Case Manager jobs at Clinica Sierra Vista - 2522 jobs

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family Generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching Intrigued? We'd love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a BH Case Manager who: The Case Manager, under the general supervision of their Clinic Manager, is responsible for the coordinating of resources and services for clients. This staff member provides case management services and assists the mental health clinician in the development and delivery of services to mentally ill individuals; participates in group and individual counseling programs; acts as an advocate for the client and creates/maintains relationships with community groups; and completes documentation in case records. Emphasis is on the interdisciplinary team approach as a problem-solving process in providing comprehensive care to clients and their families. The Case Manager shall have a committed belief in mental health care with dignity for all, and that clients have the right to mental heath care information and participation in planning their own mental heath care Essential Functions: Responsible for assisting the client to complete appropriate releases of information important to client compliance with individual plans of care. Advocates for clients when there is a problem in the service delivery system. Assists clients in identifying and correcting situations that contribute to mental health problems; performs crisis intervention counseling at a level not requiring licensure; and assist clinicians in planning the range of care needed to meet clients' needs. Responsible for maintaining assigned case load and client contacts as required by contract requirements and/or program protocols. Candidates must be culturally competent and demonstrate ability to engage with patients of the multi-cultural backgrounds, nationalities, origins and diverse sexual preferences. Visits clients regularly in their homes and in the community to assess their home situations, deliver services, and determine if other services are required. Keeps accurate, up-to-date records on clients served in accordance with system standards. Prepares and delivers oral presentations to the public regarding Clinica Sierra Vista's mental health services program. Works with other staff to develop community resources. Serves as liaison with other community agencies and schools. Develops and implements support and educational groups. Be available to translate for specific sessions, if qualified. You'll be successful with the following qualifications: Completion of a Bachelor's degree from an accredited college, or university, with a major in Psychology, Sociology, Human Services, Behavioral Science, Social Work or related field. A clean drug screen confirmation. Pass DMV background check. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

LeaderStat is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours Employment Type: Travel Estimated Pay Package: Up to $ 3169.80 per week *The above pay package is an estimate, please contact our team to put together your personalized pay package, as a variety of factors can influence your total pay.* Case Manager Registered Nurse in Mission Viejo, CA LeaderStat is currently seeking a Case Manager Registered Nurse for a(n) 13 week contract in CA. Start Date: 2/2/2026 End Date: 5/4/2026 Shift: Day 5x8-Hour (08:00 - 16:30) 1 year of experience working as a full-time Registered Nurse Clinical experience within the last 2 years Current State Licensure Current Relevant Certifications (BLS, ACLS, etc) The LeaderStat Difference Our LeaderStat recruiters are experts in travel healthcare! We work hard to find the best assignments for each candidate. However, our service doesn't end at placement. We set you up for success by providing support throughout your contract... from start to finish! Our goal is to find the best travel healthcare assignments to fit your individual needs. While you focus on providing top-notch care to your patients, we'll handle the rest. LeaderStat Perks & Benefits As a traveling healthcare professional with LeaderStat you receive excellent benefits: Weekly Pay & Direct Deposit W2 Employee Status 401(k) Retirement Plan Medical, Dental and Vision Insurance Referral Bonuses Dedicated Support Team To learn more about LeaderStat visit ********************************* Equal Employment Opportunity: LeaderStat, Ltd. prohibits discrimination with respect to the hiring or promotion of individuals, conditions of employment, disciplinary and discharge practices or any other aspect of employment on the basis of sex, race, color, age, national origin, religion, disability, marital status, sexual orientation, gender identity, pregnancy or veteran status. LeaderStat Job ID #287568. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Manager Registered Nurse About LeaderStat LeaderStat is a National staffing, recruiting, and consulting firm dedicated to the healthcare industry. For 20 years, LeaderStat has been dedicated to partnering with exceptional healthcare providers to find them the very best assignments throughout the country. Specializing in Travel Nursing, Interim Leadership, Executive Search, and Consulting. When you work with the LeaderStat team, you work with a recruiter who is dedicated to finding you the perfect assignment. Why would you settle for less? Benefits Referral bonus License and certification reimbursement Medical benefits Holiday Pay Weekly pay 401k retirement plan

A digital healthcare company is looking for a Clinician Support Agent in San Francisco, CA. The role involves communicating with cardiac technicians and external accounts, interpreting ECG results, and ensuring high-quality patient care. Ideal candidates should have a solid background in customer service and medical terminology. This position offers a competitive salary and excellent benefits, including health, dental, and vision insurance. #J-18808-Ljbffr

