Current jobs related to Case Management Coordinator - Montebello - Cross Country Workforce Solutions Group
-
Healthcare Case Manager
7 days ago
Montebello, California, United States North American Staffing Group Full timeJob Title: Case Manager MAJob Summary:We are seeking an experienced Case Manager to join our team at North American Staffing Group. As a Case Manager, you will provide support to the Case Management Department and assist with case and care management. You will act as a liaison for case managers to assist with obtaining the HRA (Health Risk Assessments),...
-
Montebello, California, United States AltaMed Health Services Full timeJob SummaryAltaMed Health Services is seeking a skilled Clinical Nurse Specialist to join our team as a Case Manager, Outpatient Care Coordinator. This role will provide daily care coordination, case management, coaching, consultation, and intervention to patients with one or more chronic diseases.Key ResponsibilitiesIdentify patients with chronic diseases...
-
Case Manager
1 week ago
Montebello, California, United States Marsell Wellness Center Full timeJob SummaryMarsell Wellness Center seeks a dedicated and compassionate Case Manager to join our team. As a Case Manager, you will provide direct support to our case management team, utilizing sound professional judgment and best practices to ensure the swift reunification of Unaccompanied Children and their sponsor(s) while maintaining compliance with...
-
Case Manager
2 weeks ago
Montebello, California, United States The People Concern Full timeJob SummaryThe People Concern is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in supporting clients' housing stability, self-sufficiency, and community integration.Key ResponsibilitiesMaintain a caseload of approximately 20 high acuity clients for intensive case management services.Develop relationships...
-
Medical Case Manager
2 weeks ago
Montebello, California, United States North American Staffing Group, Inc. Full timeJob OpportunityNorth American Staffing Group, Inc. is seeking a highly skilled Medical Case Management Coordinator II to join our team.Job SummaryWe are looking for a detail-oriented and organized individual to manage medical cases and ensure seamless communication between healthcare providers and patients.ResponsibilitiesManage medical cases from intake to...
-
Registered Nurse Case Manager
4 weeks ago
Montebello, California, United States AltaMed Health Services Full timeJob Title: Registered Nurse Case ManagerAt AltaMed Health Services, we are seeking a highly skilled Registered Nurse Case Manager to join our team. As a RN Case Manager, you will play a critical role in providing daily care coordination, case management, coaching, consultation, and intervention to patients with one or more chronic diseases.Key...
-
Nurse Case Manager
2 weeks ago
Montebello, California, United States AltaMed Full timeGrow with AltaMedAt AltaMed, we're passionate about helping those in need and growing our careers. Our commitment to providing exceptional care and making a meaningful difference drives us forward every day.Job OverviewThe RN Case Manager will provide daily care coordination with concurrent review for patients in the hospital or Skilled Nursing Facilities...
-
Registered Nurse Case Manager
3 weeks ago
Montebello, California, United States AltaMed Health Services Full timeJob Title: Registered Nurse Case ManagerAt AltaMed Health Services, we are seeking a highly skilled Registered Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and ensuring seamless transitions between healthcare settings.Job Summary:The Registered Nurse Case Manager...
-
Nurse Case Manager
2 weeks ago
Montebello, California, United States AltaMed Health Services Full timeJob OverviewThe Nurse Case Manager plays a vital role in providing daily care coordination, case management, coaching, consultation, and intervention to patients with one or more chronic diseases. This position requires strong collaboration with the hospitalist, hospital nursing personnel, and interdisciplinary care team to ensure seamless care delivery.Key...
-
Montebello, California, United States AltaMed Health Services Full timeJob OverviewThe RN Case Manager provides daily care coordination, case management, coaching, consultation, and intervention to patients with one or more chronic diseases.This role involves identifying patients via provider/clinic referral, utilization management referral, disease registry reporting mechanisms, and patient self-referral.The RN Case Manager...
-
RN PACE Nurse
4 weeks ago
Montebello, California, United States North American Staffing Group Full timeJob Title: RN PACE Nurse - Case ManagerWe are seeking a highly skilled and compassionate RN PACE Nurse to join our team at North American Staffing Group. As a RN PACE Nurse, you will play a vital role in providing high-quality care to our patients and ensuring their well-being.Key Responsibilities:Case Management: Develop and implement individualized care...
-
Registered Nurse
6 hours ago
Montebello, United States Incredible Health Full timeHospitals on Incredible Health are actively hiring and accepting applications in the Montebello, CA area for the following position: Registered Nurse - Case Management Supervisor. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway, Director,...
-
Care Coordinator
2 days ago
Montebello, United States LHH Recruitment Solutions Full timeJob DescriptionJob DescriptionBilingual Care CoordinatorIn this role, you'll coordinate access to care, work closely with mental health providers, and ensure patients receive the support they need for their unique mental health needs.Responsibilities:Ensure timely access to mental health services and compassionate support.Coordinate appointments, verify...
-
Medical Management Coordinator
7 days ago
Montebello, California, United States AltaMed Health Services Full timeGrow with UsAt AltaMed Health Services, we're passionate about helping those in need and growing our team with like-minded individuals. Our commitment to providing exceptional care drives us forward every day. We're seeking a Medical Management Coordinator to join our team and support the Medical Management department in ensuring timely outpatient or...
