Jobs in the United States

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Added 4 mins ago
SAP - OTC - Manager - Consulting - Location OPEN
EY
Providence, RI
To qualify for the role, you must have
Added 10 mins ago
Senior Sales Strategy Manager, New Construction
Jobgether
Remote, United States
…next steps. Our partner is looking for a Senior Sales Strategy Manager, New Construction based in the United…
Added 10 mins ago
J
Help Desk Manager
Jobgether
Remote, United States
- $102,000 to $140,000 USD / year
The Help Desk Manager leads and develops a Service Desk team, ensuring efficient operations and consistently high-quality technical support across an enterprise environment. This role…
Added 11 mins ago
Account Manager - Cloud Communications
Proximus
United States
Strong background of customer management or customer support with extensive industry experience is a must have
Added 13 mins ago
A
Product Campaign Manager - SME-C Whitespace
Accenture
Saint Louis, MO
- $94,400 to $224,600 USD / year
+ Partner with Marketing Operations to support campaign data quality, reporting, and measurement through the Growth Demand Engine.
Added 14 mins ago
AI
Part Sales Manager - Part Time
AutoZone, Inc.
Hillsboro, MO
- Part-time
AutoZone's Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to…
Added 14 mins ago
AI
Part Sales Manager - Part Time
AutoZone, Inc.
Saint Peters, MO
- Part-time
AutoZone's Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to…
Added 14 mins ago
AI
Part Sales Manager - Part Time
AutoZone, Inc.
Saint Charles, MO
- Part-time
AutoZone's Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to…
Added 14 mins ago
Category Manager, IT - Indirect
Verint Systems, Inc.
Jefferson City, MO
The Category Manager, IT - Indirect will be responsible for sourcing, negotiating and contract management for the company's indirect IT spend, with a primary focus on SaaS and enterprise…
Added 15 mins ago
Pricing & Contract Operations Analyst
Datavant
Jefferson City, MO
+ Collaborate with and serve as a resource for Datavant on corporate systems, technical development and engineering teams on modifications or new billing requirements.
Added 15 mins ago
AI
Part Sales Manager - Part Time
AutoZone, Inc.
Grandview, MO
- Part-time
AutoZone's Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to…
Added 16 mins ago
S
Retail Key Holder
Skechers
Atlanta, GA
- $16.39 to $17.39 USD / hour
…an essential Retail Leadership Role, contributing to store operations and mentoring your team to deliver exceptional customer service. In this entry-level management role, you’ll oversee…
Added 17 mins ago
Data Governance Technology Delivery Associate Director
EY
Chicago, IL · Jacksonville, FL · Boston, MA · Minneapolis, MN · Washington, DC · San Francisco, CA · Rochester, NY · Raleigh, NC · Secaucus, NJ · Austin, TX · Jericho, NY · Philadelphia, PA · Cleveland, OH · Dallas, TX · Alpharetta, GA · Los Angeles, CA · Fort Worth, TX · Seattle, WA · Atlanta, GA · Hoboken, NJ
The Technology Enablement Delivery Manager is an Associate Director role within the Global Data Stewardship Office (DSO). The role leads the business delivery of priority data governance…
Added 17 mins ago
Data Governance Technology Portfolio & Programme Associate Director
EY
Los Angeles, CA · San Francisco, CA · Secaucus, NJ · Rochester, NY · Austin, TX · Jacksonville, FL · Chicago, IL · Boston, MA · Raleigh, NC · Jericho, NY · Dallas, TX · Fort Worth, TX · Alpharetta, GA · Washington, DC · Seattle, WA · Minneapolis, MN · Philadelphia, PA · Atlanta, GA · Cleveland, OH · Hoboken, NJ
The Technology Enablement Portfolio and Program Manager is an Associate Director role within the Global Data Stewardship Office (DSO). The role turns DSO strategy into a coherent,…
Added 17 mins ago
Data Governance Policy, Controls & Lifecycle Associate Director
EY
Alpharetta, GA · Atlanta, GA · Austin, TX · Boston, MA · Chicago, IL · Cleveland, OH · Dallas, TX · Fort Worth, TX · Jacksonville, FL · Los Angeles, CA · Minneapolis, MN · Jericho, NY · Philadelphia, PA · Raleigh, NC · Rochester, NY · San Francisco, CA · Seattle, WA · Secaucus, NJ · Washington, DC · Hoboken, NJ
Facilitate workshops with Service Lines, Service Line Quality, legal, risk, data and technology stakeholders to agree control and lifecycle requirements, explain solution options in…
Added 22 mins ago
M
Data Center Critical Environment Program Manager
Microsoft
WI · Milwaukee, WI · Milwaukee
- $102,600 to $225,800 USD / year
Microsoft’s Cloud Operations & Innovation (CO+I) is the engine that powers our cloud services. As a CO+I Critical Environment Program Manager, you will perform a key role in delivering the…
Added 22 mins ago
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Data Center Program Manager
Microsoft
AZ · Phoenix, AZ · Phoenix
- $84,400 to $186,600 USD / year
As a Microsoft Data Center Project Manager (DCPM), you will perform troubleshooting for service incidents, manage assigned projects to meet service delivery objectives as well escalate to…
Added 22 mins ago
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Principal Product Manager
Microsoft
NY · WA · CA · Redmond, WA · Mountain View, CA · New York · Redmond · Mountain View
- $142,800 to $304,200 USD / year
are expected to work from the office at least four days per week
Added 22 mins ago
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Senior Data Center Technician - IT Support
Microsoft
AZ · Phoenix, AZ · Goodyear, AZ · Phoenix · Goodyear
- $34.13 to $63.61 USD / hour
Microsoft’s Cloud Operations & Innovation (CO+I) is the engine that powers our cloud services. As a CO+I DCT, you will perform a key role in delivering the core infrastructure and…
Added 22 mins ago
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Senior Software Engineer
Microsoft
WA · Redmond, WA · Redmond
- $119,800 to $261,000 USD / year
…reviews in a timely fashion that helps accelerate the pace of development on the team. Considers diagnosability, reliability, testability, and maintainability when reviewing code, and…
Added 23 mins ago
M
Senior Partner Business Strategy Manager, Migrate & Modernize
Microsoft
United States
- $106,400 to $222,600 USD / year
Candidates who live within 50 miles of Microsoft's Redmond campus will be required to work in the office 3 days per week
Added 23 mins ago
M
Principal Site Reliability Engineering Manager
Microsoft
WA · DC · Redmond, WA · Washington, DC · Redmond · Washington
- $142,800 to $304,200 USD / year
As a Microsoft Principal Site Reliability Engineering Manager, you will lead the strategy and execution of reliability engineering across organizations, guiding teams responsible for…
Added 26 mins ago
Sr. Associate, Data Analysis & Visualization
Alcon Vision, LLC. Company
Fort Worth, TX
Promote adoption and consistency: Create documentation, share analytical standards, and help business users adopt dashboards and self-service tools without serving as a direct people manager
Added 40 mins ago
Manager, Data Analysis - Provider Performance Analysis
BSC
Woodland Hills, CA · CA · Long Beach, CA · El Dorado Hills, CA · Lodi, CA · Oakland, CA · Rancho Cordova, CA · Redding, CA · San Diego, CA
…Provider Network Management and Provider Partnerships teams. The Manager, Data Analysis will report to the Senior Director of Network Performance Analysis & Contracts. In this role you will…
Added 44 mins ago
J
GTM Systems Manager
Jobgether
Remote, United States
- $129,000 to $159,000 USD / year
This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a GTM Systems Manager based in the United States.

