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Howroyd Group of Companies-San Diego, CA, 92108
Job Description: Excellent opportunity for an in-house Nurse Case Manager looking for stability, excellent benefits, and a corporate environment. Ideal candidate will be a Certified Case Manager and worker's compensation background. The Nurse 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 the ACOEM (American College of Occupational and Environmental Medicine) guidelines. The Nurse Case Manager will work closely with the Med...
Case Manager Jobs in San Diego, California Jobs
Palomar Pomerado Health | San Diego, CA, 92108, USA | 5-7
Case Manager Department: Behavioral Health Schedule: Per Diem Shift: Day Hours: 08 Union: CNA Req Num: 000006879 Job Details: Responsible for the utilization management process for all adult and geriatric psychiatric patient admissions to Behavioral Health Services, to include monitoring and assessing medical necessity for admission and continued stay. Responsible for all aspects of the appeal process, compliance with DRG Prospective Payment timelines, collecting, entering, analyzing data and submitting reports, training of clinical staff to insure compliance with UM procedures, functions a...
Satori World Medical | San Diego, CA, 92108 |
Summary: This position performs critical functions for the Patient Intake Process/Quality Management division of the company. Responsibilities include being the primary patient facilitator throughout their utilization of Satori World Medical's international health network. Patient Facilitation is centered around quality: quality of communications with patient and provider, quality around documentation and follow-up; it requires a constant audit and awareness of Satori processes, and a willingness to implement new practices for greater patient satisfaction, economy, and efficiency in getting...
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