RN Case Manager, Home Health AccentCare, Inc.RN Case Manager, Home HealthSan Diego, CA$108,058.78–$132,071.84We’re proud to be named one of America’s 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. Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation.
NewTravel Nurse RN - Case Manager - $2,605 per week in San Diego, CA TravelNurseSourceTravel Nurse RN - Case Manager - $2,605 per week in San Diego, CASan Diego, CA$2,605.20ID: 64082438 Shift: Day 5x8-Hour (08:30 - 17:00) Description: ASAP StartTu- Sa, looking for some flexibility Modified 7:00:00 AM Account Manager: Haley Dollard Account Manager Email: COVID-19 Vaccine: Required + Booster - No Exemptions, Current Booster Flu Vaccine: Required - No Exemptions Job Requirements & Qualifications Previous Charge Experience: - Years of Experience: 1 Patient Ratio Experience: Charting System Experience: - Charting System Name: Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: - Certifications: BLSSkills: Acute Hospital, Admission Criteria*, Care coordination, CMS: Centers for Medicare and Medicaid Services, Discharge Planning, DRG (Diagnosis Related Groups), HIPAA guidelines (Health Insurance Portability and Accountability Act), Needs Assessment/ Order DME, Plan of Care, Prior Authorization*, Prior Authorizations* Unit Details Staffing & Scheduling Scheduling Type: - Patient Ratios Days: - Patient Ratios Nights: - Patient Ratios Weekends: - Float Required: - Call Required: - Weekend Coverage: - Number of Weekend Shifts Per Contract: every saturday Pre-Approved Time Off: - Orientation Hours: - Facility & Patient Care Details Patient Age Groups: Adolescents, Adults, Geriatrics Daily Census: - Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: Interpretation Services, Social Services Patient Diagnoses: - Special Procedures/Unit Details: - Special Equipment: - #Tier2 Travel Compliance No Nursys or background hits accepted. Any time spent on modules after orientation (ex: annual) are non-billable Modules are completed during orientation (or at home post-start if not completed onsite) and annually, and module hours vary by specialty Modules are self-reported Submittal Details: #Tier2 Travel ComplianceNo Nursys or background hits accepted.
NewPer Diem RN Unit A2 BU - Women's Surgery - Sharp Mary Birch - Night Shift SHARP HEALTHCAREPer Diem RN Unit A2 BU - Women's Surgery - Sharp Mary Birch - Night ShiftSan Diego, CA$70,000–$84,000 / yearThe 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. Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing --s-p-m1--.
Certified Registered Nurse Anesthetist (CRNA), San Diego (Full Time) Kaiser PermanenteCertified Registered Nurse Anesthetist (CRNA), San Diego (Full Time)San Diego, CASuch intervention may include, but not be limited to: airway management; maintenance of fluid balance; homeostasis; monitoring; response to emergencies related to airway management and cardiopulmonary resuscitation; and management of patients on ventilators. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.
NewTravel Nurse RN - Home Health - $1,615 to $1,856 per week in San Diego, CA TravelNurseSourceTravel Nurse RN - Home Health - $1,615 to $1,856 per week in San Diego, CASan Diego, CA$1,615–$1,856Summary: A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers on disease management.
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 .
Interim Director of Acute Inpatient Rehabilitation Signet HealthInterim Director of Acute Inpatient RehabilitationSan Diego, CASignet Healths Acute Rehabilitation Division is growing and recruiting seasoned Interim Acute Rehabilitation Directors to manage hospital-based inpatient rehab programs. As an Interim Acute Rehabilitation Director, you will be responsible for the onsite daily management needs of the Signet Health Client hospital contractual relationship and the supervision of patient care for the unit.
RN Case Manager (Field-Based) Axiom Medical Consulting, LLCRN Case Manager (Field-Based)San Diego, CAThis field-based role focuses on coordinating medical care, collaborating with providers and employers, and supporting timely, safe return-to-work outcomes. We are seeking an experienced Registered Nurse (RN) Case Manager to support injured workers throughout the San Diego metropolitan area.
Hospice RN Case Manager Top RecruitersHospice RN Case ManagerSan Diego, CaliforniaThe RN Case Manager works closely with an interdisciplinary team, including physicians, social workers, and hospice aides, and reports to the Clinical Manager or Director of Patient Care Services to ensure high-quality, coordinated care. The Hospice Registered Nurse Case Manager is responsible for delivering compassionate end-of-life care by developing and overseeing personalized care plans for patients and their families.