This position is for a Travel Registered Nurse (RN) specializing in Case Management, working 40 hours per week for a 13-week assignment in Mission Viejo, California. The role involves coordinating patient care and managing cases to ensure optimal healthcare outcomes while providing support during the travel assignment. Host Healthcare offers numerous benefits including medical coverage from day one, housing support, 401K matching, and continuous 24/7 support to ensure a comfortable travel nursing experience. Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Host Healthcare Job ID #a1fVJ000007HiDVYA0. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Case Management About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don't have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what's important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment. Travel comfortably with Host Healthcare. Benefits Referral bonus School loan reimbursement Vision benefits Wellness and fitness programs Company provided housing options License and certification reimbursement Life insurance Medical benefits Mileage reimbursement Pet insurance Discount program Employee assistance programs Guaranteed Hours Health savings account Holiday Pay 401k retirement plan Continuing Education Dental benefits Keywords: Travel Nurse, RN Case Manager, Travel Nursing Job, Healthcare Travel, Case Management Nursing, Nursing Assignment, Medical Benefits, Housing Support, 401K Matching, Continuing Education

Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree. A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Pleasanton, CA location in the Heart Failure Division. Abbott is currently seeking an experienced commercial attorney to provide legal advice to Abbott's Heart Failure Division. The attorney will be expected to identify and resolve complex legal issues to support the operations of a global leader in the research, development, manufacturing, sales and marketing of medical device products. The ideal candidate will have experience working with healthcare providers and a solid understanding of payor agreement contracting principles as well as billing, reimbursement, compliance, and auditing guidelines and requirements. We encourage applications from individuals familiar with regulations governing Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) or Independent Diagnostic Testing Facilities (IDTFs). What You'll Work On Conducting reviews and revisions of payor agreements on request and offering legal advice on business payor relations and contracting strategies. Providing legal guidance on DMEPOS and IDTF operations and related standards, including billing, reimbursement, auditing, and compliance program activities. Offering advice on payor and reimbursement disputes to mitigate legal risks. Drafting, negotiating and reviewing a wide range of agreements, including complex matters relating to procurement, sales, licensing, marketing, co-promotion and research collaborations. Reviewing marketing programs and promotional materials to ensure compliance with FTC truth-in-advertising principles, Abbott policies and applicable law. Advising and ensuring that internal clients receive sound, practical and timely legal advice on a wide variety of legal matters related to operation of a commercial business that markets to health care professionals. Resolving legal issues using negotiation skills and legal expertise, including pre-litigation dispute resolution and settlements. Assisting in the creation of new template agreements, playbooks and training to support efficient contracting processes for various business functions. Developing knowledge of Abbott's businesses, products and client areas supported. Maintaining familiarity with laws that affect client areas to issue spot and provide basic counseling, including those relevant to sales and marketing of products to health care professionals and reimbursement by government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement Statutes), FDA regulation (Food, Drug & Cosmetic Act), privacy (HIPAA), and anti-corruption (Foreign Corrupt Practices Act); Representing Abbott externally to suppliers and customers; and Helping select and/or directing the work of outside counsel, defining project objectives, managing project, and monitoring outside counsel budget. This position will interact with the Legal, Compliance, Finance, Education, Supply Chain, Research & Development, Regulatory, Quality, Clinical, Marketing, Commercial/Sales, and Information Technology Departments. Infrequent and minimal travel may be required (10-15%). Critical Success Factors Good Judgment: Demonstrate expertise and sound judgment, understand how assigned responsibilities support Abbott's business objectives, and be able to provide practical, risk-balanced advice based upon a thorough understanding of the scope of an issue, taking full advantage of internal networks and external intelligence. Collaboration: Firm understanding of available legal, functional, and business resources and ability to integrate information from a number of sources to achieve business results, including breaking down boundaries to create alignment as necessary, in a complex, global, matrixed environment. Anticipation: Holistic, big picture thinker, who anticipates changes in law, enforcement, and/or business objectives and adapts approach as necessary to manage risks effectively and mitigate issues before they arise. Influencing Skills: Build strong relationships with business partners to tactfully influence and gain their support to drive desired outcomes. Represent Abbott externally to customers, suppliers, competitors or government agencies; and resolve legal issues using negotiation skills and legal expertise. Required Qualifications Juris Doctor degree from an accredited law school, demonstrate a strong academic background, and be admitted to a US state bar in good standing. 3+ years of experience as a commercial attorney at a top law firm and/or in-house Preferred Qualifications Regulated industry or other relevant industry experience strongly preferred. Experience with working with healthcare providers and a solid understanding of payor agreement contracting principles as well as billing, reimbursement, compliance, and auditing guidelines and requirements. Familiarity with regulations governing Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) or Independent Diagnostic Testing Facilities (IDTFs). Ability to handle multiple projects in fast-paced environment and exercise sound commercial and legal judgment. Ability to independently handle complex matters with minimal supervision and understand which issues to elevate to senior management and appropriate timing for doing so. In addition to top-notch legal skills and a strong ethical center, excellent interpersonal, strategic thinking, communication and organizational skills Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: ********************** Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity. Connect with us at *************** on Facebook at *********************** and on Twitter @AbbottNews and @AbbottGlobal. The base pay for this position is $146,700.00 - $293,300.00. In specific locations, the pay range may vary from the range posted. #J-18808-Ljbffr