AHMC Healthcare

Case Manager, RN

Whittier, CA, United States

Apply on careers-ahmchealth.icims.com About employer

Applications open in a new tab.

Job details

Apply by: Nov 9, 2027
Posting language: English
Posted: Nov 9, 2026

Original job description

Overview

Under the general supervision of the case management Director acts as a patient advocate/case manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality health-care and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in quality improvement and evaluation processes related to the management of patient care.

Responsibilities

Assessment

Does the initial screening of all elective in patient admissions related to:
Level of care
Appropriateness of admission (IS-SI)
Discharge needs
Third party contractual arrangements
Appropriate resource utilization
Coordinates the pre-admission screening and education of the identified patient populations
Coordinates out-of-area transfers
Documents patients admitted directly through Pre-Admissions in the laptop system and forwards the information on to the Case Managers as appropriate with discharge planning concerns and the initial discharge-planning screen

Technical and Job Specific Skills

Develops educational programs (pre/post op surgeries), high risk screening tools, Care-Maps for the Pre-Admit phase of identified populations and proactive discharge planning.
Coordinates OOA/OON Managed Care admissions, as well as meeting criteria and the Level of Care, which is appropriate according to Interqual and Millman & Robertson Guidelines.
Serves as a source in selecting and assigning the admission types (i.e. In Patients, 23:59, SOS, etc.).
Interacts with the admitting MD as appropriate involving the Physician Adviser as needed for inappropriate admits/transfers/level of care.
Oversees that Pre-Admit TAR's are obtained and the patients payer sources have the appropriate network among the patients health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.)
Is a clinical resource to admitting department and provides ongoing education on the effective resources of the Pre Admission Case Manager and Quality/Case Management Department to physicians, physician office staff, nursing.
Maintains identified tracking and data statistics as requested by Commitment to Quality role in Case Management.

