Case Manager

22 hours ago

Orange CA United States The Judge Group Full time

Judge 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 hospital/medical/surgical services in accordance with established criteria.

Responsibilities:

  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
  • Reviews and evaluates proposed services utilizing medical criteria and/or established policies and procedures. This includes review of submitted medical documentation and/or photographs.
  • Determines the appropriate action regarding the service being requested for approval, modification, or denial, and refer to the Medical Director for review when necessary.
  • Determines if the inpatient setting requested for surgery and/or medical care is appropriate. Identifies diagnosis and determine need for continuing hospitalizations

Qualifications & Requirements:

  • HS Diploma required
  • Current CA LVN licensed required.
  • 3+ years clinical experience with 1+ year in managed care setting.
  • 1+ year concurrent review experience preferred.
  • Bilingual is a plus

If this would be of interest to you or someone you might know, please apply by clicking on the link on the job posting. If you would like more information or have any questions, please reach out to Jacob at jmaybrier@judge.com

Thank You,

Jacob

  • Travel Nurse RN Case Manager

    1 week ago

    Orange, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a challenging opportunity in California.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a skilled Case Manager-Registered Nurse to join our team in California.TotalMed Case Management Staffing Job ID #1682614. Pay package is based on 8...

  • Senior Case Manager RN

    1 month ago

    Vista, WA, United States Professional Case Management Full time

    Job Title: Senior Case Manager RNMake a Difference in Home CareProfessional Case Management is seeking a skilled Senior Case Manager RN to join our team in Washington. As a Senior Case Manager RN, you will be responsible for providing direct care and case management to assigned clients, collaborating with regional directors and other personnel to identify...

  • Travel Nurse Case Manager

    3 weeks ago

    , MA, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse Case Manager to join their team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work with our team in Boston, Massachusetts.TotalMed Case...

  • Travel Nurse Case Manager

    2 weeks ago

    , MI, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment.TotalMed Case Management Staffing Job ID # Pay package is based on 8 hour shifts and 40 hours per week (subject to...

  • Case Management Coordinator

    3 days ago

    Orange, CA, United States Astiva Health, Inc Full time

    Job Title: Case Management CoordinatorTarget Compensation Range: $26.00 - $30.00/hour, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our...

  • Travel Nurse RN Case Manager

    3 weeks ago

    US-, United States TotalMed Case Management Staffing Full time

    Job 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: TravelShift: 8 hours, daysDuration: 17 weeks40 hours per weekWe are looking for a dedicated and experienced case manager to work with...

  • Senior Case Manager

    2 months ago

    Washington, WA, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Senior Case Managers in Washington   Come join our growing team! A few of our perks:Create your own schedule!$44/hr. (including 100% of Hourly Wage Paid for All Drive Time)Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and...

  • Travel Nurse RN Case Manager

    3 weeks ago

    Washington, DC, United States TotalMed Case Management Staffing Full time

    Job Opportunity: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN Case Manager to join their team.Job Requirements:Specialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to provide...

  • Registered Nurse

    2 months ago

    Los Alamos, NM, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in New Mexico Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • RN Case Manager

    4 weeks ago

    Sunnyside, WA, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms! Hiring Case Managers in Washington Come join our growing team! A few of our perks: Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • RN Case Manager

    2 months ago

    Mesa, WA, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Travel Nurse RN Case Manager

    3 weeks ago

    Webster, NY, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job in Webster, New York.Job Requirements:Specialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, eveningsEmployment Type: TravelWe are seeking a skilled Case Manager-Registered Nurse for...

  • Case Manager RN

    4 weeks ago

    Orange, CA, United States Providence Full time

    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 a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent...

  • Case Manager RN

    5 hours ago

    Orange, CA, United States Providence Careers Full time

    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 a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent...

  • Travel Nurse Case Manager

    3 weeks ago

    US-, San Francisco, CA, USA TotalMed Case Management Staffing Full time

    Job 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...

  • Travel Nurse RN Case Manager

    3 weeks ago

    Washington, DC, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job in Washington, District of Columbia.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case...

  • Travel Nurse RN Case Manager

    3 weeks ago

    Washington, DC, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a travel nurse RN Case Manager for a travel nursing job in Washington, District of Columbia.Job DetailsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment in Washington District of...

  • Senior Case Manager RN

    4 weeks ago

    Granger, WA, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms! Hiring Senior Case Managers in Washington Come join our growing team! A few of our perks: Create your own schedule!$44/hr. (including 100% of Hourly Wage Paid for All Drive Time) Bonus Eligible Direct assigned team members of RN Case Managers in the provision of care in accordance with Agency policy and with...

  • Case Manager RN

    1 day ago

    Orange, CA, United States Providence Full time

    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 a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses...

  • Case Manager RN

    3 days ago

    Orange, CA, United States Providence Careers Full time

    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 a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses...