Case Manager I
4 weeks ago
We are seeking a skilled and compassionate Registered Nurse Case Manager to join our team at Sharp HealthCare. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality patient care and outcomes.
Key Responsibilities- Assess, develop, implement, and coordinate comprehensive plans of care for patients and families in collaboration with physicians, social workers, and other healthcare professionals.
- Conduct initial reviews at the point of entry or within 24 hours of admission, utilizing evidence-based care guidelines software to identify anticipated length of stay and document findings in the electronic medical record.
- Conduct daily concurrent reviews per protocol/policy and payer request, utilizing care guideline software to identify the correct patient status and level of care.
- Work with attending providers to assure correct status and resolve conflicts, documenting interventions in the electronic medical record.
- Communicate with third-party payers to obtain necessary authorization for reimbursement of services and provide advice to Revenue Cycle/HIM regarding RAC decisions to appeal, denials, and input into appeals.
- 2 years of recent acute care nursing experience, case management experience, or equivalent experience in the healthcare setting.
- California Registered Nurse (RN) licensure.
- Preferred qualifications include a Bachelor's Degree in Nursing or equivalent degree, Master's Degree, Certified Case Manager (CCM) certification, and Accredited Case Manager (ACM) certification.
Sharp HealthCare is an equal opportunity/affirmative action employer. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
-
Case Manager I
4 weeks ago
La Mesa, California, United States Sharp Healthplan Full timeJob SummaryWe are seeking a skilled RN Case Manager I to join our team at Sharp Healthplan. As a key member of our healthcare team, you will be responsible for assessing, developing, implementing, and coordinating comprehensive plans of care for patients and families in collaboration with physicians, social workers, and other healthcare professionals.Key...
-
Case Manager I
4 weeks ago
La Mesa, California, United States Sharp HealthCare Full timeJob SummarySharp HealthCare is seeking a skilled and compassionate RN Case Manager to join our team. As a key member of our interdisciplinary team, you will play a vital role in ensuring our patients receive the highest quality care and support throughout their hospital stay and beyond.Key ResponsibilitiesConduct initial reviews of patients at the point of...
-
Case Manager
4 weeks ago
La Mesa, California, United States Kaiser La Mesa Administration Full timeJob Summary: We are seeking a skilled Case Manager to join our team at Kaiser La Mesa Administration. As a Case Manager, you will play a vital role in providing psychosocial support to individuals, families, and groups affected by chronic, acute, or terminal illnesses. Your expertise will help patients navigate the healthcare system, access necessary...
-
Travel Nurse RN Case Management Position
4 weeks ago
La Mesa, California, United States Host Healthcare Full timeHost Healthcare is seeking a travel nurse RN Case Management professional for a challenging travel nursing opportunity.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelAs a travel nurse RN Case Management with Host Healthcare, you will have the opportunity to work with a dynamic team and provide exceptional patient...
-
Travel Nurse RN Case Management Position
4 weeks ago
La Mesa, California, United States Host Healthcare Full timeHost Healthcare is seeking a skilled travel nurse RN Case Management professional to join their team. This exciting opportunity offers a chance to work in a dynamic environment and make a meaningful impact in the lives of patients.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelAs a travel nurse RN Case...
-
Travel Nurse RN Case Management Position
4 weeks ago
La Mesa, California, United States OneStaff Medical Full timeOneStaff Medical is seeking a travel nurse RN Case Management professional for a travel nursing assignment.Job DetailsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelAs a travel nurse RN Case Management professional, you will coordinate long-term care for patients, working with insurance companies to ensure they receive the best possible care...
-
Travel Nurse RN Case Management Position
4 weeks ago
La Mesa, California, United States Cross Country Nurses Full timeCross Country Nurses is seeking a travel nurse RN Case Management professional to collaborate with the healthcare team in providing high-quality patient care.As a case management nurse (RN CM), you will assess, plan, facilitate, and coordinate care for individual patients, working within and outside of facilities to ensure effective utilization of services...
-
Travel Nurse RN Case Management Position
4 weeks ago
La Mesa, California, United States OneStaff Medical Full timeOneStaff Medical is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job Description & Requirements:Specialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAs a Case Management Nurse, you will coordinate long-term care for patients, aiming to...
