Care Manager I
3 weeks ago
Care Manager I (CA)
Fully remote-must sit in PST or MT time zones and have CA RN license and work PST hours (8 Am - 5 PM)
Remote- CA
03 months
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
Responsibilities:
* Develop, assess and adjust, as necessary, the care plan and promote desired outcome
* Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
* Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
* Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
* Provide patient and provider education
* Facilitate member access to community based services
* Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
* Actively participate in integrated team care management rounds
* Identify related risk management quality concerns and report these scenarios to the appropriate resources
* Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Education/Experience:
Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in an clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
Required Skills/Experience:
1.
Experience with Medicare/Medicare required
2.
Case management experience, home health, hospice, clinical
3.
Experience with Geriatrics,
Education Requirement:
Current RN license in CA
#J-18808-Ljbffr
-
O&I Business Development Manager
6 hours ago
California, United States Alchemy Global Talent Solutions Ltd. Full timeJob Ref: 17415 Our client a very successful moving company based in the San Diego area is looking to expand their Commercial Moving O & I business with a Business Development Manager/ Sales Representative. Responsibilities: Business development of commercial moving, office and industrial, and all potential business moving opportunities. Speaking with clients...
-
Research Associate I
2 weeks ago
California, United States Cedars-Sinai Full timeJob DescriptionJoin Dr. Clive Svendsen and his research group as a Research Associate I in the Cedars-Sinai Regenerative Medicine InstituteThe Svendsen Laboratory at Cedars-Sinai Medical Center, Regenerative Medicine Institute is looking for personnel to join our dynamic group. The mission of the Svendsen Laboratory is to study neurodegenerative diseases...
-
Research Associate I
2 weeks ago
California, United States Cedars-Sinai Full timeJob DescriptionJoin Dr. Arun Sharma and his research group as a Research Associate I in the Cedars-Sinai Regenerative Medicine InstituteThe Sharma Laboratory at Cedars-Sinai Medical Center, Regenerative Medicine Institute is looking for personnel to join our new and dynamic group. The mission of the Board of Governors Regenerative Medicine Institute aims to...
-
Plant Human Resources Manager
3 weeks ago
Vernon, California, United States O-I Full timeJob Description The Plant Human Resources Manager will be accountable for delivering human resources leadership for a manufacturing facility. This hands-on position is responsible for driving the implementation of HR processes and initiatives and promoting a results oriented and performance driven culture. The Plant Human Resources Manager should...
-
Director - Utilization Management
3 weeks ago
California, United States Apollo Medical Holdings, Inc. Full timeJob Title: Director, Utilization Management Department: Health Services - UM About the Role: Leads and shapes the Utilization Management (UM) Strategy for Astrana Health while providing management oversight in implementing, directing, and monitoring the Utilization Management Department functions, including prior authorizations, concurrent review, medical...
-
Engineer I
19 hours ago
California, United States INTELLECTT INC Full timeRole: Engineer I Location: Irvine, CA - 92614 Space Designation: Onsite = dedicated workspace & at least 80% onsite Job Description This position will be in THV Quality Engineering, Global Product Surveillance (GPS). The GPS team is responsible for leading and performing critical engineering investigations on globally reported complaints for...
-
Buyer I
2 weeks ago
California, United States Noah Medical Full timeAbout The Team: As any entry level Buyer I, you are primarily responsible for supporting the Sr Buyers and Commodity Managers in day-to-day purchasing execution. This includes the ongoing procurement of materials, components, equipment, supplies, and services as well as supplier follow up and cross-organizational purchasing support that meets the quality...
-
Respiratory Therapist I
4 weeks ago
Oxnard, California, United States CommonSpirit Health Full timeOverview: St. John’s Regional Medical Center located in Oxnard California is a recognized as a Top 250 Hospital in the Nation and as one of America’s 100 Best Hospitals for Cardiac Care by Healthgrades. St. John’s Regional is a part of Dignity Health’s Southern California Division and is a member of CommonSpirit Health the largest not-for-profit...
