Case Manager Jobs in Fountain Valley, California

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

Jobs 1 to 20 of 96
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...
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...
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 /Practi...
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 Plan)...
New Directions for Women is Orange County’s oldest gender separate addiction treatment center. New Directions for Women offers inpatient and outpatient treatment services to women, pregnant women and women with children. New Directions for Women is a non-profit organization. New Directions for Women is seeking a qualified individual for the position of Case Manager. The ideal candidate should have...
Would you enjoy a fun and dynamic workplace that allows you to give back? Are you seeking an employer that is dedicated to breaking the cycle of homelessness and making an impact in the community? The Illumination Foundation is currently seeking a Case Manager for our Housing Program. This position reports to the Manager of Program Operations. As our organization continues to grow, the role of Cas...
*THIS POSITION IS LOCATED IN THE ORANGE COUNTY AREA* 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 business pro...
Description: What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. For those who want to invent the future of...
Description: What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining Optum and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. For those who want to invent the future of...
Case Manager Registered Nurse (RN) Full Time, 40 Hours Per Week About the Job: Concurrent review and analysis of inpatient records to determine if the patient's admission and continued hospital stay triggers any pre-defined quality indicators. Utilization review including assessment of medical records for appropriateness, level of care provided. Assess utilization of treatment, modalities, medicat...
Position Description: We are currently seeking a Field Nurse Case Manager (RN) in the Anaheim, CA area. 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, employers and employees, you will closely monitor the...
Description The Case Manager is a clinician who in conjunction with other members of the health care team is accountable for timely coordination of quality health care services to meet the patients health care needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent pediatrics, adult and geriatric popul...
Position Description: We are currently seeking a Nurse Reviewer/Telephonic Case Manager for the Anaheim, CA area. Provision of comprehensive Utilization Management, incorporating the strategies of cost containment, appropriate utilization of services and Case Management in a cooperative effort with other parties which helps address the issues of access to quality healthcare services at an affordab...
Nurse Case Manager Field based position in the Orange County Area working from a home office ISYS rewards professionalism and initiative. When you succeed, ISYS succeeds! Excellent benefits: Strong compensation and benefits package including a tax deferred retirement program (with company match), flexibility in schedule, medical insurance, paid dental, life and disability insurance. Highest compen...
Description The Case Manager is a clinician who in conjunction with other members of the health care team is accountable for timely coordination of quality health care services to meet the patients health care needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent pediatrics, adult and geriatric popul...
Description The Case Manager is a clinician who in conjunction with other members of the health care team is accountable for timely coordination of quality health care services to meet the patient's health care needs across the continuum of care. This position requires knowledge of the development stages as services are provided to infants, children, adolescent pediatrics, adult and geriatric popu...
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 doctorsâbut the mission has remained the same. Today, AppleCare Medical is comprised of hundreds of board-certified private-practice, independent physicians. Col...
Job Description: We are currently in the need of an RN Case manager with strong telephonic / Concurrent Review experience, preferably in an acute hospital and IPA / Managed care settings. Minimum of 2yrs experience managing Medi-Cal, Commercial and MediCare lives; knowledge of the criteria for length of stay and other healthcare guidelines. Ensure the delivery of timely and cost effective, appropr...
Hospital, Inpatient RN Case Manager / Care Coordinator The Job: Concurrent Review Utilization Review Discharge Planning Authorizations (TARS) Case Management from Admission to Discharge Ability to: Responsible for assessing, planning, implementing, and evaluating the needs of patients for discharge planning and utilization review. Level of Care, Length of Stay, Continued Stay Reviews Coordinate ut...
Job Details: Position Summary: Health Plan RN Case Manager is responsible for care management of Health Plan members to ensure seamless care throughout the continuum of ambulatory practices, hospital and other healthcare disciplines. The UM Nurse/Case Manager serves point of contact for patients and/or family members for the purpose of effectively communicating the patient’s plan of care, supporti...

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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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