Health Plan Care Coordinator — Utilization & Discharge
Adventist Health
A leading nonprofit health system in Roseville, California, is seeking a professional to coordinate utilization and case management for health plan members. You will serve as a liaison between various stakeholders, maintain effective communication for care coordination, and lead review processes. The ideal candidate has experience in health management and strong communication skills. Join a mission-driven team dedicated to inspiring health and wholeness while working in a supportive environment. #J-18808-Ljbffr Adventist Health
$24.03 - $30.91 per hour
A community-focused healthcare provider in Roseville, California, is seeking a Health Plan Care Management Coordinator. This role involves coordination of utilization, disease, and case management for health plan members while enhancing communication and collaboration among...Health InsuranceHourly payFull time- ...Sacramento, the Adventist Health corporate... ...work. Job Summary Coordinates and provides utilization, disease and case management... ...coaching to health plan members. Applies... ...case coordinators, discharge planners, contracted... ...communication with health care team members related...Health InsuranceWork experience placement
$24.4 - $33.47 per hour
...Sacramento, the Adventist Health corporate... ...Assumes responsibility for utilization and case management of... ...the Population Health Plan Initiative. Job... ...including direct patient care: Preferred Licenses/... ...members, providers, case coordinators, discharge planners, contracted...Health InsuranceFull timeWork experience placementShift work- ...healthcare organization in California is seeking a Referral Coordinator to ensure timely processing and coordination of patient referrals... ...include managing patient demographics, verifying health plan eligibility, and providing excellent customer service. This role...Health Insurance
- ...Sacramento, the Adventist Health corporate... ...of the cavitation care management service... ..., case management, utilization review and care planning. Job Requirements... ...population. Performs and/or coordinates preventative care,... ...could affect the discharge plan of care. Manages...Health InsuranceWork experience placement
- ...At 21st Century Home Health Services (21HHS) , we treat... ...Bay Area. Today, we care for more than 4,000 patients... ...Case Manager: Utilize your outstanding clinical... ...execute the overall plan of care to promote wellness... ...Resumption of Care and discharge planning. You will...Health InsuranceFull timeLocal areaRemote workFlexible hours
$24.04 - $26.44 per hour
...primary focus of the Lead Care Manager is to provide direct service and coordinate care management while... ...specific cases, coordinates health care benefits, provides... ...of the Individual Care Plan/Health Action Plan... ...professionals (e.g., PCP). Utilizes evidence-based practices...Health InsuranceHourly payFull timeWork experience placementWork at officeFlexible hoursShift work$27.4 - $35.62 per hour
...Health Educator I Department/Care Stream: Health Education LIA Reporting Structure Timecard Approver... ...Community Health System, WellSpace utilizes a Confluence Model to integrate an... ...development of an individual health action plan and support the patient in the...Health InsuranceFull timeLocal areaFlexible hours- ...cosmetic cases. Looking for a ROCKSTAR Receptionist/Patient care coordinator to join our front desk team in a brand new Dental office!!!... ...and claim submission * The ability to present treatment plans and payment options * The ability to collect money up front...Health InsuranceWork at office
- ...Description Position Summary: The Patient Care Coordinators is responsible for providing administrative, planning and coordination assistance to the DPCS. The position... ...least two to four years of experience in home health 3.Knowledge of business management,...Work at office
- ...General Neurologist for its Folsom location. The role involves teaching, collaboration on research in dementia, and utilizing advanced technology for patient care. Candidates should be committed to compassionate care and have experience in cognitive disorders. Benefits...Health InsuranceRelocation package
- ...Your Role The Behavioral Health Utilization Management team performs prospective & concurrent... ...authorization requests at various levels of care for medical necessity, coding accuracy,... ...Management for a health insurance plan or managed care environment required...Health InsuranceFull timeContract workWork at office
$3,000 - $3,400 per week
...Carmichael, CA Agency: United Health Care Staffing, Inc. Pay: $3,000 to... ...Position RN – Case Management / Care Coordination Opportunity Carmichael,... ...management experience who are skilled in discharge planning, utilization review, care coordination, and...Health InsuranceFull timeContract workCasual workShift workWeekend workDay shift- ...Manager Community Health Centers of America... ...in clinical care and at contracted... ...as a clinical care coordinator and population health... ...medical treatment plans outside the scope... ...Conduct post-discharge outreach and transitional... ...support, utilization of preventive services...Health InsuranceFull timeWork at office
- ...services. As the Director of Case Management, you’ll guide discharge planning, Care Coordination, and access management to ensure patients receive... ...anyone who might be interested in Case Management and Utilization Management opportunities. Michelle Boeckmann |...
