Current jobs related to Case Manager-LVN - Redlands CA - Loma Linda University
-
LVN/LPN Case Manager Assistant
3 weeks ago
downey, CA, United States Kaiser Permanente Full timeJob Summary:The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements. This position complies with the scope of...
-
Case Manager
20 hours ago
Orange, CA, United States The Judge Group Full timeJudge Healthcare is currently seeking a Case Manager LVN (Concurrent Review) in Orange, CA!!You will be responsible for providing case management intervention on behalf of members with short term, stable and predictable courses of illnesses. You would also be responsible for answering the medical appropriateness, quality and cost effectiveness of proposed...
-
Nurse Case Manager
2 weeks ago
Redlands, California, United States Loma Linda University Medical Center Full timeJob Summary: As a Nurse Case Manager at Loma Linda University Medical Center, you will be responsible for utilization management and inpatient care management in a telephonic and/or onsite care management position. Your primary focus will be on changing from retrospective, episodic case management to a prospective system of health maintenance, disease...
-
Nurse Case Manager
3 weeks ago
Redlands, California, United States Loma Linda University Medical Center Full timeJob Summary:The RN-Case Manager is responsible for ensuring the efficient use of healthcare resources while providing high-quality patient care. This involves reviewing medical records to determine the medical necessity of inpatient and outpatient services, and collaborating with healthcare teams to develop individualized care plans that promote health...
-
Traveling Case Manager
3 weeks ago
Redlands, California, United States Titan Medical Full timeJob SummaryWe are seeking a skilled Case Management professional to join our team at Titan Medical. As a Case Manager, you will be responsible for providing high-quality care to patients and ensuring seamless transitions between healthcare settings.Key Responsibilities:Develop and implement individualized care plans to meet the unique needs of...
-
Nurse Case Manager
3 weeks ago
Redlands, California, United States Loma Linda University Medical Center Full timeJob Summary: We are seeking a skilled Nurse Case Manager to join our team at Loma Linda University Medical Center. As a key member of our care management team, you will be responsible for coordinating patient care and services to ensure seamless transitions and optimal health outcomes. Key Responsibilities: Utilize clinical expertise to assess patient needs...
-
Clinical Case Manager
3 weeks ago
Redlands, California, United States Loma Linda University Medical Center Full timeJob Title: Case Manager 2-BMCJob Summary: We are seeking a skilled Case Manager 2-BMC to join our team at Loma Linda University Medical Center. The successful candidate will be responsible for performing a variety of case management duties, ensuring proper utilization and providing maximum quality of patient care.Key Responsibilities:Serve as a resource for...
-
Care Manager
2 weeks ago
Redlands, United States Redlands Community Hospital Full timeThe purpose of the Care Manager position is to support thephysician and interdisciplinary team in facilitating patient care, with theunderlying objective of enhancing the quality of clinical outcomes and patientsatisfaction while managing the cost of care and providing timely and accurateinformation to payers. The role integrates and coordinates...
-
Travel Nurse Case Manager
3 weeks ago
US-, San Francisco, CA, USA TotalMed Case Management Staffing Full timeJob Title: Travel Nurse Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a challenging opportunity.Job RequirementsSpecialty: Case ManagementDiscipline: RNShift: 8 hours, daysEmployment Type: TravelWe are seeking a skilled Case Manager-Registered Nurse for an assignment with TotalMed Case Management Staffing.The...
-
Nurse Case Manager
3 weeks ago
Redlands, California, United States Loma Linda University Medical Center Full timeJob DescriptionAt Loma Linda University Medical Center, we are seeking a skilled Nurse Case Manager to join our team. As a key member of our care management team, you will be responsible for utilizing your expertise to ensure that patients receive the most appropriate and effective care possible.Key Responsibilities:Conduct thorough assessments of patients'...
-
Field Case Manager, LTSS Specialist
3 weeks ago
Long Beach, CA, United States Molina Healthcare Full timeJob Title: Field Case Manager, LTSS SpecialistJob Summary: Molina Healthcare Services (HCS) is seeking an experienced Field Case Manager to join our LTSS Team. The successful candidate will work with our Medicaid members who have an IDD diagnosis, conducting face-to-face meetings, completing assessments, and developing case management plans to ensure the...
-
Clinical Case Manager
3 weeks ago
Redlands, California, United States Loma Linda University Medical Center Full timeJob Summary:The Clinical Case Manager 2-BMC is responsible for performing a variety of case management duties to ensure proper utilization and provide maximum quality of patient care. This role serves as a resource for staff in Joint Commission standards and private utilization review agencies. The Clinical Case Manager 2-BMC is responsible for clinical...