-
Medical Care Coordinator
2 weeks ago
Montebello, California, United States Mens Health Foundation Full timeTransform Lives with Our Medical Care Coordination ProgramAt Mens Health Foundation, we're dedicated to delivering comprehensive support services that empower patients to fully engage with their healthcare. As a Medical Care Manager (MCM), you'll play a vital role in this mission, working closely with our clinical and MCC teams to ensure patients have...
-
Healthcare Coordinator II
2 weeks ago
Montebello, California, United States AltaMed Health Services Full timeJob SummaryAltaMed Health Services is seeking a skilled Healthcare Coordinator II to join our team. As a key member of our care coordination team, you will play a vital role in ensuring our patients receive high-quality, patient-centered care.Key ResponsibilitiesGather relevant information for identified member populations during assessment, care planning,...
-
Mental Health Care Coordinator
1 month ago
Montebello, California, United States Clinica Romero Full timeJob SummaryClinica Romero is seeking a highly motivated and compassionate Mental Health Care Coordinator to join our team. As a key member of our Behavioral Health department, you will play a vital role in providing exceptional care and support to our patients and their families.ResponsibilitiesCoordinate mental health services for patients, including...
-
Montebello, California, United States Adventist Health Full time**Job Summary:**As a key member of our care management team, the Care Management Supervisor will oversee the planning, development, and operation of our department. This role assumes direct responsibility for personnel management, expense controls, new service development, and performance improvement. The supervisor will provide group therapy and case...
-
Care Management Supervisor
1 month ago
Montebello, California, United States Adventist Health Full timeJob Summary:As a key member of our care management team, the successful candidate will oversee the planning, development, and operation of our department. This role assumes direct responsibility for personnel management, expense controls, new service development, and performance improvement. The ideal candidate will provide group therapy and case management...
-
Maintenance Coordinator
7 days ago
Montebello, California, United States Penske Full timeMaintenance Coordinator Job DescriptionJob Summary: We are seeking a highly skilled Maintenance Coordinator to join our team at Penske. As a key member of our branch operations team, you will be responsible for providing exceptional customer service, managing inventory, and ensuring the efficient operation of our maintenance services.Key...
Case Management Coordinator
2 months ago
Case Management Coordinator
Location: Montebello, CA
Schedule: 8a to 5p Monday through Friday
Pay: $23-26/hour
Requirements: High School Diploma or equivalent, 2 years of experience in managed care
Job Type: temporary
Summary:
This position will provide support to Case Management Department and assist with case and care management. Acts as a liaison for case managers to assist with obtaining the HRA (Health Risk Assessments), gathering of pertinent healthcare information, and follow-up on specialty/ancillary services. The Coordinator will generate/manage the daily census, post discharge calls, and facilitate transitions of care. Responsible for processing and tracking referrals including interdepartmental referrals to Senior Programs. Serves as an associate and resource to patients, providers, staff, and external customers regarding policies, benefits, and care coordination. Participates in and provides report data as required.
Responsibilities:
1. Creates, generates and maintains reports as requested or on a scheduled basis.
2. Coordinate member/patient inquiries regarding the authorization process and other issues with applicable internal/external functions.
3. Enters of all requests into the referral tracking system, coordinates authorization request as directed by the Case Manager for the Case Management Department.
4. Maintains up-to-date knowledge about payer sources. Knowledgeable about the regulations regarding these various payer sources.
5. Facilitates communication with CCS authorizations, third-party payers and clinical staff to ensure authorization of services.
6. Processes all referral requests from the physicians according to department policy and procedure.
7. Coordinates and assists with patient appointments as needed and notifies patient of authorization status.
8. Obtains consultation reports from specialists and submits to provider for review.
9. Assists with program specific goals and objectives as directed by Manager of Case Management.
10. Perform all other related duties as assigned.
Requirements/Qualifications:
1. High School diploma plus a minimum 2 years experience working in a healthcare environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs.
2. Minimum 2 years experience in a managed health care environment, preferably IPA, HMO, or Health Plan.
3. Bilingual English/Spanish preferred.
4. Medical Billing Certification preferred.
5. Medical Assistant experience strongly preferred.
CCWSG provides clinical and non-clinical staffing support to PACE centers across the country; we are the nation’s exclusive provider of non-medical, in-home caregivers for the elderly enrolled in PACE programs. Currently, we have over 3,000 caregivers supporting patients in their homes through PACE.
We are a part of the Cross Country Healthcare family, a market-leading workforce solutions, tech-enabled talent platform, and staffing, recruitment, and advisory firm with almost 40 years of industry experience and insight. We are a full-service partner, combining market expertise and services, including contingent staffing, consulting, human capital, management solutions, recruitment process outsourcing, vendor management, and direct hiring.Company DescriptionCross Country Workforce Solutions Group (CCWSG) is a human resource, consulting and talent acquisition firm, specializing in PACE Programs, FQHCs/CHCs, and State Healthcare plans throughout the US. Our national operations center is located in Southern California.\r
CCWSG provides clinical and non-clinical staffing support to PACE centers across the country; we are the nation’s exclusive provider of non-medical, in-home caregivers for the elderly enrolled in PACE programs. Currently, we have over 3,000 caregivers supporting patients in their homes through PACE.\r
We are a part of the Cross Country Healthcare family, a market-leading workforce solutions, tech-enabled talent platform, and staffing, recruitment, and advisory firm with almost 40 years of industry experience and insight. We are a full-service partner, combining market expertise and services, including contingent staffing, consulting, human capital, management solutions, recruitment process outsourcing, vendor management, and direct hiring.