RN Case Manager (Peckham) - Hematology/Oncology OP Rady Children's HospitalRN Case Manager (Peckham) - Hematology/Oncology OPSan Diego, CA$61.22–$105.37 / hourJOB SUMMARY: Peckham Center Case Manager coordinates provision of care across the continuum for pediatric patients with a hematology and/or oncology diagnosis. The Case Manager identifies, accesses, and allocates resources to meet the goals of care, as identified by the multidisciplinary team, in partnership with the patient and family.
RN Case Manager (Casual) - Case Management Rady Children's HospitalRN Case Manager (Casual) - Case ManagementSan Diego, CA$58.87–$101.33 / hourCase Managers perform concurrent review and denials management based on acute care guidelines with a focus on authorization and reimbursement, appropriateness of admission, length of stay, and avoidable delays in discharge. The Case Manager collaborates with the family, the care team, third party payors, and outside providers to coordinate discharge needs including home health, durable medical equipment, and safe transitions of care.
Full Time Hospice RN Case Manager (AM) SilveradoFull Time Hospice RN Case Manager (AM)San Diego, CA$55–$58 / hourJoin Silverado Hospice San Diego covering our San Diego, Escondido, Chula Vista, and Vista areas and be part of a nationally recognized team ranked in the top 10 nationwide by Fortune Magazine's Best Workplaces in Aging Services. We're hiring a RN Case Manager - a compassionate and skilled clinician who coordinates care, develops individualized plans, and provides hands-on hospice and palliative care for patients and families.
RN Case Manager Serene HealthRN Case ManagerSan Diego, CA$90,000–$110,000 / yearAt 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. The RN Clinical Case Manager provides clinical assessment, care plan development, and ongoing clinical oversight within the Enhanced Care Management (ECM) program.
Telephonic RN Case Manager (Bilingual) EliteTelephonic RN Case Manager (Bilingual)San Diego, CaliforniaJob Summary As a Clinical Services Manager – RN Telephonic Case Management, you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information, and care. Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
RN Case Manager / RNCM Home Health $2.5k Sign-on! Mission HealthcareRN Case Manager / RNCM Home Health $2.5k Sign-on!Poway, 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.
Hospice RN Case Manager / RNCM South Bay Area Mission HealthcareHospice RN Case Manager / RNCM South Bay AreaSan Diego, CA$55–$60 / 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, CaliforniaWe believe our people, partners, patients and their families deserve care delivered with C ompassion, A ccountability, R espect, E xcellence and S ervice (CARES), Mission Healthcare’s core values. 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.
Hospice RN Case Manager / RNCM ($2.5K Sign-On!) Mission HealthcareHospice RN Case Manager / RNCM ($2.5K Sign-On!)San Diego, CaliforniaWe believe our people, partners, patients and their families deserve care delivered with C ompassion, A ccountability, R espect, E xcellence and S ervice (CARES), Mission Healthcare’s core values. 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 DAP Health IncRN Case ManagerEl Cajon, CAConduct a thorough needs assessment based on the risk factor or diagnosis provided at the time of referral - this may include a medical history, functional abilities, and social components including family support systems, ability to function independently, ability to obtain medication and understand the prescription, language skills and medical insurance status. The RN Case Manager serves as an advocate and care coordinator for at-risk patients, including those being discharged from the hospital, managing chronic disease non-compliance, newly diagnosed with chronic disease or cancer, frail, elderly, or frequent emergency room utilizers.
RN 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 RN Case 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 .
RN Case Manager Career StrategiesRN Case ManagerSan Diego, CaliforniaYou will develop and implement care plans, collaborate with healthcare providers, and educate patients and families on their conditions and treatment options. Care Coordination and Supervision: Coordinates the delivery of care, including delegating tasks to other healthcare professionals (e.g., physical therapists, home health aides).
Case Manager (RN) Physical Rehab Prime Healthcare Services IncCase Manager (RN) Physical RehabNational City, CA$48–$66.17 / hourOur 291-bed, acute care hospital featuresthe San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services. Required Qualifications: Minimum 5 years'' work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license At least one year experience in case management, discharge planning or nursing management Experience and knowledge in basic to intermediate computer skills.
RN / Registered Nurse Case Manager Hospice BrightSpring Health ServicesRN / Registered Nurse Case Manager HospiceSAN DIEGO, CA$50–$55 / hourAccess to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! We are able to do this by employing compassionate, skilled individuals who are committed to providing a true hospice experience for our patients.
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.
Nurse Case Manager Loyal Source Government Services LLCNurse Case ManagerCoronado, CAThe 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.
