Case Manager
3 weeks ago
Join to apply for the Case Manager (LVN or RN) role at Astrana Health. Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $31.00 - $45.00 / hour Description Astrana is looking for an RN/LVN Case Manager and we are willing to train an RN or LVN with no case management experience You will have the ability to work with pediatrics and/or adult populations depending on business need. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team What You'll Do Comply with Case Management Department’s policies and procedures. Maintain 95–100% compliance with Utilization Management health plan delegation standards for Case Management. Utilize Milliman Care Guidelines criteria for appropriateness of transition to care by level of skilled needs and acute rehab for post-discharge plan. Collaborate with hospitalists, case managers, and discharge planners to establish discharge plans at the time of admission. Coordinate the required initial and concurrent reviews based on the review of medical records received and daily accurate reporting of all inpatient admissions to Medical Director and Manager and/or Supervisor of Case Management Department. Review medical records and/or other documentation to determine medical necessity, appropriateness and level of care utilizing Milliman Care and other appropriate guidelines. Assess, plan, implement, coordinate, monitor, and evaluate all options and services with the goal of reducing hospital readmission. Attend/coordinate Case Management meetings on and off-site as necessary. Interact with providers or members as appropriate to communicate determination outcomes in compliance with state, federal and accreditation requirements. Attend to provider and interdepartmental calls in accordance with exceptional customer service. Maintain good relationships with health plans, hospitals and medical directors. Resolve problems that arise with any IPA medical directors. Report to Manager and/or Supervisor of Case Management on activities and or problems occurring throughout the day. Be available for on-site hospital Case Management. Perform other duties as assigned. Qualifications Active Registered Nurse (RN) license in California OR active Licensed Vocational Nurse (LVN) license in California. Experience using Microsoft applications such as Word, Excel and Outlook. At least two (2) years of clinical experience as an RN/LVN. You’re great for this role if: Excellent analytical and critical reasoning. Proven ability to prioritize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines. Ability to educate and train staff members and other departments as needed. Experience using EZCAP. Strong communication and customer service skills. Environmental Job Requirements and Working Conditions Hybrid work structure: expectation to work both in office and at home on a weekly basis. The position is located at 1600 Corporate Center Dr, Monterey Park, CA 91754. Requires visiting patients at partnered hospitals. Target pay range for this role is $31.00 - $45.00 per hour, national target range. Seniority Level Entry level Employment Type Full-time Job Function Health Care Provider Hospitals and Health Care #J-18808-Ljbffr
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Case Management Coordinator
5 days ago
Monterey Park, CA, United States Astrana Health, Inc. Full timeCase Management CoordinatorDepartment: HS - ICM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Jusilio Abot Compensation: $20.00 - $25.00 / hour Description Assist Case Manager(s), Specialist, Supervisor & Manager in assigned area of responsibility, including compiling information (open & close...
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Case Management Coordinator
4 days ago
Monterey Park, CA, United States Astrana Health, Inc. Full timeCase Management CoordinatorDepartment: HS - ICM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Jusilio Abot Compensation: $20.00 - $25.00 / hour Description Assist Case Manager(s), Specialist, Supervisor & Manager in assigned area of responsibility, including compiling information (open & close...
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Case Management Coordinator
4 days ago
Monterey Park, CA, United States Astrana Health, Inc. Full timeCase Management CoordinatorDepartment: HS - ICM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Jusilio Abot Compensation: $20.00 - $25.00 / hour Description Assist Case Manager(s), Specialist, Supervisor & Manager in assigned area of responsibility, including compiling information (open & close...
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Case Management Coordinator
2 days ago
Monterey Park, CA, United States Astrana Health, Inc. Full timeCase Management CoordinatorDepartment: HS - ICM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Jusilio Abot Compensation: $20.00 - $25.00 / hour Description Assist Case Manager(s), Specialist, Supervisor & Manager in assigned area of responsibility, including compiling information (open & close...
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Case Management Coordinator
5 days ago
Monterey Park, United States Astrana Health, Inc. Full timeDescription Assist Case Manager(s), Specialist, Supervisor & Manager in assigned area of responsibility, including compiling information (open & close inpatient cases), fax authorization letters to providers, including sending denial letters and keeping records. Provide and coordinate information with outside agencies.Our Values: Put Patients First...
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TAY CASE MANAGER
4 weeks ago
Monterey Park, United States Children's Law Center of California Full timeJob Type Full-time, Contract Description POSITION TITLE: TAY CASE MANAGER Reports to: TAY Program SupervisorSalary: $25.00/hr.- $38.95/hr.*This is a 6-month contract position from October 2025-March 2026Job SnapshotChildren's Law Center is seeking a TAY Case Manager to work directly with transition aged youth involved in the dependency system. The role...
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Case Manager
4 weeks ago
Monterey Park, United States Astrana Health Full timeDepartment: HS - ICMLocation: 1600 Corporate Center Dr., Monterey Park, CA 91754Compensation: $31.00 - $45.00 / hourDescriptionAstrana is looking for a RN/LVN Case Manager and we are willing to train a RN or LVN with no case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need.Our...
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Case Manager
3 weeks ago
Monterey Park, United States Astrana Health, Inc. Full timeOverview Department: HS - ICM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Sonna Santa Ana Compensation: $35.00 - $45.00 / hour Description Job Title: Case Manager (LVN or RN) Department: Health Services - ICM About the Role: Astrana Health is looking for a RN/LVN Case Manager and we are willing to...
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TAY CASE MANAGER
2 days ago
Monterey Park, CA, United States Children's Law Center of California Full timeJob Type Full-time, Contract Description POSITION TITLE: TAY CASE MANAGER Reports to: TAY Program SupervisorSalary: $25.00/hr.- $38.95/hr.*This is a 6-month contract position from October 2025-March 2026Job SnapshotChildren's Law Center is seeking a TAY Case Manager to work directly with transition aged youth involved in the dependency system. The role...
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TAY CASE MANAGER
2 weeks ago
Monterey Park, United States Children's Law Center of California Full timeChildren’s Law Center is seeking a TAY Case Manager to work directly with transition aged youth involved in the dependency system. The role focuses on connecting youth with essential services, advocating for their needs, and ensuring they have the support necessary to transition successfully into adulthood.Job SnapshotThis is a 6-month contract position...
