Case Manager
4 weeks ago
The Case Management Coordinator plays a vital role in supporting the utilization review process at Cedars-Sinai. This position requires strong written and communication skills, as well as the ability to interact with Medical Directors, Providers, and other stakeholders to ensure the delivery of high-quality, cost-effective healthcare.
Duties and Responsibilities:- Process referral authorization requests, including coding and quantities.
- Answer incoming calls from Providers, IPAs, and Medical Groups, and assist with queues as needed.
- Manage the Fax Inbox and distribute incoming faxes, ensuring compliance with internal security measures.
- Verify member eligibility before processing authorizations.
- Research issues with facilities, including contract and discharge information.
- Identify non-contracted providers and request Letters of Agreement.
- Request support documentation from IPAs and Medical Groups as needed.
- Process Extensions and Denial Letters.
- Prepare Utilization Review Reports.
- Assist Case/Care Managers in coordinating and arranging services for members.
- Provide assistance to the Claims Department as needed.
- Document patient information in appropriate systems.
- Assist in verifying health plan benefits and coordinating ambulatory services.
- Review hospital admissions information and update inpatient, SNF, home health, and DME referrals.
- Print and distribute daily census.
- Seek referrals for target patient populations, including fragile seniors and patients with specific diseases.
- Act as a liaison and capture information for ACM/disease state management programs.
- Coordinate care for high-risk/high-cost patient populations, including referrals to community resources and ancillary providers.
- High school diploma/GED required.
- One year of healthcare experience, including medical terminology and community resources.
- One year of utilization management or managed care experience preferred.
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Case Manager
4 weeks ago
Beverly Hills, California, United States Rezvani Law Firm Full timeJob SummaryWe are seeking a highly skilled and experienced Case Manager to join our team at Rezvani Law Firm. The ideal candidate will have a strong background in personal injury law and excellent communication skills.The Case Manager will be responsible for managing client relationships, investigating cases, and coordinating with insurance companies and...
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Senior Case Manager
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Beverly Hills, California, United States Razi Law Group A Professional Law Full timeJob DescriptionRazi Law Group A Professional Law is seeking a highly skilled Senior Case Manager to join our team. As a Senior Case Manager, you will be responsible for managing personal injury cases from medical treatment to preparing the case for demands.The ideal candidate must have at least 2 years of experience in managing personal injury cases. Skills...
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Nurse Case Manager
4 weeks ago
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Nurse Case Manager
4 weeks ago
Beverly Hills, California, United States UCLA Health Full timeTransform Lives as a Nurse Case Manager at UCLA HealthAre you a dedicated and compassionate nurse looking to make a meaningful impact in the lives of others? We're seeking a skilled Nurse Case Manager to join our team at UCLA Health, where you'll have the opportunity to work with a diverse group of patients and collaborate with a multidisciplinary healthcare...
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Nurse Case Manager
4 weeks ago
Beverly Hills, California, United States HealthEcareers - Client Full timeJob SummaryWe are seeking a skilled Registered Nurse to join our team as a Case Manager in our Adult Psychiatry department at Salem Hospital. As a Case Manager, you will be responsible for providing high-quality patient care and coordinating services to ensure seamless transitions throughout the patient's journey.Key ResponsibilitiesConduct comprehensive...
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Nurse Case Manager Position
3 weeks ago
Beverly Hills, California, United States J Edward Staffing LLC Full timeJob Summary: We are seeking a skilled Registered Nurse to fill a Long-Term Case Manager position with our client. The ideal candidate will have experience in hospital case management, discharge planning, and utilization review. This is a 13-week contract opportunity with a competitive hourly rate of $62.75. Responsibilities: - Provide case management...
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Nurse Case Manager Position
4 weeks ago
Beverly Hills, California, United States Incredible Health Full timeNurse Case Manager Job DescriptionIncredible Health is actively hiring a Nurse Case Manager (RN) in the Beverly, MA area.Key Responsibilities:Conduct comprehensive patient assessments, including medical history, medication, treatment plans, and psychosocial needs.Collaborate with healthcare providers, patients, and families to develop and implement...
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Bilingual Legal Case Manager
4 weeks ago
Beverly Hills, California, United States Jalilvand Law Corporation Full timeJalilvand Law Corporation Job OpportunityWe are seeking a highly skilled Bilingual (Spanish) Legal Case Manager to contribute to our team in Beverly Hills, CA. The ideal candidate will possess excellent writing and oral communication skills, be proficient with business software, and demonstrate initiative, teamwork, and adaptability.Key...
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Senior Clinical Case Manager
4 weeks ago
Beverly Hills, California, United States J Edward Staffing LLC Full timeJob SummaryWe are seeking a highly skilled Registered Nurse to join our team as a Case Management Specialist. The ideal candidate will have experience in long-term care and a strong background in discharge planning and utilization review.Key Responsibilities:Provide high-quality patient care and coordinate discharge planningCollaborate with healthcare teams...
