCA Telephonic Case Manager IISan Diego, CARemote$32.18–$48.68 / hourPart timePay 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. A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management.
Case Manager I - Case Management - Sharp Grossmont Hospital - FT - Days Sharp Health PlanCase Manager I - Case Management - Sharp Grossmont Hospital - FT - DaysLa Mesa, CA$61.74–$70.17 / hourp>The RN CM I will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. 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.
Field Case Manager Part-Time Murrieta-Temecula-San Clemente, CA Charles Taylor LtdField Case Manager Part-Time Murrieta-Temecula-San Clemente, CATemecula, CA$57,500–$62,500 / yearli>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
Field Case Manager Full-Time Murrieta-Temecula-San Clemente, CA Charles Taylor LtdField Case Manager Full-Time Murrieta-Temecula-San Clemente, CATemecula, CA$115,000–$125,000 / yearli>Maintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
Case Manager Loma Linda University Medical CenterCase ManagerMurrieta, CARelate and communicate positively, effectively and exhibit professional behavior at all times; work calmly and respond courteously when under pressure; be assertive and consistent in following policies; teach, and collaborate; accept direction; think critically; work independently with minimal supervision; perform basic math and statistical functions; manage multiple assignments effectively; organize and prioritize workload; problem solve; recall information with accuracy; pay close attention to detail; hear sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with the work place; see adequately to read computer screens, medical records, and written documents necessary to position. Job Summary: The Case Manager serves as a key member of the patient care delivery team and works efficiently in a fast-paced environment and utilizes clinical expertise, discretion and independent judgment in performing the nursing process (assessment, care planning, intervention, evaluation) within a patient-centered care professional practice model (Duffy''s Quality-Caring Model) as it relates to case management functions.
Acute Care Case Mgr II $30K Hiring Incentive Palomar HealthAcute Care Case Mgr II $30K Hiring IncentiveEscondido, CAProvides decision support for the treatment care team regarding documentation elements required by regulatory agencies and payers, e.g., Medicare, Medi-Cal, Health Plans, and Contracts; helps team understand the interrelationship of reimbursement with efficient and appropriate utilization of resources and service. Minimum Education: As required by certification and/or licensurePreferred Education: Bachelor's Degree and/or National Certification in Utilization Review or Case ManagementMinimum Experience: 1 - 3 years of directly related RN experiencePreferred Experience: 3 - 5 years acute care nursing experience.
Acute Care Case Mgr II- $30K Hiring Incentive Palomar HealthAcute Care Case Mgr II- $30K Hiring IncentiveEscondido, CA$52.07–$75.79 / hourProvides decision support for the treatment care team regarding documentation elements required by regulatory agencies and payers, e.g., Medicare, Medi-Cal, Health Plans, and Contracts; helps team understand the interrelationship of reimbursement with efficient and appropriate utilization of resources and service. Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job.
Case Manager I Full Time Days Knight Health Holdings LLCCase Manager I Full Time DaysSan Diego, CA$89,000–$109,000 / yearli>Remains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Healthcare professional licensure required as LPN/LVN, Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
Licensed Social Worker Case Manager / PRN Select Specialty Hospital - San DiegoLicensed Social Worker Case Manager / PRNSan Diego, CaliforniaResponsibilities: We are looking for valued employees who will be Champions of the Select Medical Way, which includes putting the patient first, helping to improve quality of life for the community in which you live and work, continuing to develop and explore new ideas, providing high-quality care and doing well by doing what is right. Our hospital is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery.
Case Manager Camino Health CenterCase ManagerSan Juan Capistrano, CAp>Under the direction of the Clinic Manager, the Case Manager works as part of the Enhanced Care Management (ECM) team and Primary Care Provider (PCP) care team to provide high-quality, efficient, and service-oriented patient/member care while demonstrating the health center's core values. The Case Manager works closely with ECM and their care team to organize activities necessary to successfully meet requirements established by managed care plans, HEDIS clinical quality measures, and FQHC clinical performance measures.