Medical Case Manager

Job DescriptionJob DescriptionOverview: This position provides case management intervention on behalf of members with short term, stable, and predictable courses of illnesses.  Responsible for answering the medical appropriateness, quality, and cost effectiveness of proposed hospital/medical/surgical services in accordance with established...

**Job Title**: Case Manager **Target Compensation Range**: $100,000-$120,000/year, depending on 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...

The Supervisor of Case Management is responsible for coordinating with physicians, staff, community resources and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and...

Specialty: RN Case ManagementJob Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient acuity and treatment plan and the related expectations of CMS, JCAHO, NYS DOH and other regulatory bodies. Works in...

The Supervisor, Outpatient Case Management has accountability for the direct, daily supervision of case managers' and coordinators' work with members, documentation of interventions, and reporting of activities per established protocols. The CM Supervisor maintains visibility to the outpatient CM team and provides "real time" CM guidance and direction as...

Supervisor I, Case Manager Orange, CA 92868, USA Req #724 Tuesday, April 9, 2024 HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment. Benefits and perks: HR360...

Job DescriptionJob DescriptionSeeking upbeat, driven individuals who are looking for a long-term position within a growing company.Our client service representatives provide valuable consultation to veterans and their families, regarding eligibility, supporting documentation, and long-term care planning.Duties & Responsibilities:Meeting and completing phone...

Job DescriptionJob DescriptionJOB DESCRIPTIONPosition: CCA Case ManagerPay Range: $23-$27Reporting To: Lead Case Manager, Director of Waiver ServicesWork Type: RemotePOSITION SUMMARYThe Case Manager is responsible for the care coordination of clients for the ALWP clients under the Care Coordination Agency (CCA). Care coordination includes identifying,...

Job DescriptionJob DescriptionBusy, Successful Firm in Orange is seeking full-time Assistant/Case Manager to join our team.This position offers a friendly and casual work environment. The ideal candidate must have strong follow-through skills, detail-oriented, highly organized, team-minded, self-starter with great verbal and written communication...

**Coordinator/Case Manager** **Isaiah House is a loving and supportive shelter that has provided temporary housing services since 1988 for unhoused adults and families. Join us in making a difference in the lives of the most vulnerable members of our community.** Monday-Friday 9am-5pm The Coordinator/Case Manager shall be responsible for assisting in all...

Job DescriptionJob DescriptionDirector of Case Management (RN)The Director of Case Management is responsible for the coordination of the hospital-wide case management program. Oversees review of patient’s medical record to ensure proper utilization of hospital services. Assists case managers in providing timely coordination of care and discharge planning....

Director of Case Management (RN)The Director of Case Management is responsible for the coordination of the hospital-wide case management program. Oversees review of patient's medical record to ensure proper utilization of hospital services. Assists case managers in providing timely coordination of care and discharge planning. Assures screening of all...

**Summary** The Case Manager IV will be responsible for providing direct program implementation activities as an integral part of the agency’s Behavioral Health and Support Services unit under the direct supervision of the Program Manager. Responsibilities include providing Intensive Case Management Services (ICMS) for people who were are at high risk and...

Manager of Provider Contracting manages and leads physician contracting activities and negotiations for assigned region. Oversee and supervise staff in maintaining and building assigned networks with full panel of Primary Care Physicians and Specialty providers. Provide guidance to staff in identifying network needs to negotiate Memorandums of Understanding...

Job Description As a senior member of the corporate tax team, the Senior Manager will work closely with the Vice President of Tax on all U.S. federal and state tax related activities including the complex technical aspects of Accounting for Income taxes, Income Tax compliance, Tax Planning, and memo documentation. The Manager, Tax will report to the Senior...

A law firm in Orange, CA, is seeking a Post-Conviction Relief Associate Attorney to join their team. The successful candidate will be responsible for handling post-conviction relief cases, providing legal counsel to clients, and managing various criminal cases. Here are the details in a bulleted format: Job Overview: Advise clients on their legal rights in...

Pharmacy Resident The main responsibilities of the Pharmacy Resident include: 1) management of pharmacy related STAR/HEIDS measures; 2) management of MTM (Medication Therapy Management) in collaboration with select health plans; 3) development of monthly quality slides and educational materials for members and providers; 4) providing coverage for medication...

Brand Manager Orange, CA / HYBRID 3 days onsite 2 remote Full timeResponsibilities include assisting with annual brand planning and execution, brand strategy, new product development, packaging and P&L and budget management.Business planning, P&L management, business initiative execution: Participates in the development and execution of annual operating plan...

For direct patient care roles: Performs and maintains currency of essential competencies as required by specific area of hire and populations served. Medical Staff Administrative Support - Supports the QM/UM Director, Medical Director, Associate Medical Director, U/M Medical Director, and Administration:  Prepares routine reports, records,...

Job DescriptionJob DescriptionDescription:We are seeking an experienced and dedicated Medical Director to join and lead our Infusion Center team. The ideal candidate will be responsible for overseeing the clinical operations, ensuring the delivery of high-quality patient care, and maintaining the highest standards of safety and efficiency.Requirements:Key...