This position is for a Travel Registered Nurse specializing in Case Management, offering a 13-week assignment in Burbank, California. The role involves providing nursing case management services during 8-hour day shifts, with comprehensive benefits including medical coverage, housing support, and professional development. Host Healthcare supports travel nurses with extensive resources and benefits to ensure a comfortable and secure assignment experience. Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Burbank, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Host Healthcare Job ID #a1fVJ000007Mrw5YAC. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN - Case Management About Host Healthcare At Host Healthcare, we provide a truly comfortable experience as you explore your travel nursing, therapy, or allied career. We make your travel healthcare journey easy by taking care of all the details, so you don't have to. We are on a mission to help others live better and we do this by helping the healers of the world be as comfortable as possible. With access to tens of thousands of travel nursing, therapy, and allied jobs in all 50 states, our responsive and friendly recruiters find your dream position based on what's important to you. During your assignment, get access to premium benefits, including Day 1 medical that continues up to 30 days between assignments, 401K matching, travel reimbursements, dedicated housing support, and more. We also offer 24/7 support from our team and access to our on-staff clinicians so you can feel comfortable and confident throughout your entire assignment. Travel comfortably with Host Healthcare. Benefits Referral bonus School loan reimbursement Vision benefits Wellness and fitness programs Company provided housing options License and certification reimbursement Life insurance Medical benefits Mileage reimbursement Pet insurance Discount program Employee assistance programs Guaranteed Hours Health savings account Holiday Pay 401k retirement plan Continuing Education Dental benefits Keywords: Travel Nurse, Registered Nurse, Case Management, Travel Nursing Job, Healthcare Staffing, Nursing Assignment, Medical Benefits, Healthcare Travel, RN Case Manager, Temporary Nursing

This position is for a Travel Registered Nurse (RN) specializing in Case Management in Mission Hills, California, offering an 18-week contract with day shifts. The role requires a current RN license and at least two years of recent case management experience. Compensation includes a weekly pay package, benefits such as medical, dental, vision, holiday pay, and a 401k retirement plan. Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Mission Hills, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: Duration: 18 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Assured Nursing is currently seeking a RN for a contract position in Mission Hills California. This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Case Management,2909.861060.27322. The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a Case Management RN. Assured Nursing Job ID #. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Case Management,07:00:00-15:00:00 Benefits Weekly pay Holiday Pay 401k retirement plan Referral bonus Medical benefits Dental benefits Vision benefits Keywords: travel nurse, RN case manager, registered nurse, case management, travel nursing job, healthcare nursing, nurse contract position, medical benefits, Mission Hills nursing job

This position is for a Travel Wound Care Case Manager Registered Nurse (RN) responsible for coordinating patient care and serving as a liaison between patients, families, and healthcare providers. The role requires at least eighteen months of acute care case management experience, an active RN license, and relevant certifications. Benefits include weekly pay, housing allowance, health insurance, travel reimbursement, and 401(k) matching for a 13-week travel assignment in Alameda, California. MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Alameda, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients. Requirements Eighteen months of recent experience in an Acute Care Case Manager setting Active RN License BLS Certifications Degree from accredited nursing program Benefits Weekly pay and direct deposit Full coverage of all credentialing fees Private housing or housing allowance Group Health insurance for you and your family Company-paid life and disability insurance Travel reimbursement 401(k) matching Unlimited Referral Bonuses up to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patient's family and healthcare organization. Work is administered in a variety of settings, including HMOs, community health organizations, long-term care facilities, behavioral health programs, rehabilitation centers, schools, and case management companies Coordinate continuity of care for patients often as a liaison between the patient's family and healthcare organization Strives to promote self-managed care and the use of healthcare resources in the most cost-effective way possible Ensure that the proper treatment is administered at the appropriate time in order to maximize health and well-being About Agency MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services. Since 1983, we have placed nursing and allied travelers in top healthcare facilities nationwide. Join us today for your very own MedPro Experience. If qualified and interested, please call for immediate consideration. MedPro Staffing is an Equal Opportunity Employer. All applicants will be considered for employment without attention to race, color, religion, national origin, age, sex, disability, marital status or veteran status. Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses. Your recruiter will confirm your eligibility and provide additional details. MedPro Job ID #a0FcxEFBEA2. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Manager Registered Nurse Nursing: Case Manager. About MedPro Healthcare Staffing At MedPro Healthcare Staffing, we believe no one cares more for caregivers than we do. Our mission is simple: you focus on your patients, and we'll take care of the rest. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation. With thousands of job opportunities available nationwide, we make it easy to find assignments that align with your goals and lifestyle. Our on-staff clinical support team-alongside a compassionate group of experienced recruiters-provides hands-on guidance every step of the way. From Day 1 medical benefits and a 401(k) plan to personalized career support, we're committed to ensuring every professional we serve feels valued, cared for, and empowered to succeed. Guided by a CEO who is a Registered Nurse, MedPro is built on a foundation of clinical insight and genuine compassion for the caregiving community. Through The MedPro Experience, we deliver travel assignments that are rewarding, memorable, and designed to help you DREAM big, EXPLORE often, and ACHIEVE greatness. Benefits Day 1 medical, dental, and vision benefits for you and your family Weekly pay and direct deposit Unlimited Referral Bonuses starting at $500 On Staff Clinical Support Team Access to nationwide travel assignments MPX+ Mobile appreal-time access to jobs, credentials, assignment details, and more Full coverage of all credentialing fees Private housing or housing allowance Tax Free Per Diems, Housing Stipends and Travel Reimbursements Company-paid life and disability insurance Travel reimbursement 401(k) matching Benefits Weekly pay Referral bonus Employee assistance programs Keywords: Travel Nurse, Case Manager RN, Wound Care, Travel Nursing, Acute Care, Registered Nurse, Healthcare Staffing, Patient Care Coordination, BLS Certification, Contract Nurse

