Pediatric Health Care Manager

1 week ago


Irvine, California, United States OptumCare Full time

Monarch HealthCare is a leading association of physicians and health care professionals in Orange County and Long Beach. Our expansive network provides unparalleled access to specialists, hospitals, skilled nursing facilities, urgent care centers, and more.

About Monarch

We are part of OptumCare, a care delivery organization dedicated to improving patient health and enhancing the effectiveness of healthcare systems.

The Role

This Pediatric Health Care Manager position is an office-based opportunity located in Irvine, CA, requiring occasional travel (up to 30%) within the Orange County area.

Responsibilities:
  • Conduct concurrent reviews to ensure accurate level-of-care determinations.
  • Craft comprehensive discharge plans that promote efficient transitions.
  • Coordinate out-of-network services for discharged patients.
  • Monitor and optimize in-network utilization of specialists, providers, facilities, and vendors.
  • Present cases to medical directors, case managers, and post-acute services during daily readmission review rounds.
  • Facilitate out-of-network transfers to in-network facilities.
  • Collaborate with internal and hospital contract staff to streamline OON services.

You will work closely with Monarch Hospitalists to develop and implement inpatient processes, including identification of patients for specialty clinics, facilitation of timely communication between PCPs and Hospitalists, and direct Case Management activities when necessary.

What You'll Gain:
  • A rewarding career in a dynamic environment that values employee growth and development.
  • The opportunity to make a meaningful impact on patient care and outcomes.
  • A competitive salary, estimated at $140,000 annually, based on industry standards and regional factors.
  • A one-time sign-on bonus of $5,000.


  • Irvine, California, United States Lollipop Pediatric Dentistry & Orthodontics Full time

    Job Summary:We are seeking a highly skilled and experienced Clinical Manager to oversee the clinical operations of our pediatric and orthodontic dental practice. The ideal candidate will have a strong background in dental management, excellent leadership skills, and a passion for delivering exceptional patient care.Key Responsibilities: Oversee daily...

  • Pediatric Nurse

    1 week ago


    Irvine, California, United States Ro Health, LLC Full time

    About the RoleWe are seeking a highly skilled Pediatric Nurse to join our team as a School Health Specialist at Ro Health, LLC.Key ResponsibilitiesProvide high-quality patient care and services to students in public schools throughout Orange CountyConduct thorough assessments, develop and implement individualized plans of care, and provide ongoing support to...


  • Irvine, California, United States Ro Health, LLC Full time

    About Ro Health, LLCWe are a primary provider of school nursing opportunities in Orange County. We partner with school districts to fill and provide quality nurses to their current and future vacancies.Salary InformationThe hourly compensation for this role is between $30-$36 per hour. As a per diem nurse, you will have the opportunity to earn competitive...


  • Irvine, California, United States Ro Health, LLC Full time

    Ro Health, LLC is currently hiring qualified Licensed Vocational Nurses (LVNs) to join our staff and work in public schools across Orange County.Why Choose Ro HealthWe offer a range of benefits to complement your lifestyle, including:Competitive compensation: $30-$36 per hourWeekly paychecksVarying shift schedules to suit your needsIn addition to a...


  • Irvine, California, United States Ro Health, LLC Full time

    Ro Health School Nursing OpportunitiesWe are currently hiring licensed vocational nurses to work with Ro Health, a primary provider of school nursing services in Orange County. Our team provides quality care to students in various locations across the county.About the Position:This per diem LVN role offers a competitive hourly rate of $30-$36, depending on...


  • Irvine, California, United States CHOC Childrens Hospital Full time

    Company Overview: Premier Pediatrics, a leading pediatric practice in Irvine, CA, seeks an experienced Pediatrician to join its team. With 24 years of service and recognition for quality excellence, this opportunity offers a dynamic work environment.">">Job Description: The successful candidate will provide high-quality patient care in a busy pediatric...


  • Irvine, California, United States CHOC Childrens Hospital Full time

    Seeking Pediatrician for Busy Practice in Irvine, CAWe are seeking a skilled Pediatrician to join our team at Premier Pediatrics in Irvine, CA. This is an exciting opportunity to work with a well-established practice that has been recognized for quality excellence by reputable organizations.About Our Practice:We have a mature and independent private practice...


