Case Manager Jobs in Aliso Viejo, California
Position Description: GENERAL SUMMARY To support the Enterprise in the medical management of Workers Compensation claim exposures. Provide Nurse Case Management Services where value added on specific claim exposures; with an emphasis on Early Intervention, Return to Work Planning, and coordination of medical care on claims involving disability and medical treatment. Support Claim Examiners in the...
Description: For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. Monday - Friday! Business hours! The Ambulatory Case Manager provides health education and coaches consumers on treatment alterna...
Our client, a very prestigious and financially stable Home Health organization is looking for a Home Health RN Case Manager for their facility in Orange County, CA. If you have at least 1 year of experience as an RN in Home Health, this would be an excellent opportunity for you!! High salary, great benefits and an excellent work/life balance are just some of the things you’ll be able to enjoy work...
Company Confidential Newport Beach, CA, 92660
RN"s and LVN's Join our "After Hours" Case Management Team From Home Job Purpose: Supports patients after discharge by planning hospital discharge; assessing continuing needs; making referrals to community resources and services. Duties: * Assesses patients' continuing needs following discharge by contributing information and expertise to the multidisciplinary case management team. * Provides disc...
Job Description Class Action Claims Administrative Company seeks to fill Full-Time Jr. Case Manager Position: JOB SUMMARY: Jr. Case Management duties include, but are not limited to, reading all case related documents, completing internal calendaring system, formatting Notice and Claim Form, and general assistance to Case Management on an as needed basis. The Jr. Case Manager will work closely wit...
Yoh has a contract opportunity for a Registered Nurse Hospital Case Manager to join our client in Fountain Valley, CA. Job Responsibilities: - Onsite Inpatient Case Management in an acute care setting - Using Managed Care guidelines such as InterQual - Performing Discharge Planning Job Qualifications: - RN License in State of CA (Must be Active and in good standing) - At least two (2) years of rec...
Job Details: This position requires five years of utilization management/discharge planning/case management experience required. Working knowledge of InterQual (severity of illness, intensity of service) criteria set required. Medical / Surgical experience desired. Case management certification preferred. Bachelor''s Degree and/or Master''s Degree in Nursing required. Good communication, negotiati...
Description The Case Manager will assess admission necessity utilizing the IQ SI/IS criteria. Review date will be assigned. If treatment plan does not meet criteria, the UR nurse will refer case to attending physician. If no determination, the UR nurse will refer the case to the Medical Director. The Case Manager will perform the initial IQ and clinical review, within one working day of admission...
Case Manager, Inpatient (Concurrent Review) Monday - Friday; 8/hr/day HMO, Desk Job About the Job: Manages a caseload of patients OON/OOA Utilization Review, Concurrent Review, Discharge Planning, Tranfers Level of Care and length of stay reviews Reviews, verifies and processes requests for referrals, inpatient and outpatient procedures, home health services, DME Strong problem solving and organiz...
Position Description: We are currently seeking a Medical Nurse Case Manager (RN) in the Anaheim area. Bilingual (English/Spanish) strongly preferred. Responsible for assessment, planning, coordination, implementation and evaluation of injured/disabled individuals involved in the medical case management process. Working as an intermediary between carriers, attorneys, medical care providers, employe...
A prestigious law firm in Orange County is seeking an experienced PI Pre-Lit Case Administrator. 4+ years as a legal assistant in a Plaintiff's PI firm. Must be detail oriented, bilingual in Spanish, computer literate, have professional telephone manner and have excellent verbal and writing skills. Candidate should be able to work in an extremely fast-paced environment. Competitive salary and bene...
A Medical Management Company near Cerritos would love to add a Utilization RN and to their team. With the changes coming everyone's way in the market, this company is growing rapidly and needs a veteran RN to float between Case Management and Utilization Review, helping younger staff, and solving problems as needed. Much of the patient population is Medical or "Medi/Medi," so experience with Medic...
Yoh has a contract opportunity for a Case Management Coordinator to join our client in Costa Mesa, CA Job Responsibilities: - Processing high-volume of internal and external referrals - Performs complex initial review - Informs RN, Care Manager of admission, eligibility and benefits problems Job Qualifications: - High school diploma, G.E.D. or equivalent - Four (4-5) years referrals management or...
Case Management Specialist Claim Your Future as a Great Performer Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career pos...
Position Summary: Primarily responsible to elicit, analyze, validate, specify, verify and manage the business requirements of the stakeholders as it pertains to data, analytics and reporting. Serves as the liaison between the business and the development team, vendors and clients; providing analysis, definition and direction in support of the business area's analytics; reporting and project activi...
Lead, inspire, motivate and develop a team of strong, versatile performers. Brighten prospects for patients as well as your career. Help others, and enhance your potential for success with a premier healthcare organization. Connect with your goals and change lives with Fresenius Medical Care North America. Use your passion for excellence to drive positive change—one patient at a time. Empower and...
Water Planning Manager – Southern California Position Description: Develop and maintain infrastructure planning documents for all of client’s water systems to ensure operators can continue to provide long-term, reliable and cost effective water service to 250,000 customers. Utilize modern tools and techniques as necessary to develop long-term comprehensive master planning documents and short-term...
Managed Care Manager The Director of Managed Care will be focused on obtaining in network status with large payer organizations and working with Ambry’s Billing and Preverification departments to develop strategy & tactics to facilitate the customer’s insurance test ordering process and Ambry’s insurance reimbursement process. It is essential that the candidate resides in Southern California as he...
Job Description: A rapidly-growing systems management software company is looking for a Senior Public Relations Marketing Manager. As a member of the marketing team, the Senior Public Relations Marketing Manager will be responsible for developing and executing the company`s PR strategy. Responsibilities: Working with a PR-agency: setting goals and measuring results; Press releases: writing and dis...
CyberCoders Matching Great People with Great Companies Learn more about CyberCoders Operations Mgr for International Food Co Irvine, CA; Santa Ana, CA Full-Time $60,000 - $70,000 Posted 6/19/2013 Susan Karr is recruiting for this position. Email your resume to Susan Apply Job Details Here we grow again. If you have food manufacturing experience, we want you! Be our next new employee If you are an...
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$31,200.00 - $180,000.00
Typical Salary for Case Manager in Aliso Viejo
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Accomplishes clients' care by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; monitoring staff performance.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Connecting with Children
Prepares reports by collecting, analyzing, and summarizing treatment and results data and trends; compiling statistics; completing grant and subsidy applications.
Improves financial status by analyzing results; monitoring variances; identifying trends; recommending actions to management.
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