Performance/Process Improvement

Is aware of and follows all hospital and department process policies and procedures.
Is knowledgeable of Improvement performance/process improvement (P.I.) methodology.
Can verbalize knowledge of hospital-wide performance/process improvement activity.
Offers suggestions for departmental and/or hospital-wide performance/process improvement.
Knowledge of and participation in the performance/process improvement is a condition of employment.

Guest/Interdepartmental Relations

As observed by representatives of management, all interactions are conducted in a professional manner.
Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations.
Consistently exhibits appropriate phone protocol (e.g., answers phones promptly, is courteous, helpful and identifies self and department).
Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions rather than complaints).
Consistently displays cheerful and positive attitude.

Productivity

Maintains high productivity and performs efficiently regardless of whether the work volume is high or low.
Appropriately prioritizes work activities.
Responds to difficult situations with self-control and a positive attitude.
Makes decisions independently and knows when to ask for assistance.
Exercises good judgment and arrives at sound decisions.

Key Success Factors

Employee reports to work each regularly scheduled work day.
Is ready for work at precise starting time and continues working until scheduled departure time.
Readily accepts work assignments in a positive manner.
Performs work that is accurate, neat and consistent.
Documentation is legible.
Keeps work area neat and maintains equipment in accordance with health and safety codes.
Reports safety issues and equipment failures appropriately.
Projects a professional image, follows the hospital dress code policy and/or department requirements.
Wears hospital ID badge at all times on duty.
Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception.
Completes annual requirements (PPD, requirements, Annual Update, Ethics Training, Licensure and/or Professional Certification) on time.

Communicates with nursing and other hospital personnel, regarding laboratory procedures, results, etc.

Communicates in a clear, courteous and professional manner.

Professional Conduct

Employee has the willingness and ability to perform additional duties and responsibilities in different areas of the department as on an-needed basis or as determined by management.
Follows established hospital and department policies.
No more than 2 written substantiated complaints representing a breach of policy, procedure or professional behavior since last evaluation.
Demonstrates the philosophy of team concept.
Participates in group projects and staff meeting with suggestions that enhance the work environment and increase productivity.
Communicates well with supervisor reporting problems with equipment, supplies, or procedures. Requests assistance as appropriate.
Maintains confidentiality as related to job responsibilities.
Exhibits willingness to resolve problems as they arise.
Consistently projects positive professional image through appearance and behavior.
Completes assigned work within shift.

Professional Growth and Development

Completes annual safety updates within the established time frames.
Completes general and departmental orientation within established time frames.
Attends 100% of mandatory in-service programs.
Maintains licensure/certification as appropriate.
Attends 75% of staff meetings or reads and initials minutes.
Keeps up with reading memos without reminders.
Does continuing education programs on time and with good test scores.

Performance Improvement

Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction levels of patients and other "customers".
Errors, inefficiencies and inaccuracies are brought to management's attention with suggestions for improvement.
Develops innovative solutions to departmental problems.
Identifies and implements methods of controlling coast or generating revenue while providing maximum value to both the patient/customer and the hospital.
Maximizes efficiency in all departmental operations.
Measures progress against quality goals.
Actively promotes our Attitude is Everything, Core Measure, No Pass Zone, Avatar and Front Stage/Back-Stage goals.

Additional Responsibilities

Coordinates and supervises data and reporting needs and provides timely discharge planning.
Frequent contact with other organization units, outside facilities staff to obtain, verify and/pr provide information for the discharge follow up.
Answers inquires and education th patients/family, physicians and hospital staff on discharge.
May coordinate and supervise Air & Ground transportation.
Coordinates and supervise cases and referral information (SNF, Home Health and DME).
Maintain the consistency and integrity of Case Management/Social Services bed track data.

Department-Specific Competencies

Medication administration
Basic Life Support
Respiratory care
Isolation technique
Blood glucose testing

Qualifications

Minimum Education: Preferred Bachelors of Science/Nursing or Bachelors of Health Care Administration
Minimum Experience: Minimum of 5 years’ experience in the acute care setting. Working knowledge of interQual IS-SI, Milliman nd Robertson Managed Care Guidelines, Erickson Life Skills (Age Competencies}, Medicare Part A and Part B, Medi-Cal, NCQA, HEDIS and other criteria as identified by the Quality/Case Management Department. Working knowledge of Care-M.A.P. development and implementation. Minimum of 1 year of discharge planning experience. Working knowledge of managed care and capitation.
Required Certification/Registration: Current, valid California RN license.

Apply on careers-ahmchealth.icims.com About employer

More about this job

Skills

Case management
Statistics
Process improvement
Exercise self-control
Documentation
Health and safety
Reporting
Confidentiality
Provide information
Medication administration
BLS
Acute care
RN

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Work requirements

Jobs in the United States