772 Case Manager Stop jobs in Los Angeles,CA

Graduate of an academic institution accredited by the Council on Social Work Education and a Masters degree in Social Work.
Bilingual (English/Spanish) Level II required.
Demonstrated knowledge of case management, discharge planning, transfer coordination; TJC and other federal/state/local regulations.
Must be able to work in a Labor/Management Partnership environment.
Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program.

PIH Health

Whittier, CA 90602

Maintain an active California RN License.
Minimum of 5 years hospital nursing experience
Obtain ACM (Accredited Case Manager) or CCM (Certified Case Manager) within 3 years of hire.
Knowledge of medical terminology and current third party payor reimbursement methodologies.
Excellent verbal, written, and organizational skills required.
Ability to follow chain of command.
Self-motivated and results oriented.
Must be able to demonstrate sound decision making and prioritization skills.
Proficiency with main-frame and personal computers.

PIH Health

Whittier, CA 90602

Current California license as current California RN license
Bachelor's degree of Science in Nursing
3 or more years of work experience as a case manager in hospital inpatient healthcare setting
Evidence of continuing education and obtain ACM (Accredited Case Manager) within 3 years of hire
Demonstrated ability to provide consultation and instruction to staff regarding their assessment, intervention, planning and evaluation of cases
Contributes to staff performance annual evaluation, performs staff annual competencies evaluations, provides staff orientation and training
Strong working knowledge of CMS Conditions of Participation for Discharge Planning and Utilization Review, InterQual/MCG criteria, payer requirements, and hospital policies
Knowledge with regulatory agency requirements, policies, and protocols
Demonstrate leadership and organizational skills
Independent performer and manages multiple assignments in a fast-paced environment
Strong critical thinking and problem-solving skills to identify and resolve problems and or escalate barriers to support throughput
Excellent communication and writing skills

Spencer's

Torrance, CA 90503

Kaiser Permanente

Harbor City, CA 90710

Graduate of an academic institution accredited by the Council on Social Work Education and a Masters degree in Social Work.
Bilingual (English/Spanish) Level II required.
Demonstrated knowledge of case management, discharge planning, transfer coordination; TJC and other federal/state/local regulations.
Must be able to work in a Labor/Management Partnership environment.
Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program.