-
Travel Nurse RN Case Management Position
4 weeks ago
La Mesa, California, United States Cross Country Nurses Full timeCross Country Nurses is seeking a travel nurse RN Case Management professional to collaborate with the healthcare team in assessing, planning, facilitating, and coordinating care for individual patients.Job RequirementsSpecialty: Case ManagementDiscipline: RNMinimum 1 year of recent acute care experience in specialtyActive RN licenseThe ideal candidate will...
-
La Mesa, California, United States OneStaff Medical Full timeOneStaff Medical is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAs a travel nurse RN Case Management professional, you will coordinate long-term care for...
-
Travel Nurse RN Case Management Position
4 weeks ago
La Mesa, California, United States GHR Healthcare Full timeCross Country Nurses is seeking a travel nurse RN Case Management professional for a travel nursing assignment in California.As a case management nurse (RN CM), you will collaborate with the healthcare team to assess, plan, facilitate and coordinate care for individual patients.Working within and outside of facilities, you will oversee the effective...
-
La Mesa, California, United States Host Healthcare Full timeJob Title: Travel Nurse RN Case ManagementLocation: La Mesa, CaliforniaJob Type: Travel NursingEmployment Type: TravelSpecialty: Case ManagementShift: 8 hours, daysAbout the Job:Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in La Mesa, California. As a travel nurse with Host Healthcare, you will have the opportunity to...
-
Travel Nurse RN Case Manager
4 weeks ago
La Mesa, California, United States Medical Solutions Full timeMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks, 40 hours per weekShift: 8 hours, daysEmployment Type: TravelWe're seeking talented healthcare professionals who want flexibility and high pay. Some of the...
-
Travel Nurse RN Case Manager
4 weeks ago
La Mesa, California, United States Medical Solutions Full timeMedical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We're seeking talented healthcare professionals who want flexibility and high pay....
-
Director of Case Management and Operations
4 weeks ago
Costa Mesa, California, United States CareConnectMD Inc Full timeJob OverviewCareConnectMD Inc is seeking a highly skilled and experienced Director of Case Management and Operations to join our team. The successful candidate will be responsible for developing and implementing case management strategies, building relationships with partner providers, and ensuring the effective coordination of care for our patients.Key...
-
Director of Case Management Leadership
1 month ago
Costa Mesa, California, United States MedCentric Full timeJob OverviewMedCentric is seeking a seasoned healthcare professional to fill the role of Director of Case Management. This position will play a critical role in developing and implementing case management strategies that drive value-based care improvements.Key ResponsibilitiesLead the development and implementation of case management strategies that align...
-
Case Manager
1 month ago
La Habra, California, United States City of La Habra, CA Full timeAbout the PositionThe City of La Habra is seeking a skilled Case Manager to join our Employment and Training Division. As a key member of our team, you will be responsible for recruiting, program-eligibility determination, career counseling, job development, placement, and local business coordination.Key ResponsibilitiesRecruit and engage with Orange County...
-
Healthcare Professional
4 weeks ago
La Jolla, California, United States Scripps Health Full timeOverviewScripps Health is seeking a skilled Case Manager to join our team at Scripps Green Hospital. As a Case Manager, you will play a critical role in the daily management and coordination of care for patients in the hospital with identified immediate skilled post-acute care needs.ResponsibilitiesCoordinate with providers, navigators, and ancillary and...
-
Clinical Case Manager RN
1 month ago
Costa Mesa, California, United States VNS Health Full timeVNS Health is seeking a skilled Registered Nurse (RN) to join our team as a Clinical Case Manager. **Job Summary:** We are looking for a dedicated and compassionate RN to provide telephonic clinical care management services to our patients. As a Clinical Case Manager, you will be responsible for ensuring effective utilization of benefits and services,...
-
Registered Nurse Case Manager
4 weeks ago
La Quinta, California, United States WelbeHealth Full timeThe WelbeHealth PACE program provides comprehensive medical care and community-based services to seniors, enabling them to stay in their homes and communities.As a Registered Nurse (RN) Case Manager, you will play a crucial role in guiding this care as a primary voice on the interdisciplinary team (IDT).Key Responsibilities:Conduct clinic nursing assessments...