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Case Manager
4 weeks ago
Beverly Hills, California, United States Communitas, Inc. Full timeEmpowering People. Supporting Independence. Inspiring Dreams.At Communitas, Inc., we are dedicated to delivering individualized, family-centered services, programs, and support for people with intellectual and developmental disabilities, throughout their life span and in their communities.Why Work for Us?As a valued member of our team, you will contribute to...
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RN Supervisor, Case Management Leader
4 weeks ago
Beverly Hills, California, United States Cedars-Sinai Full timeJob Overview Cedars-Sinai is seeking a highly skilled RN Supervisor, Case Management to join our team. The successful candidate will be responsible for providing oversight of the daily workflow within the department, ensuring accuracy and timeliness of referrals processing, and developing policies and procedures to improve efficiency. Key...
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Clinical Case Manager
3 weeks ago
Beverly Hills, California, United States Mass General Brigham Full timeJob SummaryMass General Brigham is seeking a skilled Clinical Case Manager to join our team in Beverly, Massachusetts.This is an excellent opportunity for new graduates to meet experience and supervisory criteria for licensure in LMHC or LICSW tracks.The successful candidate will provide inpatient case management, psychosocial assessments, individual and...
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Advanced Practice Nurse
3 weeks ago
Beverly Hills, California, United States UCLA Health Full timeMake a Difference in Someone's LifeAt UCLA Health, we're passionate about delivering the highest quality patient care. As an Advanced Practice Nurse - Case Manager, you'll have the opportunity to make a significant, positive difference in someone's life every day.You'll work in a positive, supportive, and collaborative environment that makes ours one of the...
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Legal Case Coordinator
3 weeks ago
Beverly Hills, California, United States Jalilvand Law Corporation Full timeJob Summary: We are seeking a highly motivated and detail-oriented Legal Case Assistant to join our team at Jalilvand Law Corporation in Beverly Hills, CA. As a Legal Case Assistant, you will play a crucial role in supporting our Case Managers and Supervising Attorneys in resolving property damage claims, managing medical and billing records, and...
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RN Case Manager, Home Health Professional
4 weeks ago
Beverly Hills, California, United States Humana Inc Full timeAbout the RoleWe are seeking a highly skilled and compassionate RN Case Manager to join our Home Health team. As a key member of our care team, you will play a vital role in providing high-quality patient care and ensuring the best possible outcomes for our patients.Key ResponsibilitiesProvide admission, case management, and follow-up skilled nursing visits...
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Legal Case Coordinator
4 weeks ago
Beverly Hills, California, United States Jalilvand Law Corporation (JLC) Full timeJalilvand Law Corporation (JLC) is a dynamic law firm in Beverly Hills, CA, seeking a motivated Legal Case Assistant to join our team.We are looking for individuals who demonstrate initiative and embody a mindset of personal accountability. Fluency in oral and written Spanish is a preferred qualification for this position.Key Responsibilities:Assist in...
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Legal Case Coordinator
4 weeks ago
Beverly Hills, California, United States Jalilvand Law Corporation (JLC) Full timeJalilvand Law Corporation (JLC) Career OpportunityWe are seeking a highly motivated and detail-oriented Legal Case Assistant to join our team in Beverly Hills, CA. As a key member of our firm, you will play a crucial role in supporting our Case Managers and Supervising Attorneys in resolving property damage claims.Responsibilities:Assist in locating and...
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RN Hospice Case Manager
3 weeks ago
Beverly Hills, California, United States Gentiva Full timeAbout Gentiva HospiceGentiva Hospice is a leading provider of hospice care, dedicated to delivering compassionate and personalized support to patients and their families.As a Hospice RN Case Manager, you will play a vital role in our team, working closely with patients, families, and healthcare professionals to provide high-quality care and support.Key...
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RN Case Manager, Home Health Professional
4 weeks ago
Beverly Hills, California, United States Humana Inc Full timeAbout the Role:As a Home Health RN Case Manager with CenterWell Home Health, you will play a vital role in delivering high-quality, patient-centered care to individuals in the comfort of their own homes. Our team is dedicated to providing comprehensive home care services, and we are seeking a skilled and compassionate RN to join our team.Key...
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Legal Case Coordinator
4 weeks ago
Beverly Hills, California, United States Jalilvand Law Corporation Full timeJalilvand Law Corporation Job OpportunityWe are seeking a highly motivated and detail-oriented Legal Case Assistant to join our team in Beverly Hills, CA. As a key member of our firm, you will be responsible for providing administrative support to our attorneys and assisting with case management tasks.Key Responsibilities:Assist attorneys with case...