Case Manager

4 weeks ago


San Diego, United States Kaiser Permanente Zion Medical Center - KP Full time

Weekly Pay Range - $2649 To $2944

Position Summary:

  • Care for ill, injured, or convalescing patients or persons with disabilities in hospitals, nursing homes, clinics, private homes, group homes, and similar institutions.
  • May work under the supervision of a registered nurse. Licensing required.
Reports To:
  • Contracted Medical Facility's onsite Nurse Manager/Supervisor, Physicians
  • Cynet Health Account Manager
  • Cynet Health Director of Nursing
Duties and Responsibilities:
  • Performs admission, concurrent, and retrospective reviews on all patients.
  • Ensures that status and level of care determination are accurate upon admission.
  • Ensures that pre certifications/authorizations are obtained and documented appropriately for all admissions, surgeries, and procedures.
  • Follows Medicare guidelines regarding utilization review.
  • Submits telephonic and/or fax notification/clinical information
  • Follows up with insurer for authorizations.
  • Identifies potentially high risk patients and refer to Social Work.
  • Provides coaching to physicians as needed regarding effective clinical documentation Conducts Initial Assessments to develop plan of care.
  • Ensures that treatment plan is implemented, re-evaluated, and updated daily
  • Facilitates effective communication between members of the treatment team
  • Coordinates meetings w/ families and treatment team
  • Facilitates arrangement of post-acute care services
  • Acts as an advocate for the patient/family
  • Follows Medicare guidelines regarding patient choice, admit/discharge notifications, and appeals.
  • Maintains accountability for facilitating clinical patient progression through a defined plan of care to achieve optimal outcomes.
  • Identifies, document, and report quality, cost, and risk variances related to patient's plan of care.
Minimum Job Requirements:
  • Graduate of an accredited school of nursing, with current licensure in state practicing in
  • good standing in the state of practice.
  • Evidence of minimum two years of current hospital experience.
  • Evidence of current BLS credential mandatory.

  • Case Manager

    1 month ago


    San Diego, United States Alter Health Group Full time

    **Job Title: Case Manager** **Location: Dana Point, CA, Laguna Beach** **Company: Alter Health Group** **Reports to: Chief Clinical Officer** **FLSA Status: Non-Exempt** **JOB SUMMARY** Alter Health Group is seeking a results-driven and ethical Case Manager with strong leadership skills to manage and improve the efficiency of our organization's process...

  • Rn Case Manager

    1 week ago


    San Diego, United States Rady Children's Hospital-San Diego Full time

    **JOB SUMMARY**: Case Managers function as liaisons between patients, their families, and internal and external health care personnel to ensure appropriate, efficient, and timely health care service. Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays,...

  • Case Manager

    3 weeks ago


    San Diego, United States Oxford Health Group Full time

    We are looking for a talented **Case Manager** **for a homeless shelter place. If you are currently an employee $100 referral bonus for sharing your amazing work experience with your friend and getting them hired. **Come Join the team everyone is talking about!!!** #**Case Manager** **Horizon Repecurative Care** is a pillar for providing care to the...

  • Case Manager

    4 weeks ago


    San Diego, United States Metro Community Ministries Inc. Full time

    **Case Manager **will assess newly assigned participants to identify strengths and needs. Use assessment information to develop an individualized service plan. The case manager will work with individuals to create a plan of action to focus on credentialed training, job placement, and job retention strategies. The Case Manager will conduct ongoing assessment...

  • Case Manager

    3 weeks ago


    San Diego, United States Opus Health LLC Full time

    The Case Manager will work under the supervision of the Program Director. The Case Manager will perform client intake, sign all intake documents, and perform group and individual sessions. The Case Manager will perform duties while adhering to the organization's values and principals. EXPERIENCE & EDUCATION: A minimum of a High School diploma or GED is...

  • Case Manager

    2 months ago


    San Diego, United States Haitian Bridge Alliance Full time

    Job DescriptionJob DescriptionSalary: 60,000About the OrganizationHaitian Bridge Alliance, Inc. (HBA) also known as “The BRIDGE” is a 501(c)(3) grassroots nonprofit community organization that advocates for fair and humane immigration policies and provides migrants and immigrants with humanitarian, legal, and social services, with a particular focus on...

  • Case Manager

    2 weeks ago


    San Diego, United States Haitian Bridge Alliance Full time

    Job DescriptionJob DescriptionSalary: 60,000About the OrganizationHaitian Bridge Alliance, Inc. (HBA) also known as “The BRIDGE” is a 501(c)(3) grassroots nonprofit community organization that advocates for fair and humane immigration policies and provides migrants and immigrants with humanitarian, legal, and social services, with a particular focus on...

