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Case Manager
1 week ago
Interfaith Community Services Escondido, United States: · **SHIFT: Monday · - Friday 8am-5pm** · **WHAT YOU WILL DO**:The Case Manager position will provide direct services to clients, to include but not limited to, intake, assessment and case management, and client advocacy (resources and referrals) to homeless and low-income indiv ...
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Case Manager
1 week ago
DSSI, Inc. Escondido, United StatesDSSI is hiring Case Managers to work with a workforce services company in the Escondido area. · This role focuses on helping individuals address any barriers they are facing by navigating them through their benefits and resources. · **Details**: · - Workdays: Monday-Friday · - Wo ...
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Experienced Case Manager
1 week ago
DSSI, Inc. Escondido, United StatesDSSI is hiring Experienced Case Managers to work with a workforce services company in the Escondido area. This is a temporary role assisting on a special project aiming to help those currently facing a housing crisis. · **Details**: · - Workdays: Monday-Friday · - Work Hours: 8am ...
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Care Case Manager
1 day ago
Mental Health Systems, Inc. Escondido, United StatesAt TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values Integrity, Diversity, Mentorship, and Inclusion are at the forefront of everything we do. We hire exceptional individuals seeking meaningful opportunities in ...
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North County Lifeline Escondido, United States**Case Manager,** · **Community Services for Families (CSF) Program** - Bilingual Spanish** · Lifeline Community Services is hiring a Mental Health Therapist to support our growing team. You will be responsible for providing assessment, treatment planning, individual and family t ...
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Registered Nurse Case Manager
1 week ago
Cabrillo Hospice San Marcos, United StatesOur Cause: ONGOING EXCELLENCE_ · **Cabrillo Hospice** was created to serve; it's as simple as that. We exist to be more than just health care. We believe that fostering a relationship with each patient and family, which is reflective of their life's journey, is the key to not onl ...
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Case Manager
1 week ago
Alter Health Group San Diego, United States**Job Title: Case Manager** · **Location: Dana Point, CA, Laguna Beach** · **Company: Alter Health Group** · **Reports to: Chief Clinical Officer** · **FLSA Status: Non-Exempt** · **JOB SUMMARY** · Alter Health Group is seeking a results-driven and ethical Case Manager with stron ...
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Case Manager
4 days ago
Home Start Inc San Diego, United States**Position**: FYSB Case Manager · **Classification **Non**-**Exempt · **Supervised By**: Housing Program Manager · Home Start's vision is for every child to have a safe, stable, and nurturing home. Guided by our mission to assure the safety and resiliency of children by strengthe ...
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Case Manager
4 days ago
Southwest Key Programs San Diego, United States**Essential Functions**: · - Conduct initial intake interviews of youth to include gathering familial, possible sponsorship information and to establish age of the youth. · - Conduct interviews of family members, friends of family and/or sponsors to determine the integrity of the ...
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Case Manager
1 day ago
Redwood Terrace - a HumanGood community Escondido, United StatesUnder limited supervision, the Care Case Manager helps post-acute patients and their families to navigate the skilled nursing rehabilitation experience. Coordinates with interdisciplinary team including nurses, therapists, and physicians regarding discharge planning. Serves as li ...
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Case Manager
1 week ago
Akua Behavioral Health San Diego, United StatesWe want leaders who would like to be a part of a network of treatment centers with integrity. This position will have major opportunities for growth with a company leading the treatment industry in clinical effectiveness. · SHIFT : FULL-TIME · **Responsibilities**: · - Ensures cl ...
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Case Manager
1 week ago
Positive Development for Youth & Families Escondido, United StatesWelcome to Positive Development, a new model of care in autism. · Who we are: · Our mission is to help children and adolescents with autism build more natural, meaningful connections with their families and communities as they achieve greater growth, independence, and joy. We be ...
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Case Manager
1 week ago
CRASH, Inc. San Diego, United StatesJob description · **MUST HAVE current valid California AOD Certification or registered and actively working toward an AOD Certification with CCAPP, CADPT, or CAADE** · **QUALIFICATIONS**: Must have current valid California AOD Certification or registered and actively working towa ...
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Case Manager
2 weeks ago
Positive Development Escondido, United StatesWelcome to Positive Development, a new model of care in autism. · Who we are: · Our mission is to help children and adolescents with autism build more natural, meaningful connections with their families and communities as they achieve greater growth, independence, and joy. We b ...
