Case Manager Jobs in Orange, California

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172 Orange, CA Case Manager jobs found on Monster.

Jobs 1 to 20 of 172
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...
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 ...
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...
Job Description: We have an immediate need for a temporary to permanent RN or LVN Case Manager in the city of Orange. Requirements: ?Current RN or LVN License to practice in the State of California. ?Minimum of three (3) years current clinical experience. ?Experience in reviewing and processing requests for authorization. ?Working knowledge of medical criteria, including Medi-Cal, MCG, Inter...
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 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: 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 o...
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...
***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 ...
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. ...
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...
CalOptima Orange, CA
Job Description Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima members. The Case Manager facilitates communication and coordination among all participants of the health care team and the member to ensure that the services are provided to promote quality cost-effective outcomes. The Ambulatory Case Manager ...
thebestirs Orange, CA
We're hiring for our Temporary, Temp to Hire and Direct Hire Insurance Jobs! Don’t see the insurance job you are looking for? Are there no adjuster jobs in your area? Keep checking back! Although we may not have open insurance jobs in your area today, with clients in all 50 states, we are certain to have one or more tomorrow. Complete your personal career profile today and be ready to start your ...
This Field Case Manager will require 75-100% travel within Orange County. POSITION SUMMARY: Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel. High initiative,...
Beacon Health Strategies, LLC Orange, CA, 92856
Job Description: Reviews outpatient [OP] behavioral health service requests based on specific level of care and medical necessity criteria; provides member assistance with registering for and accessing services from provider network or other available behavioral health resources as needed. Responsibilities: Primary Responsibilities: Determines appropriateness of OP behavioral health services f...
Beacon Health Strategies, LLC Orange, CA, 92856
Job Description: Reviews outpatient [OP] behavioral health service requests based on specific level of care and medical necessity criteria; provides member assistance with registering for and accessing services from provider network or other available behavioral health resources as needed. Responsibilities: Primary Responsibilities: Determines appropriateness of OP behavioral health services f...
Full time, RN Telephonic Case Manager to be part of CorVel Team! Monday through Friday, home based position, after sucessful 2 week onsite orientation in Orange CA office. Researches and recommends resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals on a case-by-case basis to facilitate quality individualized treatment goals, includ...

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Personal Services Career Tools

Case Manager

Salaries

$31,200.00 - $180,000.00
Typical Salary for Case Manager in Orange
(5 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
56.9%
Master's
18%
Associates
10.9%
Some College Coursework Completed
8.4%
High School
2.4%
(550 Respondents)
Source: Monster.com Careerbenchmarking Tool

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