A premier health care system in San Diego is seeking an experienced medical litigation attorney to serve as Corporate Counsel. This role involves managing professional negligence claims, providing legal analysis on clinical matters, and collaborating with risk management teams. The ideal candidate has a Juris Doctor (JD) and significant experience in healthcare law. Join a collegial legal department that values professional growth and aims to make a meaningful impact in health care. #J-18808-Ljbffr

How you will change lives As a Social Worker at US Renal Care, you will be an integral part of a cross-functional team, working to help patients living with kidney disease achieve maximum social functioning and psychological adjustment to dialysis treatment and rehabilitation. What you will be doing Advocate & Support. You will be part of an interdisciplinary team working to ensure patients receive the best care, including conducting all required patient assessment and care planning activities such as assessing new patient psychosocial needs and completing the KDQOL in accordance with company policy and all state/CMS regulations. You will identify and counsel psychosocial issues and provide patient and family education. As an advocate for your patients' needs, you will coordinate communities of support for patients and their families, identify social agencies and other resources (e.g., financial/funding), provide information and referrals, coordinate transient arrangements, and represent your patient as needed with appropriate local, state, and federal agencies. Teamwork. As part of the interdisciplinary clinic team, promote teamwork, educate staff, and provide training around patient psychosocial care. You will participate in all required continuing education and staff meetings. You will collaborate with the Medical Director and physicians and maintain positive relationships with area hospitals, agencies, vendors, and the community. Safety & Quality. You will help with clinical and operational processes to improve patient health and minimize missed treatments and hospitalizations, achieving target goals for patient outcomes. You will also participate in monthly Quality Assessment and Performance Improvement (QAPI) activities and ensure compliance with federal, state, and local laws and regulations. What we're looking for Master's Degree in Social Work accredited by the Council of Social Work Education (CSWE). Current licensure (in good standing) in applicable state is required unless employed in the state of AZ, PA or Guam. Must meet any practice requirement(s) for the applicable state. Demonstrated working knowledge of the English language and ability to communicate verbally and in writing. Basic computer skills, including Microsoft Office (Word, Excel, Outlook). Proficiency in all USRC clinical applications required within 90 days of hire. Preferred Previous experience in providing social services to dialysis patients preferred. Other Requirements Must meet any practice requirement(s) for the applicable state. Additional license requirements may be applicable depending upon state. Are you ready to make a difference? We're here to change the lives of people with kidney disease and shape the future of kidney care. We still have much work ahead. If you desire to make a positive impact in the life of others and pursue a fulfilling career in healthcare, we invite you to join our team at U.S. Renal Care. Are you with US? Apply today! All Full Time employees are eligible for the following benefits: Medical / Pharmacy Dental Vision Voluntary benefits 401k with employer match Virtual Care Life Insurance Voluntary Benefits PTO All Part Time employees are eligible for the following benefits: 401k with employer match PTO

