Case Management Director Jobs in Loma Linda, CA

Lead the charge in shaping innovative clinical protocols and QA systems for on-demand care. Drive outcomes and patient safety while collaborating with tech teams to leverage AI in enhancing virtual he...

Join a team that's redefining enterprise data strategy and governance. Lead innovative data initiatives to enhance analytics, architecture, and team performance while driving impactful insights across...

Join us to lead daily operations in the Assessment Services Division, overseeing mapping, ownership changes, and public information services, while ensuring accuracy in the annual assessment roll and...

Join a team that's committed to community wellness by overseeing daily operations, program delivery, and quality standards at our Wellness Center. Lead staff, coordinate with partners, and enhance mem...

Drive healthcare excellence by leading clinical consultations, training staff, and reviewing cases. Engage with providers and members while ensuring adherence to quality standards and regulatory guide...

Drive impactful healthcare initiatives by providing clinical guidance, training, and oversight for care quality. Collaborate with providers and ensure adherence to regulatory standards while enhancing...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Innovate absence management operations by overseeing compliance, optimizing performance, and advising senior leadership. This role balances employee experience with cost-effectiveness through strategi...

Champion claims management by guiding injured workers through resolution, ensuring compliance, and strengthening client relationships while enhancing your expertise in a supportive environment focused...

Drive excellence in Workers’ Compensation claims management by leading investigations and ensuring timely resolutions. Collaborate with stakeholders to provide exceptional service, while developing yo...

Pioneer the rehabilitation journey for injured individuals. Collaborate with healthcare providers, employers, and clients to implement tailored treatment plans that promote optimal recovery and return...

Engage with a dedicated team to lead and enhance social services operations, ensuring residents receive comprehensive care and support for psychosocial needs while complying with all regulations and f...

Join a team that's driving operational excellence in Workforce Management for 24/7 crisis services. Lead forecasting and dynamic scheduling to ensure optimal staffing levels, enhancing support for cha...

Join a dynamic team as a Clinic Medical Director, providing medical oversight and leadership for a comprehensive treatment center, ensuring compliance and quality care for patients with substance use...

Grow your career by coordinating comprehensive medical care for clients in a supportive environment. You will oversee health compliance, ensure timely provider communication, and mentor staff to eleva...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Champion the assessment process for new patients, ensuring accurate MDS report completion for billing in a Skilled Nursing Facility. Drive quality care by effectively communicating with team members a...

Manage and enhance integrated care programs for dual eligible and LTSS models. Drive operational improvements, collaborate with stakeholders, and support strategic initiatives for efficient delivery o...

Drive strong enterprise relationships and account strategies with top-tier clients, serving as a senior escalation point. Collaborate with C-suite executives while leading contract negotiations, coach...

Empower patients by providing telephonic, interdisciplinary care management for high-risk individuals post-discharge, fostering better health outcomes through advocacy and coordinated support in a col...

Lead the charge in optimizing patient treatment through rigorous utilization management. Collaborate with multidisciplinary teams while ensuring compliance with clinical standards and healthcare regul...

Join a dynamic team to lead clinical studies, ensuring strategic execution and oversight in neuropsychiatric drug development. Drive collaboration across departments and contribute to regulatory frame...

Elevate your career by providing integrated behavioral health care management services. Collaborate with interdisciplinary teams to enhance member outcomes and address social determinants of health in...

Help us enhance healthcare payment integrity through strategic leadership in education and compliance, driving training initiatives for improved coding accuracy and reduced billing errors across our o...