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Case manager Jobs in Oxnard, CA

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Case manager • oxnard ca

Last updated: 23 hours ago

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

MercorCamarillo, 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

Tax Manager

Riverscape Search AgencyOxnard, 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

Assistant Manager

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

Great employees deserve great benefits!.Paid vacation 3 weeks per year.Medical, dental, vision, and life and disability plans.Sick time and company holidays.Leave programs for qualifying events.Eli... Show more

Store Manager

JourneysOxnard, CA, United States
Full-time

Journeys is a teen retail leader with an emphasis on footwear and unique specialty items including apparel, backpacks, hats and accessories.With more than 800 stores in all 50 US states, Puerto Ric... Show more

Tax Manager

Step Up RecruitingOxnard, 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

ExcelliSearch, 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 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

Salon Manager

SupercutsCAMARILLO, CA, US
Full-time

Supercuts is one of the industry’s most recognized salon brands.We offer outstanding development and training, with special emphasis on technical skills, have an established career path for those w... Show more

Operations Manager

AmazonCamarillo, CA, United States
Full-time

Our WW Operations network delivers millions of packages and smiles to Amazon customers every day.We are looking for motivated, customer-focused individuals who want to join our team.In this role, y... Show more

Assistant Manager

Applebee'sCamarillo, CA, US
$20.98 hourly
Full-time

Flynn Group, founded by Greg Flynn started its journey with the acquisition of 8 Applebee’s in 1999.Over the next two decades we grew by building new stores and acquiring other franchise operators ... 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

Collections Manager

RentlyCamarillo, CA, United States
$80,000.00 yearly
Full-time

The Collections Manager is responsible for managing the AR and collections team and optimizing the customer credit function of the organization.This role owns Accounts Receivable (AR), Collections ... Show more

Store Manager

uBreakiFixOxnard, California, United States
$25.00 hourly
Full-time
Quick Apply

The Store Manager will serve customers by assisting in diagnosing, troubleshooting and repairing devices while ensuring customer satisfaction.This position will oversee and direct all store staff w... 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

Salon Manager

Regis CorporationCamarillo, CA, United States
Full-time

Supercuts is one of the industry's most recognized salon brands.We offer outstanding development and training, with special emphasis on technical skills, have an established career path for those w... 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

El Pollo LocoOxnard, CA, US
Full-time

We are looking for an experienced assistant general manager to help the general manager in directing daily business operations.The assistant general manager should be experienced in a supervisory r... Show more

Service Manager

LanspeedCamarillo, CA, US
$120,000.00 yearly
Full-time
Quick Apply

Description The Service Manager leads Lanspeed's Managed Services and Strategic Services teams and is accountable for service delivery, client experience, team performance, operational discipline, ... Show more

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

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

MercorCamarillo, California, US
16 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.