• Telephonic Nurse Case

    Elevance Health (Costa Mesa, CA)
    ** Telephonic Nurse Case Manager I** **Location:** This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager I** is responsible for performing… more
    Elevance Health (03/13/25)
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  • Utilization Management Nurse Specialist RN…

    LA Care Health Plan (Los Angeles, CA)
    …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department:...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
    LA Care Health Plan (02/24/25)
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  • Sr. Workers' Compensation Claim Representative

    Travelers Insurance Company (Diamond Bar, CA)
    …to achieve resolution through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the ... claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity… more
    Travelers Insurance Company (03/04/25)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
    LA Care Health Plan (12/30/24)
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