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Case manager Jobs in Oxnard, CA

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Case manager • oxnard ca

Last updated: 7 days ago

Remote Utilisation Management / Case Management leader (RN/Physician-advisor) - AI Trainer

MercorSan Buenaventura, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Utilisation Management and Case Management leaders — including ... Show more

ASSISTANT MANAGER

Jack In The BoxOxnard, CA, United States
$10.00 hourly
Full-time

As the Assistant Restaurant Manager you will manage restaurant operations in conjunction with, or in the absence of, the Restaurant Manager.You will recruit, select, train and develop restaurant em... Show more

Reconstruction Manager

ServproCamarillo, CA, United States
$35.00 hourly
Full-time

SERVPRO of Camarillo is looking for a Construction Manager!.As a Reconstruction Manager with SERVPRO of Camarillo, you will be responsible for ensuring the highest quality of service is provided to... Show more

Tax Manager

Your Talent Team LLCOxnard, CA, United States
Full-time

Well established, highly profitable regional CPA firm seeks a Tax Manager to add to their growing staff.We offer a very reasonable work life balance, excellent benefits including large potential bo... Show more

Tax Manager

Forest Recruiting Group aka Affiliated Recruiters NetworkOxnard, CA, United States
Full-time

Well established, highly profitable regional CPA firm seeks a Tax Manager to add to their growing staff.We offer a very reasonable work life balance, excellent benefits including large potential bo... Show more

Club Manager

Planet Fitness - PF Baseline FitnessOxnard, CA, US
$25.10 hourly
Full-time

Job Title:         Club Manager.Reports to:       District Manager.Status:               Full Time/Supervisor/Exempt/Non-Exempt.Responsible for oversight of gym operations to ensure positive member... Show more

Tax Manager

HiringArcOxnard, CA, USA
Full-time

Well established, highly profitable regional CPA firm seeks a Tax Manager to add to their growing staff.We offer a very reasonable work life balance, excellent benefits including large potential bo... Show more

Office Manager

PCIFIC PET CARE INCcamarillo, CA, US
$25.00 hourly
Full-time

In this role, you will coordinate all administrative duties and office procedures, ensuring the workplace operates smoothly and efficiently.Your responsibilities will include scheduling meetings, p... Show more

ABA Case Supervisor

Alora Behavioral HealthOxnard, CA, USA
$22.00 hourly
Full-time +1
Quick Apply

Make a Meaningful Impact as a Case Supervisor at Alora Behavioral Health!.Imagine being part of a child's breakthrough moment - their first words, first friendships, first steps toward independence... Show more

Lab Manager

Amspec LLC.Camarillo, CA, US
Full-time

Responsible for operations and supervision of Lab.Accountable for keeping the Branch Manager informed of all laboratory testing issues and needs, instrument status and content/accuracy of testing d... Show more

Operations Manager

ISSAOxnard, CA, United States
$50,000.00 yearly
Full-time

We empower the fighting spirit in you! We offer:.Competitive base salary plus bonus.Full coverage for medical, dental, and vision.Ample vacation days, personal leave, and holidays.Complimentary acc... Show more

HR Manager

HygienaCamarillo, CA, United States
$120,000.00 yearly
Full-time

Hygiena provides rapid microbiology diagnostic tests and solutions for mission-critical, time-sensitive processes around the world.Hygiena's proprietary diagnostic technologies enable customers to;... Show more

Medical Case Manager - Workers' Compensation

ForzaCareVentura, CA, USA
$90,000.00 yearly
Full-time
Quick Apply

Our name reflects our mission - Forza means "strength," representing the power of our team, and.ForzaCare is proud to be part of Ethos Risk Services,.Together, we're expanding our reach and strengt... Show more

MANAGER

US Government JobsPort Hueneme Cbc Base, CA, United States
Full-time

Manager Of Warfare Area Test Leads Or Warfare Area Test Conductors.You will serve as a Manager of the Warfare Area Test Leads (C51) or Warfare Area Test Conductors (C52) branch in the Test Engineer... Show more

Assistant Manager

Pizza HutOxnard, CA, US
Full-time

That’s why people come to Pizza Hut.It’s the calling of our Assistant Restaurant Managers to make them feel like family with smiles, teamwork and dedication.If you’re an experienced restaurant or r... Show more

Assistant Manager

Herrick Foods, LLCPort Hueneme, CA, US
$10.00 hourly
Full-time

This job posting is for a position in a restaurant owned and operated by an independent franchisee, not Jack in the Box Inc.This means the independent franchisee, and not Jack in the Box Inc.The in... Show more

Tax Manager

Bradford ConsultingOxnard, CA, United States
Full-time

Well established, highly profitable regional CPA firm seeks a Tax Manager to add to their growing staff.We offer a very reasonable work life balance, excellent benefits including large potential bo... Show more

Program Manager

Astor & Sanders CorpPort Hueneme Cbc Base, CA, United States
Full-time

Astor & Sanders Corporation (Astor) is an award-winning IT solutions provider headquartered in McLean, VA and is seeking a Program Manager.This is a full-time and onsite position in Port Hueneme, C... Show more

Tax Manager

Markent Personnel, Inc.Oxnard, CA, United States
Full-time

Well established, highly profitable regional CPA firm seeks a Tax Manager to add to their growing staff.We offer a very reasonable work life balance, excellent benefits including large potential bo... Show more

Club Manager

Planet FitnessVentura, CA, United States
$25.00 hourly
Full-time

Responsible for oversight of gym operations to ensure positive member experience and a financially successful club.Essential duties and responsibilities include recruiting, hiring, training, schedu... Show more

People also ask
Remote Utilisation Management / Case Management leader (RN/Physician-advisor) - AI Trainer

Remote Utilisation Management / Case Management leader (RN/Physician-advisor) - AI Trainer

MercorSan Buenaventura, California, US
20 days ago
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Utilisation Management and Case Management leaders — including RN UM directors, case management managers, and physician advisors — to evaluate AI tools designed to enhance clinical review, medical-necessity determination, and care-coordination workflows. Your clinical and operational expertise will directly shape AI systems that improve utilisation performance, reduce unnecessary care, and support value-based care objectives. **Responsibilities** - Lead utilisation management and/or case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. - Evaluate AI-generated medical necessity determinations, clinical review outputs, and UM decision-support recommendations for accuracy and clinical appropriateness. - Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level-of-care determinations. - Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. - Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning. - Monitor UM/CM KPIs, including avoidable days, denial rates, observation vs. inpatient conversion rates, and readmission rates. - Ensure compliance with CMS Conditions of Participation, Two-Midnight Rule, and payer-specific UM requirements. - Collaborate with revenue cycle, compliance, and clinical leadership to align UM performance with financial and quality objectives. - Annotate AI outputs and provide structured clinical feedback to support AI training datasets. **Requirements** - 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role. - Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise. - Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. - Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria. - Experience managing physician advisor programs and peer-to-peer review processes with payers. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs. **Preferred Qualifications** - CPUR (Certified Professional in Utilisation Review), ACM (Accredited Case Manager), or CCM (Certified Case Manager) credential. - MD or DO with UM/physician advisor experience preferred for physician advisor roles. - Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent). - Familiarity with AI tools and comfort evaluating AI-generated clinical review content. - Background in health system, ACO, or value-based care organisation UM programs. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in utilisation management and clinical decision-support. - Opportunity to work on high-impact projects shaping the future of healthcare AI.