Case Manager Jobs in Fountain Valley, California

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154 Fountain Valley, CA Case Manager jobs found on Monster.

Jobs 1 to 20 of 154
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 (Registered Nurse) Mon.-Fri. 40 hours per week Duties: 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 ...
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 ...
Career Opportunitiesin Fullerton!THE FOLLOWING POSITIONS ARE AVAILABLE:CASE MANAGERFull time. Monday thru Friday. Current LVN license.Experience preferred.REGISTERED NURSEPart time, Full time, all shifts. Experience preferred.CERTIFIED NURSE AIDEFull time. Experienced only. 3pm-11pm & 11pm-7am.No phone calls.You must apply in person atGordon Lane Care Center1821 E. Chapman Ave.Fullerton, CAGORDON ...
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 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 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...
At Safe Harbor our purpose is to provide a loving and peaceful place where women who suffer with physical, mental and spiritual afflictions can learn how to successfully pursue lifelong recovery and sobriety. Trauma, disordered eating, and co-dependency create self-hatred and self-loathing within women. Every woman who enters Safe Harbor is perfect, whole, and complete; she has forgotten this and ...
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...
***THIS POSITION IS BASED IN THE SAN FRANCISCO/ BAY AREA, CA*** Mitchell International, Inc. is a leading provider of information and workflow solutions to the Property & Casualty Claims and Automotive Collision Repair industries. Founded in 1946, Mitchell has delivered advanced information and technology solutions to over 100,000 customers throughout North America, helping them to improve their ...
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: There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a Utilization Management Nurse you wi...
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....
The basic functions of the Life & Annuity Case Manager is to lead the processing and underwriting of pending applications and to manage relationships with independent insurance brokers and advisors. Employee Benefits: Base Salary: $40k - $45k 401(k) Bonus Compensation Plans FSA Health Insurance Paid Time Off Profit Sharing Training Programs Vision Wellness Program Principal Responsibil...
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 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 ...
Tenet Healthcare Corporation Fountain Valley, CA
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 admis...

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Personal Services Career Tools

Case Manager

Salaries

$29,120.00 - $97,760.00
Typical Salary for Case Manager in Fountain Valley
(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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