Case Manager

2 days ago


Orange, United States The Judge Group Full time

Judge Healthcare is currently seeking a Case Manager LVN (Concurrent Review) in Orange, CA


You will be responsible for providing case management intervention on behalf of members with short term, stable and predictable courses of illnesses. You would also be responsible for answering the medical appropriateness, quality and cost effectiveness of proposed hospital/medical/surgical services in accordance with established criteria.


Responsibilities:

  • Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
  • Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
  • Reviews and evaluates proposed services utilizing medical criteria and/or established policies and procedures. This includes review of submitted medical documentation and/or photographs.
  • Determines the appropriate action regarding the service being requested for approval, modification, or denial, and refer to the Medical Director for review when necessary.
  • Determines if the inpatient setting requested for surgery and/or medical care is appropriate. Identifies diagnosis and determine need for continuing hospitalizations

Qualifications & Requirements:

  • HS Diploma required
  • Current CA LVN licensed required.
  • 3+ years clinical experience with 1+ year in managed care setting.
  • 1+ year concurrent review experience preferred.
  • Bilingual is a plus


If this would be of interest to you or someone you might know, please apply by clicking on the link on the job posting. If you would like more information or have any questions, please reach out to Jacob at jmaybrier@judge.com


Thank You,

Jacob


  • Registered Nurse

    5 days ago


    Orange, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is excited to announce an opportunity for a skilled Registered Nurse to join our team as a travel nurse in Orange, California.About the RoleWe are seeking a dedicated and compassionate Case Manager-Registered Nurse with 8 hour shifts and 40 hours per week to provide exceptional care to patients in need. This assignment...


  • Orange, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is seeking a highly skilled travel nurse to join their team as a Case Manager. With a strong background in healthcare, this individual will be responsible for assessing patient needs, developing care plans, and coordinating with other healthcare professionals to ensure seamless patient care.This role offers an exciting...


  • Orange, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is a leading provider of travel nursing services, and we are currently seeking a highly skilled Case Manager to join our team for a 13-week assignment in Orange, California.About the Job:We are looking for an experienced Registered Nurse with excellent case management skills to work with our clients in Orange, California. As...


  • Orange, California, United States TotalMed Case Management Staffing Full time

    About TotalMed Case Management Staffing:We are a company that truly cares about our travelers and clients. Our mission is to deliver exceptional service and support while providing opportunities for professional growth and development.We believe in the importance of teamwork, communication, and empathy in delivering high-quality patient care. If you share...


  • Orange, California, United States TotalMed Case Management Staffing Full time

    We are seeking a dedicated and compassionate Registered Nurse (RN) for our case management team. This exciting opportunity is perfect for individuals who are passionate about delivering exceptional patient care and making a meaningful difference in the lives of others.About TotalMed Case Management StaffingTotalMed Case Management Staffing is a leading...


  • Orange, California, United States TotalMed Case Management Staffing Full time

    TotalMed Case Management Staffing is a leading healthcare staffing agency seeking a highly skilled Registered Nurse to fill a Case Management position in Orange, California.About the JobThis 13-week assignment offers the opportunity to work with a dynamic team and contribute to providing exceptional patient care. As a Registered Nurse in this role, you will...

  • Case Manager

    15 hours ago


    Orange, United States Ingenious Tax Relief Full time

    About Us:At Ingenious Tax Relief, we specialize in providing tax resolution services for individuals and small businesses. Our mission is to offer personalized, expert advice and solutions to help our clients navigate complex tax challenges. As we continue to grow, we're looking for a dedicated Case Manager to join our team and support our clients through...

  • Case Manager

    21 hours ago


    Orange, United States Ingenious Tax Relief Full time

    About Us:At Ingenious Tax Relief, we specialize in providing tax resolution services for individuals and small businesses. Our mission is to offer personalized, expert advice and solutions to help our clients navigate complex tax challenges. As we continue to grow, we're looking for a dedicated Case Manager to join our team and support our clients through...

