Case Manager Jobs in San Diego, California

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552 San Diego, CA Case Manager jobs found on Monster.

Jobs 1 to 20 of 552
The goal of the Case Manager is to ensure delivery of optimal care while promoting fiscal responsibility. Ensures the daily operations, procedures and standards of care are maintained in accordance with hospital and county guidelines. Participates in the coordination and direction of care for patients from admission through discharge. The Case Manager must be prepared to address the issues of heal...
Responsible for conducting admission, concurrent, and retrospective case review for all payor sources. Reviews all admissions for appropriate level of care consulting with the physicians regarding appropriate level of care orders. Performs concurrent review to support continued medical necessity and confers with physician on changes in level of care including compliance with CMS regulations. Coord...
The goal of the Case Manager is to ensure delivery of optimal care while promoting fiscal responsibility. Ensures the daily operations, procedures and standards of care are maintained in accordance with hospital and county guidelines. Participates in the coordination and direction of care for patients from admission through discharge. The Case Manager must be prepared to address the issues of heal...
Sutter Health South Bay, CA
Description The RN Case Manager is responsible for Care Coordination, Care Transitions, Discharge/Transition Planning and Utilization Management throughout the acute care patient experience. RN Case Manager coordinates care at admission and throughout the stay to ensure that patient outcomes are optimal, that evidence based care guidelines are followed and documented and the organization’s costs ...
About this company: ExamWorks Clinical Solutions is a national provider of case management, pharmaceutical and Medicare compliance solutions providing coverage at the local, regional and national levels. Our wide spectrum of customers includes Carriers, Employers, Excess Carriers, and Third Party Administrators. ExamWorks Clinical Solutions provides direct medical management services and works c...
Position Description: We are currently seeking a Field Nurse Case Manager (RN) for the San Diego, 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 monito...
JOB DESCRIPTION TITLE: MEDICAL CASE MANAGER NURSE CLASSIFICATION: EXEMPT REPORTS TO: MEDICAL UNIT CLAIMS MANAGER JOB OVERVIEW: The Medical Case Manager is responsible for the analysis and management of medical issues and treatment in workers’ compensation claims. This position will review to authorize, partially authorize or delay treatment in accordance with the Medical Treatment Utilization...
Job Summary The Case Manager will work in an interim housing setting from 11:30pm-8am to provide case management for clients placed in PATHâ??s triage cot program. Clients will be entering the PATH system from homelessness and may have a variety of complex health, functional and social needs. The Case Manager will provide intake into the triage cot program, oversight of clients throughout the nig...
Molina Healthcare Inc San Diego, CA
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...
Kaiser Permanente San Diego, 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...
Kaiser Permanente San Diego, 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...
corrections-corporation-of-america San Diego, CA
The Case Manager, Community Corrections is responsible for programmatic goals, ensuring court-ordered conditions are met, and the reestablishment of family and community ties as required. Ensures contractual deadlines are met, and the residentsâ?? performance is monitored and documented properly. Provides exceptional customer service and complies with company policies and procedures. Graduate fro...
The Arora Group, Inc. San Diego, CA
Nurse Case Manager The Arora Group, Inc. - San Diego Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, databases for community resources, etc. Establish cost containment/cost avoidance strategies for case management and develop mechanisms to measure its cost effectiv...
Preferred Employers Group San Diego, CA
JOB OVERVIEW: The Medical Case Manager is responsible for the analysis and management of medical issues and treatment in workers compensation claims. This position will review to authorize, partially authorize or delay treatment in accordance with the Medical Treatment Utilization Schedule (MTUS) including ACOEM (American College of Occupational and Environmental Medicine) and Official Disability ...
Sharp Health Care San Diego, CA
Location This position is located in Serra Mesa, San Diego County Hours 8 hour shift: 8:00am - 4:30 pm, weekend coverage rotational based on staffing Required Skills and Qualifications Graduate of an accredited School of Nursing Associates of Science in Nursing Current unencumbered California Registered Nurse licensure Current BLS certification for Healthcare Providers Two years' experien...
Sharp Health Care San Diego, CA
Location This position is located in San Diego County and will float to Sharp Chula Vista Medical Center, Sharp Grossmont Hospital and Sharp Memorial Hospital Hours 8-hour day shift, 7:30 am - 4:00 pm; weekends - no more than 2 weekends/month Required Skills and Qualifications Current unencumbered California RN license Five years of acute care or clinical experience in area of specialty Two...
Kaiser Permanente San Diego, 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...
Kaiser Permanente San Diego, CA
Description Collaborates with other educators, managers, physicians, and other healthcare providers to develop, design, deliver and evaluate/improve education strategies and programs/classes based on member/patient and needs, as well as department, organizational goals/objectives and regulatory needs. Essential Functions: • Conducts educational needs assessments to design and develop programs t...
Aetna Inc. San Diego, CA
Job Description Coventry Workers’ Comp Services offers workers' compensation cost and care management solutions for employers, insurance carriers, and third-party administrators. This opportunity is eligible for a sign on bonus. Bilingual RN Case Managers and RN Case Managers with Workers’ Compensation experience are eligible for a $5,000 sign on bonus. An RN Case Manager with no prior Workers’ ...
Kaiser Permanente San Diego, CA
Description Works collaboratively with an assigned panel of physicians to manage the patient's specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of specific care management plan to address needs. In conjunction with the physician, implements care/treatment plan by coordinating access to health serv...

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Personal Services Career Tools

Case Manager

Salaries

$31,110.00 - $97,760.00
Typical Salary for Case Manager in San Diego
(9 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
85.7%
Associates
14.3%
(7 Respondents)
Source: Monster.com Careerbenchmarking Tool

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