  • Irvine, California, United States ABC CHILDREN'S CLINIC INC. Full time

    Job OverviewWe are seeking a highly skilled and experienced Medical Assistant to join our team at ABC CHILDREN'S CLINIC INC. in California.The ideal candidate will have a strong background in pediatric care, with the ability to provide top-notch patient service and support our front and back office operations.About UsAs a leading pediatric clinic in...


  • Irvine, California, United States Ro Health, LLC Full time

    Ro Health is currently seeking qualified Licensed Vocational Nurses (LVNs) to join our staff and work in public schools across Orange County.About UsWe are a leading provider of school nursing services, partnering with districts to fill vacancies and provide quality nurses. Our commitment to clinical support has earned us a reputation as a trusted partner in...


  • Irvine, California, United States Ro Health, LLC Full time

    We are seeking qualified Licensed Vocational Nurses (LVNs) to join our team at Ro Health, LLC. As a pediatric nurse practitioner, you will have the opportunity to work in public schools across Orange County, providing high-quality patient care and making a positive impact on the lives of children.Why Choose Ro Health?At Ro Health, we offer a range of...


  • Irvine, California, United States Ro Health, LLC Full time

    Company OverviewRo Health, LLC is a leading provider of school nursing services in Orange County.Salary: $30 - $36 per hourAbout the RoleWe are seeking a skilled and dedicated Pediatric Nurse Specialist to join our team as a School Nurse Rover. This is a unique opportunity to work in public schools across Orange County, providing quality patient care and...


  • Irvine, California, United States OptumCare Full time

    Monarch HealthCare is one of the largest associations of physicians and health care professionals in Orange County and Long Beach.We offer a unique opportunity for a dedicated Pediatric Care Specialist to join our team in Irvine, CA.The estimated salary for this role is $85,000 - $110,000 per year, depending on experience.About the RoleThis is an...


  • Irvine, California, United States Lollipop Pediatric Dentistry & Orthodontics Full time

    We are seeking a skilled and experienced Clinical Manager to oversee the clinical operations at Lollipop Pediatric Dentistry & Orthodontics. As a key member of our team, you will be responsible for ensuring exceptional patient care, compliance with clinical protocols, and the efficient functioning of the dental team.Key Responsibilities:Clinical...

  • Pediatric Nurse

    6 days ago


    Irvine, California, United States Ro Health, LLC Full time

    We are seeking a qualified Licensed Vocational Nurse (LVN) to join our team at Ro Health, LLC. As an LVN with Ro Health, you will have the opportunity to work in public schools across Orange County.About Ro HealthRo Health, LLC is a leading provider of school nursing services in Orange County. We pride ourselves on offering a supportive and collaborative...


  • Irvine, California, United States UCI Health Full time

    Job Summary: We are seeking an experienced Health Information Coder II to join our team at UCI Health. As a key member of our healthcare organization, you will be responsible for abstracting and coding outpatient visits using ICD-10 CM and CPT codes. You will work closely with our HIM team to ensure accurate and timely coding, preparing production reports,...


  • Irvine, California, United States All Medical Personnel Full time

    About the Role:We are seeking an experienced Critical Care Nurse to join our travel team. This opportunity allows you to work in a variety of pediatric intensive care settings while enjoying the flexibility of traveling assignments.Job Summary:The successful candidate will provide patient care to critically ill neonatal, pediatric, and adult populations....


  • Irvine, California, United States One Medical Full time

    About One MedicalWe're a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for years.In...


  • Irvine, California, United States Neogen Care Full time

    We are a well-established 5-star rating agency in the San Francisco Bay Area, founded in 2014 and dedicated to transforming healthcare provided and received by patients in their homes. Our vision is to improve the quality of life with our team of specially trained nurses, therapists, and caregivers.As a leading provider of medical and non-medical home care...


  • Irvine, California, United States One Medical Full time

    We are committed to delivering exceptional healthcare to our patients. Our team of providers work together to ensure that every patient receives the highest quality care.About UsOne Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. We're on a mission to transform...


  • Irvine, California, United States Agape Home Care Full time

    Agape Home Care is seeking dedicated and compassionate individuals to provide top-notch care for our elderly clients. As a key member of our team, you will play a vital role in enhancing the quality of life for our clients and their families.Job SummaryWe are looking for experienced caregivers who can assist with daily living activities, communicate...