Utilization Review Case Manager, Case Management

2 weeks ago

Fresno, United States Saint Agnes Medical Center Careers Full time

*Employment Type:* Full time *Shift:* Day Shift *Description:* Reporting to the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource utilization. This position works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the facility's resources.1. Current licensure as a Registered Nurse (RN) in the state of California is required.
2. Current American Heart Association (AHA) Healthcare Provider CPR card is preferred.
3. Degree from an accredited baccalaureate nursing program (BSN) is preferred.
4. Certified Case Manager (CCM) national certification is preferred.
5. Interquel training must be obtained within six (6) months of hire into position.
6. Previous experience in at least two (2) areas of clinical specialty in an acute care setting is required.
7. Excellent communication skills, critical thinking, creative problem-solving skills, and competent organizational and planning skills are required.
8. The incumbent must be self-directed and able to tolerate frequent interruptions with a demanding workload.
9. Knowledge regarding hospital protocol and procedures, clinical standards and outcomes, funding options, familiarity with community resources and outside professional agencies, familiarity with federal and state regulations governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred.
Pay Range:
$47.55 - 68.95
*Our Commitment to Diversity and Inclusion*
 
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

  • Utilization Review Case Manager, Case Management

    2 weeks ago

    Fresno, CA, United States Saint Agnes Medical Center Careers Full time

    *Employment Type:* Full time *Shift:* Day Shift *Description:* Reporting to the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource...

  • Utilization Review Case Manager, Case Management

    7 days ago

    Fresno, CA, United States Saint Agnes Medical Center Careers Full time

    *Employment Type:* Full time *Shift:* Day Shift *Description:* Reporting to the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource...

  • RN Case Manager, ED

    1 month ago

    Fresno, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • RN Case Manager, ED

    2 months ago

    Fresno, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • RN Case Manager, ED

    2 months ago

    Fresno, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • RN Case Manager, ED

    2 months ago

    Fresno, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • Case Manager

    2 days ago

    Fresno, California, United States Sevita Full time

    About SevitaSevita is a mission-driven organization that provides community-based services for individuals with intellectual and developmental disabilities. Our goal is to empower individuals to live well and have a fulfilling career.Job SummaryWe are seeking a skilled Case Manager to join our team. As a Case Manager, you will provide case management...

  • Case Manager RN

    2 weeks ago

    Fresno, United States Kaiser Permanente Full time

    Job Summary: Please be aware that this position is currently under review as part of the jurisdictional process with the California Nurses Association to determine whether such position should be assigned to the CNA bargaining unit. This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under...

  • Case Manager

    2 days ago

    Fresno, California, United States Mental Health Systems, Inc. Full time

    Job SummaryMental Health Systems, Inc. is seeking a highly skilled and compassionate Case Manager to join our team. As a Case Manager, you will play a critical role in providing comprehensive support services to clients, ensuring their needs are met and their goals are achieved.Key ResponsibilitiesCase Management: Provide individualized case management...

  • Case Manager

    4 days ago

    Fresno, United States Sevita Full time

    Mentor Community Services , a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day....

  • Utilization Review Case Manager, Case Management

    2 weeks ago

    Fresno, CA, United States Saint Agnes Medical Center Careers Full time

    Employment Type:* Full time *Shift:* Day Shift *Description:* Reporting to the Manager Social Services*, Social Services, this position coordinates utilization review service for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination collaboration, and support for resource...

  • Case Manager

    4 weeks ago

    Fresno, United States Harmony Roze Staffing & Recruiting Full time

    Job DescriptionJob DescriptionFUNDAMENTAL OBJECTIVES:Under supervision, certify, recertify, review, update, and monitor family files to maintain eligibility of all program participants. This position requires an understanding of CDE Funding Terms and Conditions and the ability to apply Title 5 and corresponding regulations.ESSENTIAL JOB FUNCTIONS:Demonstrate...

  • Case Manager

    4 weeks ago

    Fresno, United States Harmony Roze Staffing & Recruiting Full time

    Job Description:FUNDAMENTAL OBJECTIVES: Under supervision, certify, recertify, review, update, and monitor family files to maintain eligibility of all program participants. This position requires an understanding of CDE Funding Terms and Conditions and the ability to apply Title 5 and corresponding regulations. ESSENTIAL JOB FUNCTIONS: Demonstrate...

  • Housing Case Manager

    3 months ago

    Fresno, United States Elevate Community Services Inc Full time

    Job DescriptionJob DescriptionThe Housing Case Manager is responsible for providing case management and navigation to individuals currently residing in our emergency shelters. Position SummaryElevate Community Services is hiring a Housing Case Manager for the Emergency Shelters. The Housing Case Manager assists with the housing search and placement along...

  • RN Case Manager, ED

    2 months ago

    Fresno, CA, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • RN Case Manager, ED

    2 months ago

    Fresno, CA, United States Community Health System - CA Full time

    Overview: *All positions are located in Fresno/Clovis CA*You are a nurse and a natural leader, and you're looking for a chance to join a top Case Management team as RN, Case Manager, Emergency Department. If you have passion for improving the health of the Valley and its residents, you can make a difference here, on the front lines, at the region's safety...

  • Bilingual Lead Case Manager

    2 months ago

    Fresno, United States RH Community Builders Full time

    RH Community Builders is a community organization focused on provding housing and homeless services in the Central Valley of California. With a focus on service, dignity, and equity, RHCB provides community based services to the most vulnerable individuals in our community.  Position Summary  The ECM Lead Case Manager is responsible for providing direct...

  • Bilingual Lead Case Manager

    3 months ago

    Fresno, United States RH Community Builders Full time

    Job DescriptionJob DescriptionRH Community Builders is a community organization focused on provding housing and homeless services in the Central Valley of California. With a focus on service, dignity, and equity, RHCB provides community based services to the most vulnerable individuals in our community. Position Summary The ECM Lead Case Manager is...

  • Nurse Case Manager

    4 days ago

    Fresno, California, United States National Care Advisors Full time

    National Care Advisors - Field Nurse Case ManagerWe are seeking a highly skilled and experienced Field Nurse Case Manager to join our team at National Care Advisors. As a Field Nurse Case Manager, you will be responsible for providing case management services to special needs and eldercare clients, ensuring their quality of life and collaborating with...

  • Lead Housing Case Manager

    3 months ago

    Fresno, United States Elevate Community Services Inc Full time

    Job DescriptionJob DescriptionPosition Summary The Lead Housing Case Manager will work with clients in the emergency shelter and assist clients with transitioning into permanent housing. The Lead Housing Case Manager will assist clients with obtaining documents needed for housing, locating appropriate housing, increasing income, and remaining successfully...