Top 4518 Plant and System Operators, All Other Jobs in Bakersfield, CA

LVN Nurse Case Manager
Centric Healthcare Services —Bakersfield, CA
- $30 - $35 an hour
- Full-time
- Nursing
- Skilled nursing facility
- LVN
- Health insurance
- Dental insurance
Quick Apply
Utilization Management (UM) LVN Case Manager
CENTRIC HEALTHCARE SERVICES —Bakersfield, CA
- $30 - $34 an hour
- Full-time
- Customer service
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Special Agent: National Security, Criminal, & Intelligence Background
Federal Bureau of Investigation —California
- $103,236 - $133,200 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
3d
Counselor - Telehealth CA
Pinnacle Treatment Centers —Bakersfield, CA
- $24 - $30 an hour
- Full-time
- Addiction Medicine
- Mid-level
- Telehealth
- Continuing education credits
- Paid holidays
11d
Labor Relations Representative - Bakersfield
CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION —Bakersfield, CA
- $88,630 - $128,928 a year
- Weekends as needed
- Mid-level
- Office
- Driver's License
- Paid holidays
- Health insurance
Senior Operating Clerk I
PG&E Corporation —Bakersfield, CA
- $52.75 an hour
- Full-time
- 18 years or older
- Microsoft Excel
- Microsoft Outlook
11d
Authorizations Clerk
Pain Clinics of Central California Inc —Bakersfield, CA
- Full-time
- Computer literacy
- HIPAA
- Computer skills
- Paid holidays
- Health insurance
Eligibility Clerk
Pain Clinics of Central California Inc —Bakersfield, CA
- Full-time
- Private practice
- Computer literacy
- HIPAA
- Paid holidays
- Health insurance
MOTOR VEHICLE REPRESENTATIVE
Department of Motor Vehicles —Kern County, CA
- $3,745 - $5,429 a month
- Part-time
- Office
- US work authorization
- Data entry
- Disability insurance
- Health insurance
3d
Claims Examiner I
Kern Health Systems —Bakersfield, CA
- $21.15 - $31.73 an hour
- Full-time
- High school diploma or GED
- Organizational skills
- SharePoint
14d
Clinical Research Associate I, Per Diem - Dept of Orthopaedics
CEDARS-SINAI —California
- Per diem
- HIPAA
- High school diploma or GED
- Bachelor's degree
3d
Plant Maintenance Technician HDR
Vulcan Materials Company —Bakersfield, CA
- $40.38 an hour
- Full-time
- High school diploma or GED
- Driver's License
- Communication skills
- Paid holidays
- Health insurance
Eligibility Clerk
California Cardiovascular Institute —Bakersfield, CA
- $22 - $24 an hour
- Weekends as needed
- Basic math
- High school diploma or GED
- Clinic
- Disability insurance
- Health insurance
Quick Apply
7d
School Clerk
Bakersfield City School District —Bakersfield, CA
- $19.18 - $31.25 an hour
- Part-time
- Bilingual
- Word processing
- Administrative experience
9d
Driver- CDL A
Sunbelt Rentals, Inc. —Bakersfield, CA
- $29.77 - $44.66 an hour
- Full-time
- Spanish
- Clean driving record
- Customer service
- Disability insurance
- Health insurance
Quick Apply
1d
Patient Registration Clerk
BAKERSFIELD FAMILY MEDICAL GROUP, INC. —Bakersfield, CA
- $22.58 - $26.56 an hour
- High school diploma or GED
- Clinic
- Pre-employment physical examination
Quick Apply
NURSING CONSULTANT, PROGRAM REVIEW
California Correctional Health Care Services —Kern County, CA
- $12,736 - $15,945 a month
- Full-time
- Hybrid work
- Nursing
- Current TB test
- RN License
8d
Medical Receptionist
RadNet Bakersfield (Kern-Radiology) —Bakersfield, CA
- $23 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Clinic
- Health savings account
- Health insurance
8d
Department Assistant III
Kern Community College District —Bakersfield, CA
- $3,749.99 - $5,298.64 a month
- Full-time
- Word processing
- Basic math
- English
REFERRALS CLERK
Integrated Practice Management LLC —Bakersfield, CA
- HIPAA
- Entry level
- Health insurance
Quick Apply

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Plant and System Operators, All Other jobs near Bakersfield, CA

LVN Nurse Case Manager

Centric Healthcare Services
Bakersfield, CA

Quick Apply

Job Details

Full-time
$30 - $35 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Nursing
RN License
Driver's License
Bachelor's degree
Case management
Nursing

