- Pipeline Health System, LLC (East Los Angeles, CA)
- …8 Hour Day Shift Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and documentation affecting ... and documentation that affects reimbursement. In this position the case manager provides for a planned and...+ At least two (2) years' experience as a nurse in an acute care hospital. + At least… more
- AccentCare, Inc. (Corona, CA)
- Overview Find Your Passion and Purpose as an RN Case Manager . Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts ... scrubs for patient-facing employees Qualifications Be the Best RN Case Manager You Can Be If you...nursing and currently licensed to practice as a registered nurse in the state of agency operation. One (1)… more
- California Therapy Services (Yorba Linda, CA)
- …therapists to stay closer to home than our competition. We also have our own in house Nurse Case Manager to provide the highest level of clinical support to ... you! Here's a few other benefits of our company: + New to home health? New grad? We provide a 1 on 1 orientation that fully educates in the rules, regulations, protocols, and everything you need to know to be successful in home health. + The easiest… more
- Travelers Insurance Company (Diamond Bar, CA)
- …to achieve resolution through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the ... claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity… more
- Insight Global (Riverside, CA)
- …patients and family's needs and implementation of the interdisciplinary plan of care Case Management and Supervision for Registered Nurse , RN Registered Nurse ... request to practice outside of scope of license to the manager /supervisor Registered Nurse , RN, performs supervision of (VITAS employed and contracted) nursing… more
- Dignity Health (Northridge, CA)
- …dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager (Care Coordinator) ... of CMS standards and requirements. **Qualifications** + CA Registered Nurse (RN) License required. + Minimum two (2) years...a clinical or insurance setting is required. + Certified Case Manager (CCM), Accredited Case … more
- Pipeline Health System, LLC (East Los Angeles, CA)
- Case Manager , RN - Full Time 8-Hour Day Shift The RN Case Manager (CM) performs a wide variety of tasks and functions. These include utilization review, ... interdisciplinary team. Communicates expected discharges to the unit charge nurse , patient unit and family. + Identifies patients at...Current BLS for Health Care Provider card. + Accredited Case Manager (ACM) or Certified Case… more
- Providence (Orange, CA)
- **Description** **Care Manager RN at St Joseph Hospital-Orange in Orange, CA. Positions available are either Full Time or Per Diem, Day shifts.** Care Management is ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience… more
- Molina Healthcare (Riverside, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS ... Management / Utilization Review is preferred for this role. Experience with Case Management is a plus._** **JOB DESCRIPTION** **Job Summary** Molina Healthcare… more
- HCA Healthcare (Riverside, CA)
- …you, come be a part of what makes us great and apply today! The RN Case Manager facilitates the progression and transition of care using established criteria and ... in conjunction with the multidisciplinary team. The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while… more
- Neogen Care (Claremont, CA)
- …at the center of our Core Values. We are looking for a Home Health Registered Nurse to join our fast-growing team. Become part of a notable company and help us ... achieve our goals! POSITION: Registered Nurse (Home Health) TYPE: Full-Time/Part-time PAY: Guaranteed base salary...to achieve positive patient care outcomes. ESSENTIAL FUNCTIONS: + Case management & follow-up skilled nursing visits in the… more
- Elevance Health (Montebello, CA)
- …and business leaders passionate about transforming American healthcare delivery. ** Nurse Practitioner Specialty, Nephrology - Medical Office, CA** Work Site ... Monday - Friday: 8:00 am - 5:00 pm** The ** Nurse Practitioner Specialty, Nephrology** is responsible for providing for...patients clinical problems and health care needs. + Discusses case with physician. + Formulates and documents care plan.… more
- Providence (Brea, CA)
- …Qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + Case management or acute care experience ... **Description** Under the direction of the Supervisor/ Manager , this position is responsible for triaging incoming calls, assessing needs and providing appropriate… more
- Option Care Health (Riverside, CA)
- …gathering preadmission information, collaborating with internal (intake) and external ( case managers, discharge planners) partners to ensure quality of service ... completing pre-admission information and securing related signoff. + Partners with Account Manager and Regional Sales Director to create and execute area business… more
- Somatus (Alhambra, CA)
- …a combination of remote days and visits to members' homes.** The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, pharmacists, ... care and barriers to good health; The RN Care Manager is expected to conduct approximately 12 assessments per...Qualifications Required + 1+ years of nursing experience in case management or care management, preferably coordinating care across… more
- BrightSpring Health Services (Upland, CA)
- …the patient's status on anongoing basis. + Monitors patient, family, physician and payer/ case manager , referral source satisfaction with theprogram on a regular ... physicians and family members. + Communicates regularly with patient, family, payer/ case manager and physician regarding patientprogress and any important… more
- Travelers Insurance Company (Diamond Bar, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Completes outside investigation as needed per case specifics. + Actively engages in the identification, selection and direction… more
- Elevance Health (Cerritos, CA)
- …PulsePoint locations. **How you will make an impact:** + Perform physician-level case review, following initial nurse review, of high-tech diagnostic imaging, ... Conduct peer-to-peer discussions with ordering physicians, physician assistants, and nurse practitioners to provide education regarding established guidelines and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigation/Evaluation: + Investigates ... to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to...fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …management and compensation recommendations and communication of staff. This position is a manager of managers. **What Will You Do?** + Attract, Retain and Develop ... and implementing strategies and plans to address claim professional and Unit Manager development. + Makes certain training needs are identified and addressed on… more