Utilization Management Case Manager

3 weeks ago


Goleta, United States Cottage Health Full time
Job Description

Responsible for the utilization review, utilization management, quality assurance, and discharge planning activities for assigned services/areas/patients within Cottage Health System. Case management activities will result in quality outcomes, optimal care/cost management of services and/or procedures, a high level of customer satisfaction, and contribution to an overall valueoriented experience of stakeholders and persons served.

QUALIFICATIONS

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum: Associate's Degree in Nursing (ADN)

Preferred: Bachelor's Degree in Nursing (BSN)

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum: Current California Nursing license in good standing

Preferred: Certification in Case Management

YEARS OF RELATED WORK EXPERIENCE

Minimum: 2 years direct patient care experience in an acute care setting. Other patient care experience may be considered.

Preferred: Previous experience as a case manager in an acute care setting.

About Us

Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.

Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.

Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.

If you're already a Cottage Health employee, please apply on this link only.

  • Goleta, California, United States Cottage Health Full time

    At Cottage Health, we are seeking a skilled Clinical Utilization Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the highest quality patient care and optimal resource utilization.Key Responsibilities:Conduct thorough utilization reviews to ensure accurate and efficient resource allocation.Develop and...

  • Clinical Case Manager

    4 weeks ago


    Goleta, California, United States Cottage Health Full time

    Job Title: Utilization Management Case ManagerCottage Health is seeking a skilled Utilization Management Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the highest quality patient care and optimal resource utilization.Key Responsibilities:Conduct thorough patient assessments to identify needs and...


  • Goleta, California, United States Cottage Health Full time

    Job SummaryCottage Health is seeking a skilled Utilization Management Case Manager to join our team. As a key member of our healthcare team, you will be responsible for ensuring the optimal care and cost management of services and procedures for assigned patients.Key ResponsibilitiesConduct thorough utilization reviews to ensure quality outcomes and optimal...


  • Goleta, California, United States Sutter Health Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Sutter Health. This role will coordinate the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients.Key ResponsibilitiesCoordinates the utilization management, resource management, discharge planning, post-acute...


  • Goleta, California, United States Sutter Health Full time

    Job Summary:As a RN Case Manager, Managed Care Referrals Specialist at Sutter Health, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients. You will oversee the management of acute patient populations across the care continuum,...


  • Goleta, United States Sansum Clinic Full time

    We are so glad you are interested in joining Sutter Health! Organization: SC - Sansum Clinic Position Overview: Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum with a focus to provide coordinated and...


  • Goleta, California, United States Sutter Health Full time

    Job Summary:We are seeking a skilled RN Case Manager to join our team at Sutter Health. As a key member of our care management team, you will play a critical role in coordinating the utilization management, resource management, discharge planning, post-acute care referrals, and care facilitation for our patients. Responsibilities:• Coordinate the...


  • Goleta, California, United States Sutter Health Full time

    Job SummaryWe are seeking a highly skilled RN Case Manager to join our team at Sutter Health. As a key member of our care coordination team, you will play a critical role in ensuring the seamless transition of patients through the healthcare system.Key ResponsibilitiesCoordinate utilization management and resource management to optimize patient care and...


  • Goleta, United States Cottage Health System Full time

    JOB PURPOSE The Utilization Review Nurse is responsible for utilization review, utilization management, and quality assurance activities for assigned services/areas/patients within the Cottage Health System and will champion, engage, manage and monitor proactive communications and interventions by and between relevant stakeholders with regard to utilization...


  • Goleta, California, United States Cottage Health System Full time

    Job SummaryThe Utilization Review Nurse is a critical member of the Cottage Health System team, responsible for ensuring the highest quality patient care while optimizing resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with various stakeholders.Key...


  • Goleta, California, United States Cottage Health Full time

    Job SummaryThe Utilization Review Nurse is a key member of the Cottage Health team, responsible for ensuring the highest level of patient care and quality outcomes. This role involves utilization review, utilization management, and quality assurance activities for assigned services/areas/patients within the Cottage Health System.Key ResponsibilitiesMaintain...


  • Goleta, United States Cottage Health Full time

    JOB PURPOSE The Utilization Review Nurse is responsible for utilization review, utilization management, and quality assurance activities for assigned services/areas/patients within the Cottage Health System and will champion, engage, manage and monitor proactive communications and interventions by and between relevant stakeholders with regard to utilization...

  • Project Manager

    4 weeks ago


    Goleta, California, United States City of Goleta, CA Full time

    Job Title: Project ManagerJoin the City of Goleta, CA team as a Project Manager and be part of a dynamic and innovative organization. As a Project Manager, you will be responsible for planning, coordinating, and implementing project management for a variety of complex projects within assigned areas, primarily in design and construction of right-of-way and...

  • Engineering Manager

    4 weeks ago


    Goleta, California, United States CMC Rescue Inc Full time

    Job Title: Engineering ManagerAt CMC Rescue Inc., we are seeking an experienced Engineering Manager to join our Product Development and Engineering teams. As a key member of our team, you will provide technical and team leadership for all aspects of research, design, development, and production readiness for innovative new products and improvements to...

  • Engineering Manager

    4 weeks ago


    Goleta, California, United States CMC Rescue Inc Full time

    Job Title: Engineering ManagerAt CMC Rescue Inc, we are seeking an experienced Engineering Manager to lead our Product Development and Engineering teams. As a key member of our organization, you will be responsible for providing technical and team leadership for all aspects of research, design, development, and production readiness for innovative new...

  • Engineering Manager

    4 weeks ago


    Goleta, California, United States CMC Rescue Inc Full time

    Job OverviewCMC Rescue Inc is seeking a highly skilled and experienced Engineering Manager to lead our Product Development and Engineering teams. As a key member of our organization, you will be responsible for providing technical and team leadership for all aspects of research, design, development, and production readiness for innovative new products and...

  • Program Manager 2

    3 weeks ago


    Goleta, California, United States Northrop Grumman Full time

    Job SummaryThe Program Manager 2 will lead a cross-functional organization to deliver all contractual requirements on cost and on schedule, while achieving all technical requirements and creating customer intimacy to support value creation strategies and actions.Key ResponsibilitiesCultivate customer relationships and intimacy to develop further...

  • Engineering Manager

    2 weeks ago


    Goleta, United States CMC Rescue Inc Full time

    Job DescriptionJob DescriptionSUMMARY: As a key member of the CMC Product Development and Engineering teams, the Engineering Manager provides both technical and team leadership for all aspects of the research, design, development, and production readiness for innovative new products and improvements to existing product lines. Accountable for the successful...

  • Engineering Manager

    4 weeks ago


    Goleta, United States CMC Rescue Inc Full time

    Job DescriptionJob DescriptionSUMMARY: As a key member of the CMC Product Development and Engineering teams, the Engineering Manager provides both technical and team leadership for all aspects of the research, design, development, and production readiness for innovative new products and improvements to existing product lines. Accountable for the successful...

  • Engineering Manager

    3 weeks ago


    Goleta, United States CMC Rescue Inc Full time

    Job DescriptionJob DescriptionSUMMARY: As a key member of the CMC Product Development and Engineering teams, the Engineering Manager provides both technical and team leadership for all aspects of the research, design, development, and production readiness for innovative new products and improvements to existing product lines. Accountable for the successful...