Full Job Description

JOB RESPONSIBILITIES:

Provide on-site (hospital, skilled nursing facility) and/or telephonic inpatient case management and concurrent review for identified hospitalized members.
Monitor medical necessity, appropriateness and efficiency of care using established inpatient guidelines, contacting Supervisor, Physician, Specialist, Hospitalist, and Medical Director as needed.
Coordinating and assisting with discharging patients from hospitals and SNFs.
Coordinating transfer of patient to in network facilities when appropriate.
Participate in discussion of delays / barriers / progression of care at care coordination rounds or in 1:1 meetings with physicians, specialists and/or hospital staff.
Be knowledgeable of patient’s available benefits / coverage / payor information.
Be knowledgeable of community programs and resources available to patients within their benefit plan.
Prioritize daily workload to ensure efficiency in completing daily work (patient discharge needs are met, guidelines are followed with proactive discussion of delays / barriers to efficient care, data entry is completed).
Facilitate communication between patient, family, physician, social services, and vendors to maintain continuity of care and appropriate use of resources.
Serve as a resource to patients, providers, and internal departments. Facilitate and comply with application of benefits processes as needed in close coordination with medical director and care team. Perform utilization management for HealthPartners members admitted to Out of Network Facilities, acute rehabilitation facilities, facilitating the approval/denial of services provided.
Assist in monitoring of annual financial goals for inpatient case management LOS, readmission’s, and denial rates, cost savings, patient/provider satisfaction and achievement of outcomes.
Remain current with knowledge and skills of case management and utilization management practices, application of guidelines, policies and procedures related to case management.
Remain current with knowledge to ensure compliance with government programs such as Medicare / Medicaid requirements and regulations.
Discuss cases not meeting medical criteria and cases with utilization issues with physician, social worker, other care team members and medical director as needed.
Assist in monitoring of annual goals for case management LOS, referrals, readmissions, denial rates, cost savings, patient/provider satisfaction and achievement of outcomes.
Serve as a liaison to other agencies, departments, or community resources as needed to coordinate care in transition planning.
Participate in required educational programs and actively demonstrate self-directed learning and continuing education to enhance professional development in the area of case management.
Participate in staff development activities and staff meetings.
Identify and refer to manager and supervisor all cases involving complex medical issues for review.
Record, monitor and report data such as clinical outcomes achieved, potentially avoidable and medically necessary variances, denials, length of stay, reviews completed and outcomes (savings and referrals), and discharge dispositions on a daily basis.
Work with the attending physician, hospitalists/rounders, specialists, hospital and social work staff to create an actionable plan of care and transition / discharge plan for each patient followed, as needed.
Demonstrate knowledge regarding transition criteria and level of care and use of appropriate community-based resources.
Review and assesses inpatient cases for eligibility, benefits and limits, medical necessity and ongoing appropriate level of care.
Function independently and as part of a team, working effectively with various departments, internal and external staff, facilities, patients, patients’ family, and physicians to facilitate quality and efficient patient care.
Perform other duties as assigned.

REQUIRED QUALIFICATIONS:

· RN/LVN with current unrestricted license in the State of California.

· Two years experience working with a medical group or IPA preferred.

· Completion of case management certificate preferred.

· Valid CA driver's license, current DMV printout and insurance required.

· Must meet hospital credentialing requirements to obtain facility ID.

· Excellent verbal, written and interpersonal skills

Job Type: Full-time

Pay: $30.00 - $35.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Education:

Bachelor's (Preferred)

Experience:

Nursing: 1 year (Preferred)
Case management: 1 year (Preferred)

License/Certification:

RN (Preferred)

Willingness to travel:

25% (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

Plant and System Operators, All Other jobs in Bakersfield, CA

LVN Nurse Case Manager

Utilization Management (UM) LVN Case Manager

Special Agent: National Security, Criminal, & Intelligence Background

Counselor - Telehealth CA

Labor Relations Representative - Bakersfield

Senior Operating Clerk I

Authorizations Clerk

Eligibility Clerk

MOTOR VEHICLE REPRESENTATIVE

Claims Examiner I

Clinical Research Associate I, Per Diem - Dept of Orthopaedics

Plant Maintenance Technician HDR

Eligibility Clerk

School Clerk

Driver- CDL A

Patient Registration Clerk

NURSING CONSULTANT, PROGRAM REVIEW

Medical Receptionist

Department Assistant III

REFERRALS CLERK

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