Manager, UR-Case Management
KPC GLOBAL MEDICAL CENTERS INC.
Job Description
Job Description
JOB TITLE: Manager, UR/Case Management
REPORTS TO: Hospital CEO/CMO
POSITION SUMMARY : Responsible for implementing and supervising the day-to-day operation of the Case Management and Utilization Management programs. Manages activities necessary to ensure appropriate utilization of the hospital and its resources while maintaining optimal achievable standards of patient care. Maintains the strictest confidentiality of all patient information. Performs all other duties as assigned.
EDUCATION/EXPERIENCE : At least 5 years of Case Management experience preferred. Knowledge of state regulatory and accreditations agency requirements. Bachelor’s degree preferred.
CERTIFICATES, LICENSES, REGISTRATIONS : RN license required.
Vacancy posted 29 days ago
Similar jobs that could be interesting for youBased on the Manager, UR-Case Management in Hemet, CA vacancy
- ...RN (Registered Nurse) Case Manager Location: San Joaquin County We are currently seeking an RN (Registered Nurse) Case Manager to administer nursing care according to the plan of care to terminally ill patients. As a privileged member of Anchor Hospice and Palliative...SuggestedTemporary work
Anchor Health
Hemet, CA2 days ago - ...salary Paid time off Training & development Dental insurance Health insurance Vision insurance Job Title: Workers’ Compensation Case Manager - MUST HAVE WORKERS' COMPENSATION EXPERIENCE IN A LAW OFFICE We have an opening for a Case Manager, or Senior Case Manager based...SuggestedWork at office
$23 - $30 per hour
...families. We love what we do, and we are seeking Behavioral Program Managers who share our passion for improving the lives of children and... ...or (ABA) Program Manager serves in the field as the onsite case supervisor and leader, mastering daily case management skills, including...SuggestedHourly payRelocation packageFlexible hoursWeekend workWeekday workIntercare Therapy
Menifee, CA4 days ago- ...delivery. Minimum Qualifications: Medical Assistant certification or at least 2 years of experience in care coordination, case management, or a related healthcare role. Strong knowledge of healthcare systems, patient care processes, and community resources....Suggested
Lifekind Health
San Jacinto, CA1 day ago - Ad Astra Behavior Analytic Services is seeking dedicated Case Managers to support ABA therapy services. You will work with BCBAs to implement treatment plans, conduct parent sessions, and supervise RBTs, while collecting data and ensuring high-quality client care. The role...Suggested
- ...considerations. The role requires an RN license in California and BLS certification, with 2 years’ experience in UM, DC planning, or case management preferred. Collaboration with clinicians and payors is essential to deliver quality care. #J-18808-Ljbffr Automatic Data...
$46.92k
...development so they can reach their full potential. Responsibilities include: Providing daily supervision and mentorship Managing household routines and student schedules Administering medications and ensuring student wellness Driving students to...Full timeWork from homeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Hemet, CA1 day ago- ...Education Associate of Science Degree in Nursing Experience Two (2) years experience preferred in UM, DC planning, Case Management or equivalent, preferably in an acute hospital setting. Licensure Possession of current California RN license required...Daily paidShift work
- ...coordinator of care for assigned patientsAssist patients with Social Service needs as necessaryParticipate in Peer to Peer or Care Management reviews with patient relations liaisonEnsure the Unitized Transdisciplinary Care (UTC) program and units are scheduled and...Full timeTemporary workFlexible hoursWeekend work
Lifekind Health
San Jacinto, CA13 hours ago - The Hearing Care Coordinator at Sonova's AudioNova location in Hemet, CA works closely with clinical staff to ensure patients receive quality care and service. You will schedule appointments, verify insurance benefits, and assist with clinic support needs. Ideal candidates...Work at officeWeekend work
- Sonova USA Inc. is seeking a dedicated Hearing Care Coordinator in Hemet, CA. You will work with clinical staff to ensure quality patient care, schedule appointments, verify benefits, and support patients throughout their visits. Join a team focused on compassionate service...
- We’re looking for a Residential Care Coordinator (Memory Care Experience) to join our team! Resident Care Coordinator duties include but are not limited to contributing to Community's relationships by demonstrating cooperation and professional conduct with residents, families...
