Blue Cross and Blue Shield of North CarolinaFullerton, CA, United States
Full-time
A company is looking for a Sr Episodic Care Manager - Behavioral Health.Key ResponsibilitiesPerform clinical evaluations and reviews for prior authorization and transition of care needsAct as a sub...Show moreLast updated: 1 day ago
Promoted
Licensed Behavioral Health Care Manager
The Judge GroupCosta Mesa, CA, United States
Full-time
A company is looking for a Behavioral Health Care Manager II.Key ResponsibilitiesManage psychiatric and substance abuse treatment health benefits through telephonic or written reviewAssess member n...Show moreLast updated: 1 day ago
Promoted
Care Manager
HealthEcareers - ClientOrange, CA
$115,353.00 yearly
Full-time
CalOptima Health is seeking a highly motivated an experienced Care Manager to join our team.The Care Manager will facilitate communication and coordination among all participants of the health care...Show moreLast updated: 26 days ago
Promoted
Care Manager
CalOptimaOrange, US
$55.46 hourly
Full-time
CalOptima Health is seeking a highly motivated an experienced Care Manager to join our team.The Care Manager will facilitate communication and coordination among all participants of the health care...Show moreLast updated: 26 days ago
Promoted
Care Manager Transition of Care
Health NetCA, United States
$25.97–$46.68 hourly
Full-time
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.
As a diversified, national organization, you’ll ha...Show moreLast updated: 18 days ago
Promoted
Customer Care Manager
Medical GuardianIrvine, CA, United States
Full-time
A company is looking for a Customer Care Manager to lead and inspire a team of agents in providing excellent customer service.
Key ResponsibilitiesSupervise day-to-day operations and workflows in th...Show moreLast updated: 1 day ago
Promoted
Med Care Manager
Sunrise Senior LivingOrange, CA, United States
Full-time
Sunrise Senior Living was again certified as a Great Place to Work by Activated Insights.This is the 7th time Sunrise has received this top culture and workplace designation, highlighting the speci...Show moreLast updated: 1 day ago
Care Manager
CareConnect Health Services IncCosta Mesa, CA, USA
Quick Apply
CareConnectMD DCE is a specialized High Needs Direct Contracting Entity (DCE) geared towards medically complex Medicare beneficiaries who reside in nursing homes, assisted living facilities, board ...Show moreLast updated: 30+ days ago
Promoted
Behavioral Health Care Manager
Mindoula Health IncCosta Mesa, CA, United States
Full-time
A company is looking for a Behavioral Health Care Manager to work full-time and remotely from anywhere within the United States.
Key ResponsibilitiesAccept patient handoffs and continue care while d...Show moreLast updated: 1 day ago
LEAD CARE MANAGER / CARE COORDINATOR
BLEHEALTH, LLCN / A, CA
Full-time
The Care Coordinator / Lead Care Manager works in collaboration and continuous partnership with chronically ill or “high-risk” members and their family / caregiver(s), clinic / hospital / speci...Show moreLast updated: 30+ days ago
Promoted
Care Manager
ArosaIrvine, CA, US
Full-time
Continue your journey with Arosa.Care Management & Professional Outreach.Work directly with clients and their family members.
provide support for home care services and community-based care man...Show moreLast updated: 2 days ago
Geriatric Care Manager
JFCSMarin County
$75,000.00–$85,000.00 yearly
For nearly 175 years, Jewish Family and Children’s Services of San Francisco, the Peninsula, Marin, and Sonoma Counties has served the Bay Area’s children, families, and older adults.As the problem...Show moreLast updated: 30+ days ago
Promoted
Care Manager (RN)
CenteneCA, United States
$25.97–$46.68 hourly
Full-time
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.
As a diversified, national organization, you’ll ha...Show moreLast updated: 18 days ago
Care Manager
ClarvidaAnaheim, CA, US
$24.00 hourly
Full-time
Our company is known for an unwavering commitment to exceptional value and recovery-focused, quality care.We are experts in the field of behavioral health care, providing cutting-edge mental health...Show moreLast updated: 30+ days ago
Care Manager
OmatochiContra Costa, CA, US
Full-time
Omatochi is actively seeking a compassionate and detail-oriented Care Manager to join our team.In this non-medical role, you will play a crucial part in coordinating and overseeing support services...Show moreLast updated: 30+ days ago
Promoted
Lead Care Manager / Case Manager - Orange County
Titanium HealthcareGarden Grove, CA, US
$21.00–$23.00 hourly
Full-time
Titanium is a healthcare company that puts heart and compassion above all else.Millions of Americans just arent getting the medical care they need.
Were on a mission to change that.For patients that...Show moreLast updated: 3 days ago
Promoted
New!
ECM Lead Care Manager (Hybrid)
MASC Medical Recruitment FirmRiverside County, CA, United States
$60,000.00–$70,000.00 yearly
Full-time
This position is full-time and remote.Must be available for in-person interactions as needed).Patient Care Manager who lives in Inland Empire.
The focus of assistance is in enhancing the quality of ...Show moreLast updated: 6 hours ago
Care Manager (BHT)
The Midtown GroupOrange,, California
$34.66–$55.45 hourly
Full-time
One of our most prestigous healthcare clients is seeking a highly motivated an experienced TEMP - Care Manager to join our team.
The Care Manager is responsible for the oversight and review of Behav...Show moreLast updated: 30+ days ago
Promoted
Nursing Manager of Care Coordination
Clinical Management ConsultantsSanta Ana, CA, US
Full-time
A new and exciting opportunity for a Manager of Care Coordination has just become available at a 150+ bed, highly awarded hospital in Southern California! Come join a leading healthcare organ...Show moreLast updated: 9 days ago
Care Manager - BH
ICONMARemote, CA
Remote
Full-time
Monitors inpatient and / or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
Provides telephone triage, crisis in...Show moreLast updated: 30+ days ago
Blue Cross and Blue Shield of North CarolinaFullerton, CA, United States
1 day ago
Job type
Full-time
Job description
A company is looking for a Sr Episodic Care Manager - Behavioral Health.Key ResponsibilitiesPerform clinical evaluations and reviews for prior authorization and transition of care needsAct as a subject matter expert for clinical UM staff and internal stakeholdersProvide mentorship and training support to new hires and maintain process documentationRequired QualificationsRN or LCSW with a minimum of 3 years of clinical experienceExperience in utilization management with a track record of meeting metrics and quality goalsProven expertise in UM functions and discharge planningValid nursing or relevant clinical license within the US, with an application for NC license initiatedExperience with Medicare and / or Medicaid is a plus