Integrated Healthcare Services is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Bakersfield, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Utilization Review Nurse II represents the fully experienced level in utilization review and discharge planning activities • Obtains and evaluates medical records for in-patient admissions to determine if required documentation is present. • Obtains appropriate records as required by payor agencies and initiates Physician Advisories as necessary for unwarranted admissions. • Conducts on-going reviews and discusses care changes with attending physicians and others. • Formulates and documents discharge plans. • Provides on-going consultation and coordination with multiple services within the hospital to ensure efficient use of hospital resources • Identifies pay source problems and provides intervention for appropriate referrals • Coordinates with admitting office to avoid inappropriate admissions. • Coordinates with clinic areas in scheduling specialized tests with other health care providers, assessing pay source and authorizing payment under Medically Indigent Adult program as necessary. • Reviews and approves surgery schedule to ensure elective procedures are authorized. • Coordinates with correctional facilities to determine appropriate use of elective procedures, durable medical goods and other services. • Answer questions from providers regarding reimbursement, prior authorization and other documentation requirements. • Learns the documentation requirements of payor sources to maximize reimbursement to the hospital • Keeps informed of patient disease processes and treatment modalities. • Level II Teaches providers the documentation requirements of payor sources to maximize reimbursement to the hospital. • Level II May assist in training Utilization Review Nurse I's. Knowledge of payor source documentation requirements and governmental regulations affecting reimbursement; knowledge of acute care nursing principles, methods and commonly used procedures; knowledge of common patient disease processes and the usual methods for treating them; knowledge of medical terminology, hospital routine and commonly used equipment; knowledge of acute hospital organization and the interrelationships of various clinical and diagnostic services Ability to effectively evaluate the medical records of hospital admissions regarding continuing stay necessity, appropriateness of setting, delivered care, use of ancillary services and discharge plans; ability to assess and judge the clinical performance of physicians and other health professionals; ability to communicate documentation needs in an effective and tactful manner that promotes cooperation; ability to teach co-workers what is needed and required in the medical record for reimbursement and audit purposes; ability to gather and analyze data and prepare reports and recommendations based thereon; ability to get along with physicians, other health providers, outside payor sources and the general public. • Performs other job related duties as assigned. Preferred: 1 year ED Case Management experience . Required: Utilization review knowledge of InterQual guidelines and 1 year UR experience utilizing InterQual. Possession of a valid license as a Registered Nurse in the State of California AND (Level I) two (2) years of experience or its equivalent as a registered nurse in an acute care hospital, at least one (1) of which was on a medical/surgical ward or unit. (Level II) one (1) year of utilization review/discharge planning experience in an acute care hospital or as a Case Manager in an alternate medical setting such as a clinic or physician's office performing utilization review or discharge planning. OR Possession of a valid license as a Registered Nurse in the State of California And two (2) years of experience as a Case Manager in an alternate medical setting such as a clinic or physician's office performing utilization or discharge planning. Incumbents may be required to possess and maintain specific certificates competency based on unit specific requirements as a condition of employment. Possession and maintenance of a current American Heart Association Healthcare Provider Basic Life Support (BLS) card. Appointees not possessing the BLS card must successfully complete appropriate training and qualify for the BLS card within 60 days of employment. QUALIFICATION/LICENSURE Work Authorization : US Citizen Preferred years of experience : 2 years Travel required : No travel required Shift timings : Night Integrated Healthcare Services Job ID #36721632. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN- ED Case Management (Utilization Review)

Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. Works with all members of the health care team to ensure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening criteria and for infection control, quality services for continued stay and through discharge. Plans and coordinates home care services and needs. Coordinates the discharge planning function in conjunction with the social worker. Participates in education on and implementation of clinical guidelines and protocols. Provides or arranges patient teaching as appropriate. Works closely with social workers to integrate psychosocial management of patient/family needs. **Primary Duties and Responsibilities:** + Performs evaluation and or assessment within the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified contracted/private patients collaborates with on-site and/or outside reviewers. + Keeps patients informed of progress and provides information related to disease progression. + Collaborates with discharge planner to make orders and arranges for home care equipment, healthcare needs, and works with third-party payers to validate orders. + Educates patients and families on all aspects of patients' hospitalization and continuing care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers. + Interacts professionally with patient/family/caregivers and involves them in the formation of the plan of care and discharge needs. + Coordinates with multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient. + Documentation meets current standards and policies. + Maintains department cleanliness and safety. **Qualifications** **Education:** + Associate's degree in Nursing (required). + Bachelor's degree in Nursing (preferred). **Certifications/Licenses:** + Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred). **Experience:** + Minimum of 2 years of nursing experience in an acute care setting (required). + Minimum of 1year of Case Management experience (preferred). \#Jobs-Indeed \#LI-On-site **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents. **About the Team** Cedars-Sinai Marina del Rey Hospital is a nonprofit community hospital committed to serving the needs of the surrounding coastal and westside communities. In addition to general acute medical services and 24/7 emergency care, the hospital offers expertise in specialty areas including spine, weight loss and orthopaedics. Choose this if you want to work in a growing community focused hospital where every staff member feels like family. **Req ID** : 10481 **Working Title** : RN Case Manager - Case Management (ED) - Per Diem (12-hour day shifts) - Marina Hospital **Department** : Case Management **Business Entity** : Cedars-Sinai Marina Hospital **Job Category** : Patient Services **Job Specialty** : Case Management **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 12 hour **Base Pay** : $72.70 - $72.70 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. Works with all members of the health care team to ensure a collaborative approach is maintained in care and treatment of the patient. Reviews care and treatment for appropriateness against screening criteria and for infection control, quality services for continued stay and through discharge. Plans and coordinates home care services and needs. Coordinates the discharge planning function in conjunction with the social worker. Participates in education on and implementation of clinical guidelines and protocols. Provides or arranges patient teaching as appropriate. Works closely with social workers to integrate psychosocial management of patient/family needs. **Primary Duties and Responsibilities:** + Performs evaluation and or assessment within the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified contracted/private patients collaborates with on-site and/or outside reviewers. + Keeps patients informed of progress and provides information related to disease progression. + Collaborates with discharge planner to make orders and arranges for home care equipment, healthcare needs, and works with third-party payers to validate orders. + Educates patients and families on all aspects of patients' hospitalization and continuing care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance carriers. + Interacts professionally with patient/family/caregivers and involves them in the formation of the plan of care and discharge needs. + Coordinates with multidisciplinary team to ensure the identification of a safe and appropriate discharge plan for each assigned patient. + Documentation meets current standards and policies. + Maintains department cleanliness and safety. **Qualifications** **Education:** + Associate's degree in Nursing (required). + Bachelor's degree in Nursing (preferred). **Certifications/Licenses:** + Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case Manager (ACM) (preferred). **Experience:** + Minimum of 2 years of nursing experience in an acute care setting (required). + Minimum of 1year of Case Management experience (preferred). \#LI-On-site \#Jobs-Indeed **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents. **About the Team** Cedars-Sinai Marina del Rey Hospital is a nonprofit community hospital committed to serving the needs of the surrounding coastal and westside communities. In addition to general acute medical services and 24/7 emergency care, the hospital offers expertise in specialty areas including spine, weight loss and orthopaedics. Choose this if you want to work in a growing community focused hospital where every staff member feels like family. **Req ID** : 11818 **Working Title** : RN Case Manager - Case Management (Inpatient) - Per Diem (8-hour day shifts) - Marina Hospital **Department** : Case Management **Business Entity** : Cedars-Sinai Marina Hospital **Job Category** : Patient Services **Job Specialty** : Case Management **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $72.70 - $72.70 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

This individual will be accountable for providing clinical care management and coordination support to high-risk members with cardiovascular related diagnosis/conditions in the Northwest Region of Regal Medical Group (Regal). This position is embedded in a cardiology clinic and supports members enrolled in Regal cardiovascular disease management programs in order to reduce preventable healthcare utilization in the assigned population. Responsibilities include providing direct patient assessments, care management, coordination of services, and triaging to appropriate clinical and non-clinical resources available to Regal members, including social and behavioral health resources. The Cardiovascular RN will support the management of members identified across the continuum of care, including newly diagnosed individuals and those with recent hospitalizations, to the point of sustained clinical stabilization. There will be a strong focus on management of members with congestive heart failure. Essential Duties and Responsibilities include the following: Provides on-site clinical care, care management and coordination for Regal members seen in the Heart Medical Group cardiology practice, specifically those enrolled in Regal cardiac management programs. Supports execution of plan of care for Regal members seen in the cardiology clinic, with a special focus on patients enrolled in Regal cardiovascular condition management programs. Assist in consultation and counseling of members, caregivers and their families. Support clinical interventions to assist member in regaining optimal functioning. Works with Regal pharmacy staff to support members' medication management Monitors effectiveness of interventions and communicates changes in plan of care as needed to help meet the needs of the member Participates in interdisciplinary team discussions related to members served by Regal cardiovascular condition management programs to support ongoing care management. Collaborates with the Regal interdisciplinary care team to identify necessary resources needed in caring for the member. Adheres to evidenced-based clinical guidelines Appropriately documents all care provided in accordance with company and regulatory requirements. Identifies and links members to appropriate follow-up for clinical and non-clinical supports and services within Regal NW, including social and behavioral services. Adhere to group/health plan guidelines and protocols. All other duties as directed by management. The pay range for this position at commencement of employment is expected to be between $45 - $50 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors. As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success. Full Time Position Benefits: The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life. Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options. Health and Wellness: Employer-paid comprehensive medical, pharmacy, and dental for employees Vision insurance Zero co-payments for employed physician office visits Flexible Spending Account (FSA) Employer-Paid Life Insurance Employee Assistance Program (EAP) Behavioral Health Services Savings and Retirement: 401k Retirement Savings Plan Income Protection Insurance Other Benefits: Vacation Time Company celebrations Employee Assistance Program Employee Referral Bonus Tuition Reimbursement License Renewal CEU Cost Reimbursement Program Business-casual working environment Sick days Paid holidays Mileage Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance. Education and / or Experience: Current Certification as Registered Nurse Experience with cardiovascular- and CHF-specific care Experience with high-risk, complex patients Experience delivering care in clinic setting Minimum 3-4 years of experience working in healthcare Ability to work independently in the field, while still meeting team deadlines and requirements Proficient at Microsoft Office products Excellent verbal and written communication skills Licenses & Certifications Registered Nurse License