- Cottages at Hemet is seeking a Residential Care Coordinator with Memory Care experience to join our team in Hemet, CA. You will oversee all phases of resident care, supervise staff, and coordinate schedules while maintaining care plans and records. Responsibilities include...
- Canton Public Schools is seeking a licensed athletic trainer to provide comprehensive athletic training and healthcare services for student-athletes district-wide. The role includes injury prevention, evaluation, treatment, rehabilitation, and coordinated return-to-activity...Immediate start
$20 - $22 per hour
...verify pick up, input information into system Clean and maintain equipment and instruments Submit equipment and facility requests Manage inventory, order/monitor stock, and submit supply orders as needed Assist with event planning and logistics for at least 1...Work experience placementWork at officeMonday to FridayWeekend work- Indian Health Service (IHS) in Hemet, CA, is seeking physicians to deliver patient-centered care across generations. The role emphasizes compassionate service to American Indian and Alaska Native communities with opportunities for teaching and professional development. ...
- Lifekind Health in San Jacinto, CA is seeking a full-time LVN Care Coordinator to join our multidisciplinary team. You will serve as the primary contact for assigned patients and help develop, execute, and monitor care plans within the Unitized Transdisciplinary Care (UTC...Full time
- ...School Nurse to support student health services district-wide for the 2026-2027 school year. The role focuses on assessments, illness management, and health education, reporting to the District Nurse Administrator. Requirements include a BSN, RN license, and eligibility to...
- LensCrafters in Hemet, CA is seeking a Licensed Assistant Manager to lead the shop in the Store Manager’s absence and drive store performance with a patient-centered approach. The ideal candidate holds a state Opticianry license, demonstrates strong people leadership, and...
- Cottages at Hemet in Hemet, CA is seeking a Residential Care Coordinator with memory care experience to oversee resident care and supervise staff. You will ensure care plans are followed, coordinate with doctors and families, and help train the team to maintain high standards...
- Columbia Heights Public Schools in Minnesota seeks a Licensed School Nurse for district-wide responsibilities. The role involves nursing care, assessments, medication administration and maintaining student health records across schools. The position is 1.0 FTE with benefits...
- ...ensure a safe, welcoming environment for pets and customers. You will support daily store operations, execute merchandising standards, manage inventory, handle transactions, and act as a key point of contact in absence of store management. Strong leadership and service...
- Optum Home & Community Care is seeking a Care Coordinator for an onsite (hybrid) role in Beaumont, CA. The position supports post-acute care transitions, coordinating SNF assessments and discharge planning with an inter-disciplinary team. Qualified candidates hold an active...Local area
- ...California is seeking a dedicated Key Holder to support store leadership, open and close the store, and serve as a point of contact when management is unavailable. You will lead on the floor, solve problems in real time, and ensure a safe, welcoming environment for guests and...
- CambrianHomecare, LLC, part of the Dungarvin family, provides in‑home care across the Inland Empire and seeks a Quality & Training Supervisor to lead QA, investigations, and caregiver training to ensure safety and service quality. The role balances fieldwork with supervision...
- LensCrafters in Hemet, CA is hiring an Assistant Manager to lead a busy optical retail location. You will drive KPIs, supervise a team, and partner with doctors and staff to deliver exceptional customer care and eyewear solutions. The role requires a current Opticianry...
- Ramona Rehab is a skilled nursing and rehab facility in Hemet, CA, inviting LVNs to join a compassionate team. New graduates are encouraged to apply, and a comprehensive orientation and ongoing training are provided. We offer multiple shift options and a supportive work...Shift work
$35 - $63 per hour
...Complete all SNF continued stay reviews, updating authorizations on a timely basis When Care Transitions is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forwarded to licensed physicians for review and...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaHome office- UnitedHealth Group is seeking an Onsite Care Coordinator to support post-acute care transitions within the Optum Home & Community Care team. The role involves coordinating discharge plans, engaging patients and families, and collaborating with interdisciplinary teams to...
- ...and ensures compliance with state regulations and Pacifica policies. You will interview residents, maintain charts and care plans, manage admissions, and monitor health status, medications, and staffing. A valid LVN license and 2-3 years of supervisory experience are required...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Manager, UR-Case Management. Be the first to apply!
