- Molina Healthcare (Orange, CA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- US Tech Solutions (Orange, CA)
- …to obtain intake information and gather data. + Works with the Medical Case Manager to authorize requested services according to department guidelines and ... reports from the databases as requested by the Medical Case Manager and/or health networks. + **5%...billing or coding experience. + Utilization management experience. + Bilingual in English and in one of defined threshold… more
- LA Care Health Plan (Los Angeles, CA)
- …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
- LA Care Health Plan (Los Angeles, CA)
- …Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating… more
- US Tech Solutions (Orange, CA)
- …with interdepartmental staff in call resolution as needed. Identifies calls needing case management or escalation to a supervisor, manager or director ... duties of the position such as those listed above may also be qualifying. + Bilingual in English and in one of defined threshold languages (Arabic, Chinese ,… more