$1,500 per month
...effective, quality mental health services, including... ...to assessment, plan development, individual... ..., Mid-Assessment, and Discharge packets for assigned client... ...external organizations Utilizes Evidence Based... ...contract requirements Coordinates with other services provided...Health InsuranceContract workHome officeFlexible hours$80k - $90k
Pacific Health Group is seeking an ECM Program Manager to lead their Enhanced Care Management program, ensuring vulnerable populations receive needed care and advocacy. You will mentor teams across California, enhance program effectiveness, improve performance metrics,...Remote job- ...Promise Health Plan Medical Director The Healthcare Services team is committed to a single vision of transforming health care delivery for Blue Shield members. Within this framework, the... ...Health Plan Senior Medical Director, Utilization Management. The Promise Health...Health InsuranceWork at officeAfternoon shift2 days per week
- A leading health organization in California is seeking a professional to manage regional managed care contracting and recovery activities. You will negotiate health plan contracts and supervise personnel while ensuring effective contract implementation and adherence to...Health InsuranceContract work
$41.38 - $69.02 per hour
...RN Utilization Management Nurse (InPatient) – California HMO Virtual... ...type, level, or quality of care, e.g., if services are not... ...with case management nurses on discharge planning, ensuring patient has... ...RN license to practice as a health professional within the scope...Full timeTemporary workWork experience placementWork at officeLocal areaShift work1 day per week- ...Utilization Management Manager The Utilization Management team reviews... ...recognized levels of care for both our Medi-Cal and Medicare... ...functional area results in terms of planning, cost; in collaboration with... ...Shield of California Promise Health Plan; Altais, a clinical...Health InsuranceFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...California (BSC) is on the cutting edge of utilization management reimagined to accelerate the... ...and sustainability of a value-based health care system in California. The Medical Director... ...administrative operations at the IPA or health plan level Demonstrated proficiency in at...Health InsuranceFull timeWork at office
$130k - $160k
...At 21st Century Home Health Services (21HHS) , we treat every patient... ...in the Bay Area. Today, we care for more than 4,000 patients across... ...Health Case Manager: Utilize your outstanding clinical skills... ...and execute the overall plan of care to promote wellness and...Health InsuranceFull timeLocal areaRemote workFlexible hours- ...California is seeking a Practice Lead/Supervisor. The role involves overseeing practice staff, ensuring excellent patient care, and coordinating workflow to enhance business performance. Candidates should have 2-4 years of experience in relevant fields and possess strong...Hourly payFull time
$31.46 - $47.59 per hour
...Corporation is hiring a caring, self-motivated,... ...patient, physician, other health care providers, the employer... ...the referral source Utilizes their medical and... ...the current treatment plan with the physician and... .../or long-term facility discharge planning conferences, etc...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursNight shift- PDS Health is looking for a Healthcare Coordinator in Rocklin, California. You will partner with dentists to ensure patients understand financial options and treatment choices. Responsibilities include obtaining necessary pre-authorizations, educating patients, and supporting...Health Insurance
$130k - $160k
Overview At 21st Century Home Health Services (21HHS), we treat every... ...expanding in the Bay Area. We care for patients across multiple... ...(RN) Home Health Case Manager Utilize clinical skills to create, implement... ..., and execute the overall plan of care to promote wellness...Health InsuranceFull timePart timeRemote workFlexible hours$2,800 - $3,000 per week
...Carmichael, CA Agency: United Health Care Staffing, Inc. Pay: $2,800 to... ...15–20 consults per day Coordinate patient care across the hospital,... ...ensuring smooth transitions and timely discharge planning Perform utilization management and utilization review...Health InsuranceFull timeContract workReliefImmediate startMonday to FridayShift workWeekend work- ...quality services for high‑need clients enrolled in Medi‑Cal managed care. Responsibilities include overseeing documentation standards,... ...LCSW or LMFT. Benefits include generous paid time off, medical plans, and a 401(k) retirement plan with employer match. #J-18808-Ljbffr...
- ...based in Roseville, California, is seeking a professional to manage care management service lines. This role involves enhancing member... ...about improving patient care and efficiently delivering health services, this opportunity is for you. #J-18808-Ljbffr Adventist...Health Insurance
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Health Plan Care Coordinator — Utilization & Discharge. Be the first to apply!
- social service coordinator Roseville, CA
- health care coordinator Roseville, CA
- home health care coordinator Roseville, CA
- animal care coordinator Roseville, CA
- care team leader Roseville, CA
- home care coordinator Roseville, CA
- managed care coordinator Roseville, CA
- care coordinator Roseville, CA
- medical insurance verification Roseville, CA
- health insurance part time Roseville, CA