SRS - Case Manager - RN - Per Diem - Variable Shift Sharp Health PlanSRS - Case Manager - RN - Per Diem - Variable ShiftSan Diego, CA$68.45–$88.33 / hourThe 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.
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.
Case Manager (RN) - Physical Rehab Paradise Valley HospitalCase Manager (RN) - Physical RehabNational City, California$48–$66.17 / hourPer diemthe San Diego Spine & Joint Center, a highly credentialed acute rehabilitation center, our Paradise Health & Senior Center, a fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services. The methodology is designed to facilitate and ensure 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.
RN Case Manager Family Health Centers of San Diego IncRN Case ManagerSan Diego, CA$50–$61.86 / hourServices include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women's care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy.
Field Nurse Case Manager National Care AdvisorsField Nurse Case ManagerSan Diego, CaliforniaNCA is in search of a Nurse Case Manager based in San Diego who will be responsible for case management services responsive to special needs and eldercare client care and quality of life challenges and collaboration with the primary family caregivers, attorneys, financial planners and trustees that are also serving the client. Minimum of 5 years clinical Nursing experience – experience in field case management or workers’ compensation case management, preferred.
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. 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.
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 / hourThe 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.
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.
Care Manager (RN) Molina Healthcare IncCare Manager (RN)San Diego, CAValid Compact RN License Valid California RN license Valid Illinois RN license (or ability to obtain) Strong background with high risk Obstetrics To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Essential Job Duties Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
Manager, Case Management Nurse Management- Population Health Management Blue Cross and Blue Shield AssociationManager, Case Management Nurse Management- Population Health ManagementSan Diego, 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.
Case Manager Specialty RN-Per Diem - OB/GYN Kaiser PermanenteCase Manager Specialty RN-Per Diem - OB/GYNSan Diego, CACoordinates 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.
RN Manager, Surgical Services - Mercy Chula Vista Scripps HealthRN Manager, Surgical Services - Mercy Chula VistaChula Vista, CAAt Scripps Mercy Hospital Chula Vista, our perioperative professionals work together in a supportive, fast-paced environment focused on patient safety, teamwork, and advanced surgical care technologies. This role oversees the daily operations of surgical services ensuring efficient workflows, appropriate staffing, and high-quality patient care delivery.
Hospice Clinical Manager RN Mission HealthcareHospice Clinical Manager RNSan Diego, CA$130,000–$150,000 / 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.
Hospice Clinical Manager (RN) Mission HealthcareHospice Clinical Manager (RN)San Diego, CaliforniaReviews 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 C ompassion, A ccountability, R espect, E xcellence and S ervice (CARES), Mission Healthcare’s core values.
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.
Medical Case Manager - Workers' Compensation ForzaCareMedical Case Manager - Workers' CompensationDel Mar, CAFull timeFounded 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.
Case Manager - Inpatient - La Jolla Scripps HealthCase Manager - Inpatient - La JollaLa Jolla, CAAs 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 - Encinitas Scripps HealthCase Manager - Inpatient - EncinitasEncinitas, CAAs 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 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.
CA Telephonic Case Manager II CorVel CorpCA Telephonic Case Manager IISan Diego, CARemote$32.18–$48.68 / hourPay 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. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
Case Manager (CM) LifePoint Health IncCase Manager (CM)Escondido, CA$38–$46.32 / hourPalomar 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. Experience: Minimum of 2 years of experience in social work or case management in an inpatient setting preferred; acute rehabilitation hospital experience strongly preferred.
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.
Outpatient Referrals Case Manager Community Health GroupOutpatient Referrals Case ManagerChula Vista, CAUses clinical judgment to review, monitor, and coordinate requests for services, proposed surgical procedures, and specialty services requests by utilizing CHG-approved clinical guidelines and benefit structures; reviewing clinical reports and records, electronically or paper; determining medical necessity of proposed procedures; coordinating services at the appropriate level of care; communicating decisions to primary care practitioners. Ability to communicate effectively verbally and in writing; exceptional telephone and customer service skills; ability to establish effective working relationships with physicians and medical professionals; ability to organize work effectively, determine priorities, and work well independently.
Field Case Manager Full-Time San Diego, CA Charles Taylor LtdField Case Manager Full-Time San Diego, CASan Diego, CA$115,000–$125,000 / yearMaintains 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.
NewSenior Case Manager: Care Coordination & Field Visits Community Health SystemsSenior Case Manager: Care Coordination & Field VisitsChula Vista, CACommunity Health Group in Chula Vista, CA is seeking a Case Manager to provide oversight of care coordination activities and ensure compliance with regulations. The role involves conducting home visits, monitoring service requests, and collaborating with healthcare teams.