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Case Manager
6 days ago
Mental Health Systems, Inc. Escondido, United StatesJob Description · Job DescriptionAt TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values Integrity, Diversity, Mentorship, and Inclusion are at the forefront of everything we do. We hire exceptional individuals see ...
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Case Manager
1 week ago
Amergis Escondido, United States$ 32 / hr · Amergis Healthcare Staffing is seeking a ACSW or AMFT to provide professional counseling services designed in assisting participants in behavior change to maintain a healthy lifestyle and quality of life through individual and group therapy. · Responsibilities: · Prov ...
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Case Manager
4 days ago
Mental Health Systems, Inc. Escondido, United StatesJob Description · Job DescriptionAt TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values Integrity, Diversity, Mentorship, and Inclusion are at the forefront of everything we do. We hire exceptional individuals see ...
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Case Manager
1 week ago
Amergis Escondido, United States$ 32 / hrAmergis Healthcare Staffing is seeking a ACSW or AMFT to provide professional counseling services designed in assisting participants in behavior change to maintain a healthy lifestyle and quality of life through individual and group therapy.Responsibilities: Provides pro ...
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Case Manager
1 week ago
Amergis Escondido, United States$ 32 / hr · Amergis Healthcare Staffing is seeking a ACSW or AMFT to provide professional counseling services designed in assisting participants in behavior change to maintain a healthy lifestyle and quality of life through individual and group therapy. · Responsibilities: · + ...
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Case Manager
1 week ago
Mental Health Systems, Inc. Escondido, United StatesJob Description · Job DescriptionAt TURN our mission is Improving Lives. Our organization embraces the tenets of client-centered care, and our core values Integrity, Diversity, Mentorship, and Inclusion are at the forefront of everything we do. We hire exceptional individuals see ...
ED UR Case Manager II - Escondido, United States - Palomar Health
Description
Requisition ID 37567 Department Clinical Resource Management Location Escondido, California Union CNA Salary Range Job Type Part-Time Shift Night Hours Per Shift 8 Hours Per Pay Period 45 Position at Palomar Health Description Responsible for implementing the utilization management process for patients admitted to the acute level of care and coordinating clinical case management and discharge planning for the Emergency Department patients based on acute care guidelines/standards with focus on appropriateness of admission, level of care, and discharge.
Participates in appeals process to recover fluids for services rendered by Palomar Health and ensures that patients/families understand their rights to appeal when they disagree with a medical determination.
Analyzes and identifies utilization patterns and trends and participates in utilization monitoring activities.Coordinates appropriate, safe discharge plan with patients/families and in consultation/collaboration with health plan providers and internal as well as community resources.
Obtains authorizations needed to implement appropriate care plan and assure financial reimbursement for care services. Understands effect of health care management and reimbursement on both patients and health care system. Accurately documents the care plan in the patient chart and communicates plan to patients/families.Maintains ongoing education/knowledge of case management and utilization concepts, State and Federal health care programs, changes in health care law, criteria for multiple levels of care; utilization process related to criteria for acute care admission and impact on health care system; and never ending changes in delivery of health care.
Applies Case Management principles and strategies in the planning process.Receives ongoing education related to managed care organizations, preferred provider health plans, workers compensation plans, private health plans and third party payers.
Functions as a key resource provider related to health care management, delivery of care, and effects or reimbursements on both patients and health care system.
Performs other assigned duties.Understands and adheres to the California Nurse Practice Act, The American Nurses Association (ANA) Code of Ethics for Nurses, the ANA Bill of Rights for Registered Nurses and the ANA Scope and Standards of Practice for Nursing.
Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position.Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail).
Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job.
Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job RequirementsMinimum Education:
As required by certification and/or licensure
Preferred Education:
Bachelor's Degree and/or National Certification in Case Management and/or Utilization Review
Minimum Experience: - 3 years of directly related RN experience
Preferred Experience: - 5 years acute care nursing experienceCompletion of Utilization Review/Case Management course
Required Certification:
American Heart Association recognized BLS - Healthcare Provider
Preferred Certification:
Not Applicable
Required License:
Current CA RN License
Preferred License:
Not Applicable Current employees are not eligible for hiring incentives.
We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.