-
Research Lab Assistant I Per Diem
4 days ago
California, United States Cedars-Sinai Full timeJob DescriptionJoin Dr. Dmitriy Sheyn and his research group as a Research Lab Assistant I in the Cedars-Sinai Regenerative Medicine InstituteThe Sheyn Lab focuses on the development of stem cell therapies for multiple musculoskeletal disorders caused by acute injuries and aging. Using gene editing, biomechanical forces and specific transcription factors,...
-
Occupational Therapist I
2 weeks ago
Oxnard, California, United States CommonSpirit Health Full timeOverview: St. John’s Regional Medical Center located in Oxnard California is a recognized as a Top 250 Hospital in the Nation and as one of America’s 100 Best Hospitals for Cardiac Care by Healthgrades. St. John’s Regional is a part of Dignity Health’s Southern California Division and is a member of CommonSpirit Health the largest not-for-profit...
-
Marketing Manager
3 weeks ago
California, United States Kinetica UK Ltd Full timeSearch our vacancies within the Life Science, MedTech and Healthcare sectors below. Marketing Manager - California - Medical Device At Kinetica we are currently representing a growth stage, commercial medical device company, developing revolutionary access device technology for neurovascular interventions.They are currently searching for a Marketing Manager...
-
Client Care Coordinator
4 weeks ago
Arcadia, California, United States Krista Care LLC Full timeWe at Krista Care believe in a client first approach. You must be compassionate to work with Krista Care. We are more than just a team as we treat each other as family. If you are looking for a company that will treat you like family, then Krista Care is for you. The core of this position to maintain employee records for compliance purposes, as well as...
-
Client Care Coordinator
4 weeks ago
Anaheim, California, United States Krista Care LLC Full timeWe at Krista Care believe in a client first approach. You must be compassionate to work with Krista Care. We are more than just a team as we treat each other as family. If you are looking for a company that will treat you like family, then Krista Care is for you. The core of this position to maintain employee records for compliance purposes, as well as...
-
Medical Office Rep Float I
3 weeks ago
Elk Grove, California, United States CommonSpirit Health Full timeOverview: Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health – one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today...
-
Admin I
1 day ago
California, United States CorVel Corporation Full timeThe Administrative Assistant performs diverse administrative responsibilities for various levels of staff within the company. This position coordinates various projects and prepares reports and information which may be of a highly confidential and critical nature, supporting the goals of local management, and of CorVel. This is an onsite role at our Folsom,...
-
Accounting Manager
24 hours ago
California, United States LivinginHongKong.org Full timeThis position in based in HK and will work closely with Head of Financial Accounting APAC to support finance operations and strategic initiatives for our fast-growing APAC Hong Kong organization. THE GIG The role is to be a dedicated lead to various Finance related projects overseeing the planning and working towards solutions. He/ she will organize and...
-
Research - Surgery Chair, Research Associate I
4 weeks ago
California, United States Cedars-Sinai Full timeJob DescriptionWhen the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of happiness, passion, and dedication pulses through Cedars-Sinai, and it's just one of the many reasons why we rank as one of the top hospitals in the nation by U.S. News & World...
-
Care Manager RN
4 weeks ago
Burbank, California, United States Saunders Staffing Agency Full timeJob Category: Care Management Case Management is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners, and the community. The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management. Recognizing...
-
Information Technology Program Manager – I
4 weeks ago
Los Angeles, California, United States Vanir Construction Management, Inc. Full timeAbout Vanir: Vanir has been exceeding client expectations since 1964. Our progressive growth and quality of service has led Vanir to become consistently ranked among the top construction management firms in the nation by Engineering News-Record. As we continue growing into new areas and markets, our focus is to maintain a team of creative, ambitious, and...
-
Pay Role Clerk
5 days ago
Tracy, California, United States O-I Full timeJob Description The Pay Role Clerk / HR Generalist will: Have full ownership of payroll & payroll processes Train and monitor work accuracy of HR/Payroll responsibilities with managers Coordinate all compliance/ethics training for hourly and salary employees Manage new hire orientation for all hourly and salary employees Work with union employees and...