  • Case Manager

    3 days ago


    Orange, United States The Judge Group Full time

    Judge Healthcare is currently seeking a Case Manager LVN (Concurrent Review) in Orange, CA!!You will be responsible for providing case management intervention on behalf of members with short term, stable and predictable courses of illnesses. You would also be responsible for answering the medical appropriateness, quality and cost effectiveness of proposed...

  • Case Manager

    2 days ago


    Orange, United States The Judge Group Full time

    Judge Healthcare is currently seeking a Case Manager LVN (Concurrent Review) in Orange, CA!!You will be responsible for providing case management intervention on behalf of members with short term, stable and predictable courses of illnesses. You would also be responsible for answering the medical appropriateness, quality and cost effectiveness of proposed...

  • Case Manager

    3 months ago


    Orange, United States The Judge Group Full time

    Judge Healthcare is currently seeking a Case Manager LVN (Concurrent Review) in Orange, CA!!You will be responsible for providing case management intervention on behalf of members with short term, stable and predictable courses of illnesses. You would also be responsible for answering the medical appropriateness, quality and cost effectiveness of proposed...


  • Orange, California, United States UC Irvine Medical Center Full time

    Job TitleNursing - Case ManagerAbout the JobWe are seeking an experienced Case Manager/Utilization Review professional to join our team at UC Irvine Medical Center. As a case manager, you will play a vital role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes.Key ResponsibilitiesWork collaboratively with...

  • Medical Case Manager

    3 weeks ago


    Orange, United States Equiliem Full time

    Summary of Need:Health is seeking a highly motivated and experienced TEMP to join our team. Case Management is an advanced specialty collaborative practice responsible for providing ongoing case management services . The role will facilitate communication and coordination among all participants of the health care team members to ensure the services provided...


  • Orange, United States Astiva Health, Inc Full time

    Job Title: Case Management CoordinatorTarget Compensation Range: $26.00 - $30.00/hour, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our...


  • Orange, United States Astiva Health, Inc Full time

    Job Title: Case Management CoordinatorTarget Compensation Range: $26.00 - $30.00/hour, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our...

  • Case Management Nurse

    1 month ago


    Orange, United States The Judge Group Full time

    Judge Healthcare is currently seeking an RN Case Manager in Orange, CA!Contract: Ongoing Contract (W2, Weekly Pay, Benefits Available) - Extensions/Conversions Likely Hours: Monday-Friday 8a-5pLocation: Onsite in Orange, CA About the Role: Join our team as a Medical Case Manager, where you’ll play a crucial role in providing ongoing case management...

  • Nurse Case Manager

    1 week ago


    Orange, California, United States CHOC - Children's Health Orange County Full time

    Nurse Case Manager OpportunityCHOC - Children's Health Orange County is seeking a dedicated Nurse Case Manager to join our Hematology Oncology clinic team.This role involves working closely with patients and families to navigate the pediatric system of care, ensuring seamless transitions and efficient use of healthcare resources.About the Position:Develop...


  • Orange, California, United States Kinetic Personnel Group Full time

    About the JobWe are seeking a skilled Medical Case Manager to join our team at Kinetic Personnel Group. As a Medical Case Manager, you will be responsible for providing ongoing case management services for health plan members. This role requires strong communication and coordination skills to facilitate collaboration among healthcare teams and ensure...

  • Case Manager

    1 week ago


    Orange, United States American Veterans Aid Full time

    Seeking upbeat, driven individuals who are looking for a long-term position within a growing company.Our client service representatives provide valuable consultation to veterans and their families, regarding eligibility, supporting documentation, and long-term care planning.Duties & Responsibilities:Meeting and completing phone appointments with clients as...

  • Case Manager

    1 week ago


    Orange, United States American Veterans Aid Full time

    Seeking upbeat, driven individuals who are looking for a long-term position within a growing company.Our client service representatives provide valuable consultation to veterans and their families, regarding eligibility, supporting documentation, and long-term care planning.Duties & Responsibilities:Meeting and completing phone appointments with clients as...