Nurse Case Manager Jobs in Temecula, CA

Help us pioneer innovative dementia care pathways by leading assessments and treatment plans while collaborating with care navigators and enhancing support for families in their healthcare journey...

Champion quality care by conducting thorough medical record reviews and applying clinical judgment to detect fraud, waste, and abuse. Serve as a key player in ensuring compliance and supporting invest...

Provide patient-centered care in Medical/Surgical units, collaborating with a multidisciplinary team. Employ the nursing process to deliver evidence-based care, evaluate patient needs, and enhance pro...

Engage with clinical services to ensure quality and consistency in Coding Validation processes. Collaborate with clients and internal teams, applying coding expertise to address inquiries, deliver tra...

Transform patient access by collaborating with healthcare providers to navigate reimbursement challenges, ensuring efficient patient access to treatment and optimizing the overall patient experience a...

Lead the charge in shaping future healthcare professionals, providing mentorship, guidance, and innovative teaching methodologies. Engage in continuous improvement of curriculum while maintaining a dy...

Support the PhareOS Implementation team by validating and troubleshooting clinical data across healthcare data pipelines. Collaborate with technical and non-technical stakeholders to ensure accurate...

Collaborate with an interdisciplinary team to deliver comprehensive primary care, assess and treat acute illnesses, ensuring high-quality health management for participants while enhancing care coordi...

Unlock growth by leading strategic partnerships and revenue initiatives. Drive non-dues revenue strategies while managing a $3.5 million portfolio. Collaborate with cross-functional teams to enhance o...

Join a compassionate team that prioritizes patient-centered care, enhances clinical operations, and shapes the future of healthcare by delivering urgent care services effectively and efficiently acros...

Execute precise clinical lab tests and maintain excellence in reporting while ensuring compliance with established procedures. Develop skills on new technologies and efficiently manage lab operations...

Champion data integrity in Medicaid programs by analyzing and identifying fraud patterns, facilitating product development, and educating stakeholders to safeguard public funds and ensure regulatory c...

Drive the care management team to enhance member healthcare quality and outcomes. Leverage your expertise in compliance, oversight, and team management to optimize processes, resolve escalations, and...

Unlock your potential in a dynamic role reviewing medical claims and tackling fraud investigations. Apply clinical expertise to ensure compliance and support corrective actions, while collaborating wi...

Redefine the quality of home health care as a Quality Assurance RN by ensuring data integrity, compliance, and coding accuracy within OASIS documentation, while collaborating with clinical staff to dr...

Lead the charge in enhancing patient care within the infusion program, overseeing operations, staff training, and compliance. Collaborate with multidisciplinary teams to optimize the delivery of oncol...

Join a team that's dedicated to enhancing patient care through mobile X-Ray services. As a vital contributor, you will provide essential imaging support while fostering a compassionate, independent, a...

Join a team that designs and implements triage protocols while enhancing patient care workflows. Collaborate with clinical leaders and engineers to optimize clinical decision-making and ensure quality...

Lead the charge in driving project success and innovation across teams. Collaborate with cross-functional partners to enhance process efficiency and achieve strategic objectives while managing timelin...

Inspire transformative clinical research by leading diverse teams and overseeing trials. Build collaborations, ensure compliance, and drive strategic growth while mentoring future leaders in a dynamic...

Engage with a dynamic team to facilitate regulatory operations for novel therapeutics. Drive submissions to FDA/CVM while collaborating across multidisciplinary teams to set new regulatory standards i...

Join a team that's committed to enhancing patient care through effective management of a diverse clinical team. Lead initiatives, collaborate with care providers, and ensure quality service delivery w...

Elevate provider experiences by managing onboarding and training for a growing therapy network, ensuring operational efficiency and high-quality support while fostering cross-functional collaboration...

Lead the charge in delivering exceptional patient-centered care across multiple facilities. Utilize your nursing expertise to adapt to various clinical environments while ensuring compliance with heal...

Elevate care standards in Neuropsychiatry through effective management, resource allocation, and budget oversight, ensuring optimal patient outcomes and nursing service excellence across all divisions...