- Highmark Health (Sacramento, CA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Stanford Health Care (Palo Alto, CA)
- …**Locations** Stanford Health Care **What you will do** + Coordination of Care - Complex case manager who manages each patient's transition through the ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...outcomes of patient health care **Licenses and Certifications** + CA- RN ( Registered Nurse ) required **These… more
- UCLA Health (Santa Monica, CA)
- …teaching hospitals Inpatient general medicine experience within a teaching hospital and complex case management experience is preferred. UCLA Health welcomes all ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum… more
- University of Southern California (Los Angeles, CA)
- …an alternative level of care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps in the care provided, as well as ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services...in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
- CVS Health (Sacramento, CA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Sutter Health (San Francisco, CA)
- …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN ...Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to… more
- Sutter Health (Roseville, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN ...Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to… more
- Sutter Health (San Francisco, CA)
- …an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager (certification may ... and efficient utilization of health services among a patient population with complex health needs. **Job Description** : **EDUCATION:** + Associate Degree in Nursing… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …VA Medical Center is seeking 1 highly skilled and experienced Registered Nurse ( RN ) as a Assistant Nurse Manager . For off tour shift in the Community ... level degree in Nursing may have opportunity to become registered as a nurse with a state...mental and muscular coordination simultaneously; hearing aid permitted. All registered nurses with less than 12-months of RN… more
- Sharp HealthCare (La Mesa, CA)
- … Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** **:** ... experience or case management experience. + California Registered Nurse ( RN ) - CA...**Preferred Qualifications** + Bachelor's Degree in Nursing + Certified Case Manager (CCM) - Commission for … more
- Sharp HealthCare (San Diego, CA)
- … Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** **:** ... **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case... management, utilization review, care coordination experience. + California Registered Nurse ( RN ) - CA… more
- Sharp HealthCare (San Diego, CA)
- … Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Accredited ... Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; Master's...or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Los Angeles, CA)
- ** Nurse Case Manager I** **Location:** This role enables associates to work virtually full-time, except for required in-person training sessions, providing ... an accommodation is granted as required by law. The ** Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- University of Southern California (Los Angeles, CA)
- … - CNOR (AORN) CNOR (Certified Perioperative Nurse ) Required Licenses/Certifications: + Req Registered Nurse - RN (CA Board of Registered Nursing) ... As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to...patients and families. + TRANSFER & DISCHARGE Collaborates with Case Manager and/or physician regarding discharge planning.… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- University of Southern California (Arcadia, CA)
- …Education: Bachelors Degree Nursing Minimum Skills: Possess basic computer skills. Required Certifications: Registered Nurse - RN (CA Board of Registered ... patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN .*...RN experience in assigned area of Nursing. A registered nurse with current RN … more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM… more
- University of Southern California (Los Angeles, CA)
- … or Certified Emergency Nurse + NIHSS NIHSS Certification Required Licenses/Certifications: + Registered Nurse - RN (CA Board of Registered Nursing) ... The RN - Clinical (Specialized Workforce and Transport "SWAT")...and families. + TRANSFER & DISCHARGE - Collaborates with Case Manager and/or physician regarding discharge planning.… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN II Job Category:...California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements… more