- Equiliem (Orange, CA)
- …BHT services from behavioral health providers. They are also responsible for utilization management , quality reviews and monitoring activities of BHT services. ... by communicating the Medical Director's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry… more
- Engage Partners, Inc. (Orange, CA)
- …vision and strategy. Responsible for maintaining team productivity and contract utilization . In collaboration with management , develops and maintains good ... reports to perform their roles. Provides coaching, support, and performance management to direct reports to ensure productivity/client care expectations are met.… more
- Prime Healthcare (Montclair, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/170680/ case - manager -%28rn%29 utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171837/ case - manager %2c-rn utilization ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Elevance Health (Costa Mesa, CA)
- ** Utilization Management Representative II** **Location** : This is a remote position. Candidates must live in the state of **California** . Seeking candidates ... Alto, Walnut Creek, Rancho Cordova and Sacramento, CA.** The ** Utilization Management Representative II** is responsible for...of community resources and social determinants of health. + Case management experience. + For URAC accredited… more
- Providence (Anaheim, CA)
- …in Oncology, Rehab, Pediatrics, Transplant, or Wound Care. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... Master's Degree Related field. + upon hire: Certification in Case Management (CCM, ACM). + upon hire:...time **Job Shift:** Day **Career Track:** Nursing **Department:** 7520 CASE MANAGEMENT CA HERITAGE SERVICES **Address:** CA… more
- HCA Healthcare (Riverside, CA)
- …you will need:** + Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + ... passionate about delivering patient-centered care?** Submit your application for Case Management Coordinator position and spend more...what makes us great and apply today! The RN Case Manager facilitates the progression and transition… more
- Edwards Lifesciences (Irvine, CA)
- …cross-functionally, you will lead development, launch, and management of the case scheduling process to ensure efficient utilization of resources to meet ... reports, and other analyses to provide deep insights into Case Scheduling for better business planning and management... Case Scheduling for better business planning and management decision making. + Development & governance of the… more
- Amergis (Orange, CA)
- The LPN/LVN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making...in state practicing + At least one year of Case Management experience preferred + Complies with… more
- Molina Healthcare (Long Beach, CA)
- …to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is required for this role. ... Experience with Case Management is a plus._** **_This is...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… more
- Emanate Health (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, ... **Minimum License Requirement:** Current California LVN License. BLS. Other certification in Case Management preferred. Must be available to work every other… more
- Molina Healthcare (Long Beach, CA)
- …a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- Prime Healthcare (Ontario, CA)
- … Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications: 1. Knowledge in discharge planning/ utilization management / case management terminology… more
- Emanate Health (West Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
- Providence (Orange, CA)
- …Rehab, Pediatrics, Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...+ Master's Degree in Related field. + Certification in Case Management (CCM, ACM) upon hire. +… more
- Providence (Mission Viejo, CA)
- **Description** Care Manager RN is a Per Diem role that will...Wound Care upon hire. + 3 years Experience in utilization management or case management ... or + Master's Degree In a related field. + Certification in Case Management (CCM, ACM) upon hire. + Specialty Certification in Oncology, Rehab, Pediatrics,… more
- Providence (Orange, CA)
- … (CCM, ACM) upon hire + LCSW upon hire + 3 years of Experience in utilization management or case management + Experience with psychiatric chemical ... **Description** Care Management is a collaborative practice model including the...**Job Shift:** **Career Track:** Clinical Professional **Department:** 7540 SJO CASE MGMT **Address:** CA Orange 1100 W Stewart Dr… more
- Deloitte (Costa Mesa, CA)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... Tax Services practice. What you'll do As a Tax Manager , you will work within an engagement team and...Professional Scrum Product Owner (PSCPO) - SCRUM.org and Project Management Professional (PMP + CBAP - Certified Business Analysis… more
- Envista Holdings Corporation (Brea, CA)
- …dollar region to achieve growth targets through account acquisition and increasing customer utilization . The Regional Sales Manager will contribute to the rapid ... **Job Description:** **US Regional Sales Manager : General Dentist Market** We know that dental...and strategy + Work in partnership with Envista Field Management Team to develop effective sales and training strategies… more
- Deloitte (Costa Mesa, CA)
- …on project delivery covering aspects such as quality, timelines, risk, and issue management . + Track internal metrics such as utilization , Budget Vs Spend, ... and Economic Trade Sanctions domain. As a Data Analytics Manager focusing on AML, you will have the opportunity...communicate effectively to all levels of client and engagement management . + Capable of balancing multiple projects with strong… more