-
Clinical Case Manager
3 weeks ago
Redlands, California, United States Loma Linda University Health Full timeJob Summary:The Clinical Case Manager is responsible for coordinating patient care and ensuring proper utilization of resources. This role requires strong communication and negotiation skills, as well as the ability to analyze and interpret data.The ideal candidate will have a strong background in nursing and experience in utilization review or quality...
-
Case Manager 2-BMC
3 weeks ago
Redlands, California, United States Loma Linda University Medical Center Full timeJob Title: Case Manager 2-BMCJob Summary: We are seeking a skilled Case Manager 2-BMC to join our team at Loma Linda University Medical Center. The successful candidate will be responsible for performing a variety of case management duties, ensuring proper utilization and providing maximum quality of patient care.Key Responsibilities:Serve as a resource for...
-
Travel Nurse RN Case Manager
3 weeks ago
US-, San Francisco, CA, USA TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work with us in San Francisco, California.TotalMed Case...
-
Case Manager
2 weeks ago
Redlands, California, United States The Salvation Army USA Western Territory Full timeJob SummaryThe Salvation Army USA Western Territory is seeking a skilled Case Manager to join our team in San Bernardino. As a Case Manager, you will work under the supervision of the Director for Programs to provide support services to individuals and families experiencing homelessness.Key ResponsibilitiesScreen and update lists of individuals seeking...
-
Case Manager
3 weeks ago
Redlands, California, United States The Salvation Army USA Western Territory Full timeJob SummaryThe Salvation Army USA Western Territory is seeking a skilled Case Manager to join our team in San Bernardino. As a Case Manager, you will play a vital role in supporting individuals and families experiencing homelessness, providing them with the necessary resources and guidance to achieve stability and independence.Key ResponsibilitiesScreen and...
-
Case Manager
3 weeks ago
Redlands, California, United States The Salvation Army Full timeJob SummaryThe Salvation Army is seeking a skilled Case Manager to join our team in San Bernardino. As a Case Manager, you will work under the supervision of the Director for Programs to provide comprehensive support services to individuals and families experiencing homelessness.Key ResponsibilitiesScreen and update lists of individuals seeking services and...
-
Care Manager
2 months ago
Redlands, CA, United States Redlands Community Hospital Full timeThe purpose of the Care Manager position is to support thephysician and interdisciplinary team in facilitating patient care, with theunderlying objective of enhancing the quality of clinical outcomes and patientsatisfaction while managing the cost of care and providing timely and accurateinformation to payers. The role integrates and coordinates...
-
Care Manager
3 weeks ago
Redlands, CA, United States Redlands Community Hospital Full timeThe purpose of the Care Manager position is to support thephysician and interdisciplinary team in facilitating patient care, with theunderlying objective of enhancing the quality of clinical outcomes and patientsatisfaction while managing the cost of care and providing timely and accurateinformation to payers. The role integrates and coordinates...
Case Manager-LVN
2 months ago
Job Summary: The Case Manager-LVN is responsible for case management of the patient/family across the health care continuum, to include those with complex medical, socio-economic, and mental health co-morbidities. Case Manager-LVN is responsible for utilization management, disease management, complex case management and inpatient care management in a telephonic and/or onsite care management position. Reviews inpatient and outpatient services to determine medical appropriateness following evaluation of medical guidelines and benefit determination. This role acts as a support to team members, coaching and providing feedback as necessary. The LVN-Case Manager will act as a patient/family advocate guiding them through the Health Care system for transition planning. The LVN-Case Manager will participate in on-call rotation after-hours and/or on weekends as needed to meet contractual obligations and provide decision support on managed care issues. Performs other duties as needed.
Education and Experience: Bachelor's Degree preferred. Graduate of a school of Licensed Vocational Nursing (LVN) required. Minimum five years experience in managed care required. Minimum two years ambulatory care management program and/or case management experience required. Experience may be considered in lieu of Degree Knowledge and Skills: Knowledge of lines of business (LOB Commercial United Health Care, Anthem Blue Cross, Blue Shield of California, Medicare Advantage, ACO,); Proficient in application of MCG for both inpatient and ambulatory care. Knowledge of utilization management processes and current standards of care as a foundation for utilization review and transition planning. Knowledge and ability to comply with health plan audits. Ability to interpret CMS including Medicare Managed Care Manual. Able to keyboard 40 wpm test required. Read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e. g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Bilingual preferred. Communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position. Licensures and Certifications: Active California Licensed Vocational Nurse (LVN) required. Basic Life Support (BLS) certification from the American Heart Association (AHA) required. Certified Managed Care Nurses from the American Association of Managed Care Nurses within two years of hire.