Aequor's EDU division is working with a school district in the Tracy, CA area on a full-time BCBA position for the remainder of the 25/26 school year. The BCBA will provide behavior analytic services to students within a school setting, collaborating with educators, related service providers, and families to support positive student outcomes. Key Responsibilities: Conduct Functional Behavior Assessments (FBAs) and develop Behavior Intervention Plans (BIPs) Implement and oversee evidence-based behavior support strategies Provide direct and indirect behavioral consultation to teachers and school staff Supervise and support RBTs, paraprofessionals, or behavior technicians as applicable Collect, analyze, and report behavioral data to guide interventions Participate in IEP meetings and contribute to goal development Ensure services comply with district policies, IDEA, and ethical standards Qualifications: Active BCBA certification (BACB) Master's degree in Applied Behavior Analysis, Education, Psychology, or related field Experience working with children in school or educational settings preferred Knowledge of special education processes and IEPs Strong collaboration and communication skills Benefits (if applicable): Competitive pay Weekly pay options Health benefits and 401(k) eligibility Support from dedicated Aequor education staffing team

Provides social services to patients in the care site and/or assigned unit. Salaried, benefit eligible Monday - Friday ESSENTIAL DUTIES AND RESPONSIBILITIES 1.Provides continuing care assessments and reassessments of cancer patients and their families to assist in development of their treatment and survivorship needs. Identifies psychosocial needs and access to appropriate services and resources. 2. Participates in oncology interdisciplinary rounds and multidisciplinary care planning. Communicates and collaborates with medical, interdisciplinary team staff, patient, family, and community agencies to provide continuity of care. 3. Provides community resources for psychosocial, financial, and educational needs of patient and family. Collaborates with outside agencies. Participates in community activities, community-wide inservices and training to promote psycho-social health. 4. Provides education and information on advance care planning and advanced directives. Serves as a resource in the areas of financial support, disability eligibility, worklace issues, transportation barriers, mental health, substance abuse, domestic violence, child and elder abuse, and housing resources. 5. Provides education on palliative and hospice care, and coordinates referrals when indicated. 6. Assists in the development, implementation and annual review of policies, procedures and protocols related to Oncology Social Work. 7. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards. 8. Performs other duties as assigned. EDUCATION Required: Master's Degree in Social Work is required. Preferred: N/A CERTIFICATION, REGISTRATION, LICENSE ( indicates primary source verification requirement) Required: Valid LCSW licensed in the State you are practicing in. If LCSW is not completed at time of hire, LCSW is required within 3 years and clinical supervision is needed during the completion process. Preferred: Oncology Certification is preferred. Current LCSW license. EXPERIENCE Required: N/A Preferred: One (1) year of supervised social work experience in a health care setting working directly with individuals is preferred. KNOWLEDGE, SKILLS, AND ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required Location: Saint Joseph Hospital Work City: Denver Work State: Colorado Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $38.77 - $59.82 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

