- CenterWell (Sacramento, CA)
- … Coordination and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home ... + Managed care experience + Home Health Care experience + Telephonic triage experience +...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches ... them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering...business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess… 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
- 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
- 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
- Cedars-Sinai (Beverly Hills, CA)
- …+ For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review ... and scheduling tests or outpatient procedures with appropriate health care providers. + Refers to Ambulatory Case Manager...Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator - PER_DIEM… 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
- CVS Health (Santa Cruz, CA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... with heart, each and every day. As a Registered Nurse (RN), Home Infusion you will work outside the...to patient with no time to provide quality patient care , this would be the perfect opportunity to change… more
- CVS Health (Los Angeles, CA)
- …PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager **Required Qualifications:** + Registered Nurse with current license ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. As a Registered Nurse (RN), Home Infusion you will work outside the… more
- University of Southern California (Alhambra, 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 (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
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health... team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and… 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