- Molina Healthcare (San Jose, CA)
- …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and ... expected length of stay for requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its… more
- Amergis (Palo Alto, CA)
- RN Case Manager Requirements: + 3+ years of RN Case Manager experience + BLS + EPIC experience + Previous Travel RN exp. + BSN RN preferred Details: ... Start date: 2/3 Duration: 13 weeks, possible extensions Unit: Case Management Inpatient Shift: Days Hours: 4x10s,...hours/week Requirements: CA RN License, 3+ years of RN Case Manager experience , EPIC experience, BLS… more
- Sutter Health (Los Altos, CA)
- …**Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The nurse case manager conducts preauthorization, concurrent, and retrospective ... continuity of care using community resources. * For cases not meeting criteria, the case manager documents applicable guideline, rationale, and routes to the UM… more
- Horizon Services, Inc. (Hayward, CA)
- …months, and $500 after 12 months of employment) JOB TITLE: Clinical Program Manager LOCATION: Hayward, CA Employment Type: Full-time Who are we? Horizon Services, ... in people's lives? We are seeking a Clinical Program Manager who is fluent in one or more of...direct service positions in coordination with the Direct of Inpatient Operation (DIO). + Coordinate and maintain all direct… more
- Elevance Health (Palo Alto, CA)
- …and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a ... guidelines within scope of licensure. + These reviews may require in-depth review ; however, any deviation from application of benefits plans will require guidance… more