- ERP International (Twentynine Palms, CA)
- …Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of Certified Care Managers: Care ... **Overview** ERP International is seeking **Registered Nurse (RN) Case Managers** for full-time positions in...**Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense… more
- Humana (Sacramento, CA)
- …and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication ... minimal direction and receives guidance where needed. Follows established guidelines/procedures The Care Manager Telephonic Nurse employs a variety of… more
- CenterWell (Sacramento, CA)
- …weekends, it will allow for off-days during the week.** The **Clinical Care Coordinator/ Care Manager , Telephonic Nurse ** helps to ensure optimal ... Coordinator is under the general supervision of the Manager of Care Coordination and under established...and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act… more
- Elevance Health (Costa Mesa, CA)
- ** Telephonic Nurse Case Manager II**...required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within ... the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care … more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs....to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- Sharecare (Sacramento, CA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst...or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,… more
- CVS Health (Sacramento, CA)
- …+ This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. ... Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- Cedars-Sinai (CA)
- …a condition of continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour Days $5K Sign ... are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to...and scheduling tests or outpatient procedures with appropriate health care providers. + Refers to Ambulatory Case Manager… more
- Ventura County (Ventura, CA)
- …policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care /case management within the scope of licensure for ... care . Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management,...Care Plan. + Experience working as a case manager in a health plan case managing complex cases.… more
- University of Southern California (Los Angeles, CA)
- …work list to manage daily assigned caseload, as assigned by the Lead Ambulatory Care Manager . 3. Assess physical and biopsychosocial needs of the patient through ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating...the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge… more
- Cedars-Sinai (CA)
- …**What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. ... Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of… more
- Cedars-Sinai (Marina Del Rey, CA)
- …**What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. ... Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of… more
- Travelers Insurance Company (Irvine, CA)
- …to achieve resolution through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery ... **Who Are We?** Taking care of our customers, our communities and each...indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate… more
- Actalent (Sacramento, CA)
- Remote Licensed Vocational Nurse (LVN) Fully remote but MUST reside within 50 miles of the Sacramento area Job Duties + Perform timely utilization reviews for ... + Conduct in-person hospital rounds 2-3 days per week, telephonic review and participate in interdisciplinary case reviews +...health, or DME + Communicate avoidable days, delays in care , and readmission risks to UM leadership + Participate… more