. Reporting directly to the Director of Nursing, the Case Manager, Medical (Medical Case Manager, MCM) primary focus is to address the specialized medication case management and treatment authorization needs of participants in a social model substance use detoxification program. The MCM works in coordination with internal and external stakeholders to address the broad array of client needs through coordinating funding, and in obtaining critical medications required for safe Withdrawal Management (WM). The MCM acts primarily as a care coordinator and treatment case manager, and may perform duties that include crisis intervention, health education, referral to providers of necessary services, and benefits counseling. The MCM works with an interdisciplinary team, ensures accurate and timely flow of documentation to support appropriate treatment length episodes and maintains quality assurance of files. As part of the MCM routine duties they will interact with other governmental, non-profit service agencies, and local businesses for client services. KEY RESPONSIBILITIES Case Management: Prepares extended treatment episode authorization requests and routes to medical leadership for review. Forwards finalized document to Department of Public Health for authorization and, if received, ensures the authorization information is relayed to internal stakeholders. Facilitates the confidential exchange of client's protected health information (PHI) between Admissions and WM to adequately evaluate unit appropriateness for client's needs. Monitors, coordinates, and resolves obstacles between prescribing providers, payors, and retail pharmacies to make certain that clients receive critical Medication Assisted Therapies (MAT) with few to no lapses in treatment days. Outreach and Relationship Management: Collaboratively work and communicate with other agencies and local pharmacies to provide information regarding resources and service opportunities. Leadership Responsibilities: Works collaboratively with all invested staff. Provides administrative leadership for client medication support, and within the quality improvement infrastructure of the healthcare and residential program. Participates in matters related to performance and quality improvement, planning, protocols, and goal setting. Comfortable in changing systems, and champions change. Organizational Responsibilities: Accurately and consistently documents required information on records and reports. Keeps up to date with operational and procedural requirements. In conjunction with WM Nurse Manager, Behavioral Health Nurse Director, and/or Director of Addiction Medicine, assures organizational readiness for accreditation surveys and ongoing monitoring and reporting of conformance to quality within the program. Provides direct care coordination support for clients to access all aspects of HR360 healthcare services. And perform other duties as assigned. QUALIFICATIONS Education, Certification, and Experience Required: Possess a minimum of an AA degree in a related field; or 3-5 years related experience. BLS and First Aid Certification must be obtained within 30 days of hire. Experience and interest in working with safety-net populations and in treating substance use disorders. Experience working successfully with issues of mental health, criminal background, and other potential barriers to economic self-sufficiency.

. Reporting directly to the Director of Nursing, the Case Manager, Medical (Medical Case Manager, MCM) primary focus is to address the specialized medication case management and treatment authorization needs of participants in a social model substance use detoxification program. The MCM works in coordination with internal and external stakeholders to address the broad array of client needs through coordinating funding, and in obtaining critical medications required for safe Withdrawal Management (WM). The MCM acts primarily as a care coordinator and treatment case manager, and may perform duties that include crisis intervention, health education, referral to providers of necessary services, and benefits counseling. The MCM works with an interdisciplinary team, ensures accurate and timely flow of documentation to support appropriate treatment length episodes and maintains quality assurance of files. As part of the MCM routine duties they will interact with other governmental, non-profit service agencies, and local businesses for client services. KEY RESPONSIBILITIES Case Management: Prepares extended treatment episode authorization requests and routes to medical leadership for review. Forwards finalized document to Department of Public Health for authorization and, if received, ensures the authorization information is relayed to internal stakeholders. Facilitates the confidential exchange of client's protected health information (PHI) between Admissions and WM to adequately evaluate unit appropriateness for client's needs. Monitors, coordinates, and resolves obstacles between prescribing providers, payors, and retail pharmacies to make certain that clients receive critical Medication Assisted Therapies (MAT) with few to no lapses in treatment days. Outreach and Relationship Management: Collaboratively work and communicate with other agencies and local pharmacies to provide information regarding resources and service opportunities. Leadership Responsibilities: Works collaboratively with all invested staff. Provides administrative leadership for client medication support, and within the quality improvement infrastructure of the healthcare and residential program. Participates in matters related to performance and quality improvement, planning, protocols, and goal setting. Comfortable in changing systems, and champions change. Organizational Responsibilities: Accurately and consistently documents required information on records and reports. Keeps up to date with operational and procedural requirements. In conjunction with WM Nurse Manager, Behavioral Health Nurse Director, and/or Director of Addiction Medicine, assures organizational readiness for accreditation surveys and ongoing monitoring and reporting of conformance to quality within the program. Provides direct care coordination support for clients to access all aspects of HR360 healthcare services. And perform other duties as assigned. QUALIFICATIONS Education, Certification, and Experience Required: Possess a minimum of an AA degree in a related field; or 3-5 years related experience. BLS and First Aid Certification must be obtained within 30 days of hire. Experience and interest in working with safety-net populations and in treating substance use disorders. Experience working successfully with issues of mental health, criminal background, and other potential barriers to economic self-sufficiency.

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meetings, and transitions of care. This position performs troubleshooting when problem situations arise and takes independent action to resolve complex issues. Minimum Requirements High School Diploma or equivalent required. Medical assistant Certification preferred. Prior experience working in a clinic/health care call center. Minimum 3 years of experience working in a healthcare environment. Knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs. Experience in a managed health care environment, preferably IPA, HMO, or Health Plan, preferred. Experience working with an ethnically diverse population, preferred. Compensation $25.00 - $29.32 hourly Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development Medical, Dental and Vision insurance 403(b) Retirement savings plans with employer matching contributions Flexible Spending Accounts Commuter Flexible Spending Career Advancement & Development opportunities Paid Time Off & Holidays Paid CME Days Malpractice insurance and tail coverage Tuition Reimbursement Program Corporate Employee Discounts Employee Referral Bonus Program Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.