  • Case Manager

    2 months ago


    San Diego, United States Opus Health Full time

    Job DescriptionJob DescriptionThe Case Manager will work under the supervision of the Program Director. The Case Manager will perform client intake, sign all intake documents, and perform group and individual sessions. The Case Manager will perform duties while adhering to the organization's values and principals.EXPERIENCE & EDUCATION:A minimum of a...

  • Case Manager

    2 weeks ago


    San Diego, United States Opus Health Full time

    Job DescriptionJob DescriptionThe Case Manager will work under the supervision of the Program Director. The Case Manager will perform client intake, sign all intake documents, and perform group and individual sessions. The Case Manager will perform duties while adhering to the organization's values and principals.EXPERIENCE & EDUCATION:A minimum of a...

  • RN Case Manager

    1 month ago


    San Diego, United States Rady Children's Hospital-San Diego Full time

    JOB SUMMARY: Case Managers function as liaisons between patients, their families, and internal and external health care personnel to ensure appropriate, efficient, and timely health care service. Their focus includes providing clinical documentation to third party payers to facilitate authorization and reimbursement for inpatient hospital stays,...

  • Case Manager

    2 weeks ago


    San Diego, United States Children of the Rainbow Full time

    Children of the Rainbow is seeking an experienced and dynamic Case Manager to be part of a dedicated team of support staff committed to addressing the unique needs and experiences of young children who have faced trauma and adversity, with a focus on serving diverse communities. Position Overview: The Case Manager will provide culturally sensitive services...

  • Case Manager

    3 weeks ago


    San Diego, California, United States The E W Scripps Company Full time

    This is a Full-Time (70 hours per pay period) position with a day shift schedule on variable days of the week, including weekends and holidays. Located at Scripps Mercy Hospital San Diego - Hillcrest. Position is eligible for a $4,000 retention + $3,000 relocation bonus based off eligibility. Join the Scripps Health team and work alongside passionate...

  • Case Manager

    2 weeks ago


    San Diego, California, United States The E W Scripps Company Full time

    This is a Full-Time (70 hours per pay period) position with a day shift schedule on variable days of the week, including weekends and holidays. Located at Scripps Mercy Hospital San Diego - Hillcrest. Position is eligible for a $4,000 retention + $3,000 relocation bonus based off eligibility. Join the Scripps Health team and work alongside passionate...

  • Case Manager

    3 weeks ago


    San Diego, United States Marsell Wellness Center Full time

    Job DescriptionJob DescriptionJOB descriptionJob Title:Case ManagerDepartment:Location:Family WellnessSan DiegoReports To:Lead Case ManagerFLSA Status:Salary: Non-ExemptStarting at $27.40Position Summary: The Case Manager will perform a full range of targeted and/or general case management that is strength-based, needs-based, community-based, and...

  • Case Manager

    2 weeks ago


    San Diego, United States Marsell Wellness Center Full time

    Job DescriptionJob DescriptionJOB descriptionJob Title:Case ManagerDepartment:Location:Family WellnessSan DiegoReports To:Lead Case ManagerFLSA Status:Salary: Non-ExemptStarting at $27.40Position Summary: The Case Manager will perform a full range of targeted and/or general case management that is strength-based, needs-based, community-based, and...

  • Case Manager

    2 days ago


    San Diego, United States St. Vincent de Paul Village Full time

    Summary Do you want to work for a company where your work has meaning? At Father Joe’s Villages, we’re looking for compassionate, mission-driven individuals to join our team and help us end homelessness one life at a time. Our work is driven by our C.R.E.E.D which is the foundation for our interactions with clients, volunteers, other staff members and...

  • Rn Case Manager I

    14 hours ago


    San Diego, United States Sharp Healthcare Full time

    [Master's Degree; Bachelor's Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing **Hours**: **Shift Start Time**: 8:30 AM **Shift End Time**: 5 PM **AWS Hours...

  • Case Manager

    5 days ago


    San Diego, United States My Brother's Keeper Transitional Housing Full time

    Are you looking for a dynamic organization that values your person and your talent. An organization that is passionate about ensuring foster youth successfully transition from dependance to independence. My Brother’s Keeper is a new organization with plans for rapid expansion which will create many opportunities for career advancement. Love, respect, and...

  • Case Manager

    4 days ago


    San Diego, United States Home Start Inc Full time

    **Position**: FYSB Case Manager **Classification **Non**-**Exempt **Supervised By**: Housing Program Manager Home Start’s vision is for every child to have a safe, stable, and nurturing home. Guided by our mission to assure the safety and resiliency of children by strengthening families and their communities, Home Start, Inc., a non-profit child abuse...

  • RN Case Manager

    4 weeks ago


    San Diego, United States A-Line Staffing Solutions Full time

    A-Line Staffing is now hiring a Registered Nurse Case Manager with a California RN License The Registered Nurse Case Manager would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested in this position, please Apply to this Posting to Jon at Aline. Registered Nurse...