NewPer Diem CASE MGR - Case Management - Variable - Fountain Valley University of California, IrvinePer Diem CASE MGR - Case Management - Variable - Fountain ValleyFountain Valley, CaliforniaPer diemAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Case Manager II - Full Time Days Knight Health Holdings LLCCase Manager II - Full Time DaysLos Angeles, CA$49.83–$63.20 / hourRemains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. Coordinates with interdisciplinary care team, physicians, patients, families, post-acute providers, payors, and others in the planning of the patients' care throughout the care continuum.
Case Manager Per Diem Knight Health Holdings LLCCase Manager Per DiemBaldwin Park, CA$45.26–$57.40 / hourRemains current from a knowledge base perspective regarding reimbursement modalities, community resources, case management, psychosocial and legal issues that affect patients and providers of care. At our 91-bed hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it - empowering them to take the next step in their recovery journey.
Per Diem-RN Case Manager - Case Management - Days - Orange University of California, IrvinePer Diem-RN Case Manager - Case Management - Days - OrangeOrange, CaliforniaPer diemAs Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center , American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Inpatient Case Manager, LVN, Care Management, Full Time, Days PIH HealthInpatient Case Manager, LVN, Care Management, Full Time, DaysWhittier, CA$33.35–$55.75Full timeThe fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
Care Manager Transition of Care (RN) Centene Corporation GroupCare Manager Transition of Care (RN)CA$27.02–$48.55 / hourPosition Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members.
RN, Care Manager Resource Logistics, Inc.RN, Care ManagerGlendale, CAActs as a liaison between the patient, family, nurse, physicians, multidisciplinary team and patient's healthcare benefactor to optimize outcomes. Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program.
RN, Care Manager IMCS Group IncRN, Care ManagerGlendale, CAActs as a liaison between the patient, family, nurse, physicians, multidisciplinary team and patient's healthcare benefactor to optimize outcomes. Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program.
Nurse Manager SevitaNurse ManagerOrange, CA$70,000–$80,000 / yearIn a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans. + Participates in various committees, such as the Safety Committee, Human Rights Committee, Advisory Council and Infection Control Committee, for optimal operations and services to consumers (per program requirements).
RN, Care Manager (Home Health), Full-Time Adventist HealthRN, Care Manager (Home Health), Full-TimeSimi Valley, CAAccurately completes and legibly documents all pertinent information in accordance with established policies and procedures by documenting patient care delivery, patient status, patient's response to treatment, and therapeutic interventions. Job Summary: Plans, organizes and directs home care services to meet the needs of patients in their homes.
Utilization Manager II - UM System Services - Corporate Offices (Hybrid) - FT - Days Sharp Health PlanUtilization Manager II - UM System Services - Corporate Offices (Hybrid) - FT - DaysCA$69.07–$75.08 / hourThe 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. As a member of the System Integrated Care Management (ICM) team the Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient status before the patient is bedded, during the episode of care through discharge with a final status reconciliation.
Remote Complex Care Registered Nurse - California Residents Only (Active California RN License Required | Bilingual English/Spanish Preferred) Alignment Healthcare USA, LLCRemote Complex Care Registered Nurse - California Residents Only (Active California RN License Required | Bilingual English/Spanish Preferred)Orange, CARemoteFull timeSpecialized Skills: Required: Complex Care Coordination and Member Journey Management (Advanced): Ability to own and manage the full care journey for high-acuity Medicare Advantage members - maintaining consistent engagement, coordinating across disciplines, and proactively addressing clinical and social needs before they escalate. Cross-Disciplinary Communication and Pod Collaboration (Advanced): Ability to serve as the central coordination hub of a multi-disciplinary care pod - communicating clearly and proactively with APCs, Health Coaches, Care Coordinators, Social Workers, and the RMO to ensure cohesive, accountable care delivery for every assigned member.
Remote Complex Care Registered Nurse - San Joaquin County Residents Only (Active California RN License Required | Bilingual English/Spanish Required) Alignment Healthcare USA, LLCRemote Complex Care Registered Nurse - San Joaquin County Residents Only (Active California RN License Required | Bilingual English/Spanish Required)Orange, CARemoteFull timeSpecialized Skills: Required: Complex Care Coordination and Member Journey Management (Advanced): Ability to own and manage the full care journey for high-acuity Medicare Advantage members - maintaining consistent engagement, coordinating across disciplines, and proactively addressing clinical and social needs before they escalate. Cross-Disciplinary Communication and Pod Collaboration (Advanced): Ability to serve as the central coordination hub of a multi-disciplinary care pod - communicating clearly and proactively with APCs, Health Coaches, Care Coordinators, Social Workers, and the RMO to ensure cohesive, accountable care delivery for every assigned member.
Manager, Payment Integrity Program Development & Innovation HGS Healthcare LLCManager, Payment Integrity Program Development & InnovationCAJob Description: Manager, Payment Integrity Program Development & Innovation is responsible for leading a team of healthcare payment integrity experts focused on developing, implementing, and optimizing complex audit programs that identify and recover healthcare overpayments. Manager, Payment Integrity Program Development & Innovation is responsible for leading a team of healthcare payment integrity experts focused on developing, implementing, and optimizing complex audit programs that identify and recover healthcare overpayments.
Case Manager ClarvidaCase ManagerSanta Ana, CaliforniaThis is NOT a MediCal billing program This program qualifies for Public Services Loan Forgiveness (PSLF) SUMMARY OF PROGRAM CalWORKs Behavioral Health Services Clarvida-CalWORKs helps participants remove Mental Health and/or substance abuse “barriers” to employment to aid the progress of moving from welfare to active participation in employment activities. We are well-known in the field and have been a preferred provider in the Southern California region for over 20 years partnering with local government agencies and managed care companies to offer personalized, integrated care to community members of all ages, ethnicities, and cultural backgrounds.
Behavioral Health Case Manager Blue Cross and Blue Shield AssociationBehavioral Health Case ManagerLos Angeles, CAPursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. The Behavioral Health Case Manager will collaborate with internal teams, external providers, family members, and community resources to support members in optimizing care and improving health outcomes.
Admission Nurse - RN PACS Group IncAdmission Nurse - RNCA$50–$60 / hourThis position is responsible for coordinating and completing nursing admissions, conducting thorough assessments, reviewing clinical information, and helping ensure each resident's care needs are communicated effectively to the interdisciplinary team. The ideal candidate is clinically knowledgeable, detail-oriented, organized, and able to communicate effectively with residents, families, physicians, referral sources, and healthcare professionals.
NewRegistered Nurse, RN - Home Health - PRN VitalCaring GroupRegistered Nurse, RN - Home Health - PRNBriggs, OKIf you're a nurse who wants to use your full clinical skillset, think critically, and make a measurable impact on patient outcomes, Home Health offers a different - and often more meaningful - way to practice. You'll combine advanced assessment skills, care planning, and patient education to reduce hospitalizations, improve recovery, and support long-term independence at home.
Licensed Vocational Nurse (LVN) Shift Care Assisted Home Health & HospiceLicensed Vocational Nurse (LVN) Shift CareWest Covina, CaliforniaAssisted Offers Our Employees a Unique Employment Package: We offer affordable medical, dental and vision plans to all employees who work an average of 30 hours per week. Skills, education, and experience: Graduate of accredited practical (vocational) nursing program.
RN, Care Manager - Per Diem, Day Shift Adventist HealthRN, Care Manager - Per Diem, Day ShiftLos Angeles, CAEnsures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care. Focuses on complex patients, frequent emergency department utilizers, chronic pain patients, substance abuse patients and homeless patients.