Case Manager Jobs in Chino, California

142 jobs

Description: Careers at OptumHealth. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. For over 18 years, No...

Prospect Medical is searching for a qualified: Inpatient Concurrent Review Nurse / Case Manager SUMMARY As an Inpatient Concurrent Review Nurse / Case Manager you will be responsible for coordination of daily inpatient services and discharge planning function in accordance with Prospect Medical Group policies, procedure and processes. ESSENTIAL DUTIES: include but not limited to · Interacts w...

RN and LVN Case Managers are needed for full time contract opportunities ASAP! The chosen candidate will be working at a large teaching and trauma hospital in Riverside County. The schedule will be Monday-Friday, 8 hour shifts, and 40 hours guaranteed. To qualify, candidates must have had at least 1 year of inpatient case management experience and be proficient with Interqual or Milliman. Applica...

Prospect Medical is searching for a qualified: 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 services appropriate to their health n...

RN Supervisor of Case Management - Managed Care Ontario, CA Your Job Summary: The primary responsibility of the Supervisor of Case Management is to monitor the assessment and development of nursing care plans, in collaboration with the admitting, attending, and consulting physician and other practitioners, while assisting the leadership with mentoring, training and oversight of the performance ...

Description IT'S SIMPLE. You want to work in a hospital setting where you are valued and appreciated - where you receive respect from your superiors and co-workers as well as the patients you treat. You want to be challenged by your job without being overwhelmed by it. You want to play an instrumental role in helping a patient recover, sometimes against strong odds, and go home. What you want is...

Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member’s progress and services to ensure consistent cost effective care that complies with Molina policy an...

Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member’s progress and services to ensure consistent cost effective care that complies with Molina policy and...

Associate's Degree RN Required 1 year of experience required Position Description The purpose of this position is to optimize DRG reimbursement and facilitate accurate and complete medical record documentation by providing ongoing DRG-related support and education to the medical staff and case management team. This position will act as a liaison and expert resource guide to the medical staff. M...

Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member’s progress and services to ensure consistent cost effective care that complies with Molina policy and...

Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member’s progress and services to ensure consistent cost effective care that complies with Molina policy and...

Job Summary: The Certified Substance Abuse Counselor/Case Manager is the coordinator of community and client services for participants in Prototypes Programs. This can include outpatient or residential services in areas of domestic violence, substance abuse and issues of mental health. The Certified Substance Abuse Counselor/Case Manager is responsible for the assessment of need and implementatio...

Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member’s progress and services to ensure consistent cost effective care that complies with Molina policy an...

Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member’s progress and services to ensure consistent cost effective care that complies with Molina policy an...

Job Summary Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors Molina member’s progress and services to ensure consistent cost effective care that complies with Molina policy an...

Careers at OptumHealth. We're on a mission to change the face of health care. As the largest health and wellness business in the US, we help 58 million people navigate the health care system, finance their health care needs and achieve their health and well-being goals. Fortunately, we have a team of the best and brightest minds on the planet to make it happen. For over 18 years, North American M...

IT'S SIMPLE. You want to work in a hospital setting where you are valued and appreciated - where you receive respect from your superiors and co-workers as well as the patients you treat. You want to be challenged by your job without being overwhelmed by it. You want to play an instrumental role in helping a patient recover, sometimes against strong odds, and go home. What you want is Kindred Heal...

Overview: Nurse Case Manager to provide case management services for CO2 members Responsibilities: assessment care planning providing resources education networking care coordination Qualifications: RN LICENSE IN CA 2-3 YEARS EXPERIENCE WITH CASE MANAGEMENT;PREFERABLY IN AMBULATORY CARE Options:...

Overview: RESPONSIBLE FOR CASE MANAGEMENT COORDINATION IN A COST EFFECTIVE MANNER AND BASED ON UTILIZATION,HEALTH COACHING AND HEALTH PLAN CRITERIA. Responsibilities: SUPPORTS THE VISION OF THE COMPANY OBTAINS BENEFITS AND ELIGIBILITY COORDINATES CARE AND SERVES AS PATIENT ADVOCATE COLLABORATES WITH RN AND PHYSICIANS FOR CARE Qualifications: LVN OR BSW WITH MINIMUM 2 YEARS EXPERIENCE IN MA...

Coventry Workers’ Compensation Services offers workers’ comp cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, Coventry leverages more than 30 years of industry knowledge and experience. In 2013, Coventry became a part of Aetna, joining together with common values and a common mission: empowering ...