Case Manager Jobs in Anaheim, California

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168 Anaheim, CA Case Manager jobs found on Monster.

Jobs 1 to 20 of 168
This is a position that focuses on utilization review including assessment of medical records for appropriateness, level of care provided. You will assess utilization of treatment, modalities, medications, services and application of treatment protocols. A team approach with other members of internal staff is important. Requirements: California Nurses license, Registered Nurse (RN) Utilization ...
Ambulatory Case Manager – Registered Nurse (RN) Responsible for the care management (coordination of outpatient care) of members with catastrophic illnesses and the chronically ill while ensuring that quality standards are met by using clinical judgment to evaluate and assess. Apply case management concepts, principles, and strategies to develop a Plan of Care (Care Plan) that addresses the memb...
Nurse Case Manager Anaheim Job Label:Nurse Case Manger Anaheim As an integrated health provider, WorkCare is at the forefront of helping employers meet the challenges of managing today’s workforce. WorkCare is owned by a physician who, along with a team of allied credentialed health professionals, provide strategic and tactical consulting services and programs to: Improve workforce productivity...
Description SUMMARY: The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patients resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at ...
Job Description: Would you like to WORK FROM HOME!? We are currently seeking an experienced RN Field Case Manager with at least 3-5yrs Workers Comp experience for Orange & L.A. County and Inland Empire. Duties include, but are not limited to: Responsible for assessment and coordination of medical care related to Workers Compensation injuries. Works closely with adjusters, medical providers, empl...
Prospect Medical is searching for a qualified: Complex/Ambulatory License Nurse Case Manager SUMMARY Performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to servi...
Description: AppleCare Medical was formed in 1996. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical is comprised of hundreds of board-certified private-practice, independent physicians. ...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient comm...
Coordinates and manages the care of patients to facilitate the achievement of quality and cost effective outcomes. Works in collaboration with both internal and external interdisciplinary staff. Participates in quality improvement activities as they relate to the management of patient care. Bachelor degree in Nursing or in a related field preferred. All (1) newly graduated nurses, (2) re-entry n...
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 admissio...
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 admissio...
Description The LVN/LPN Case Manager is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements. This position complies with the scope of services defined by the Licensed Vocational /Pract...
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 admissio...
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 admissio...
Description RN Case Manager to complete case management assessments. Experienced in federal requirement documentation, Utilization Review functions for insurance review and discharge planning. Qualifications Required: Current CA RN license. 1-2 years Case Management experience in an acute care setting....
Overview: Manage a caseload of CalWORKs participants in working towards the goal of self-sufficiency and unsubsidized employment under the general supervision of the Case Manager Supervisor. Responsibilities: Provide participant with a clear understanding of the CalWORKs/WTW program and services. Serve as the primary linkage between the participant and program services. Provide continuous mot...
Kaiser Permanente Anaheim, CA
Description Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Function...
Judge Healthcare is actively seeking full time Registered Nurse Case Managers for the Premier Managed Care Organization in the country!!! This position is located in Anaheim, CA!!! The right candidate will possess the following qualifications: Active RN license in the state of California. Case Management experience within a managed care/hospital setting. Chronic Conditions experience. 1-2 ye...
Judge Healthcare is actively seeking full time telephonic Registered Nurse Case Managers for the Premier Managed Care Organization in the country!!! This position is located in Anaheim, CA!!! The right candidate will possess the following qualifications: Active RN license in the state of California. Case Management experience within a managed care/hospital setting. Chronic Conditions experien...
Judge Healthcare is actively seeking full time telephonic Registered Nurse Case Managers for the Premier Managed Care Organization in the country!!! This position is located in Anaheim, CA!!! The right candidate will possess the following qualifications: Active RN license in the state of California. Case Management experience within a managed care/hospital setting. Chronic Conditions experien...

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Personal Services Career Tools

Case Manager

Salaries

$29,120.00 - $97,760.00
Typical Salary for Case Manager in Anaheim
(10 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
55.6%
Some College Coursework Completed
22.2%
Certification
11.1%
Associates
11.1%
(9 Respondents)
Source: Monster.com Careerbenchmarking Tool

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