- Sutter Health (Goleta, CA)
- …+ Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + BLS-Basic Life Support Healthcare ... Provider + CCM - Certified Case Manager (certification may be required by...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- Trinity Health (Fresno, CA)
- …from an accredited baccalaureate nursing program is preferred. 2. Current licensure as a Registered Nurse in the state of California is required. 3. Current ... American Heart Association (AHA) Healthcare Provider CPR card is required. 4. CCM national certification is preferred. 5. Experience with two (2) areas of clinical specialty is preferred. 6. Excellent communication skills, critical thinking, creative… more
- East Bay Innovations (Hayward, CA)
- East Bay Innovations Registered Nurse Case Manager (Part-Time) SPANISH PROFICIENCY REQUIRED FOR THIS ROLE East Bay Innovations (EBI) partners with Long ... Workplaces for Nonprofit in 2024! About the Position: The RN Case Manager will be...(2) years RN experience minimum + Active Registered Nurse License - California Board of… more
- Sutter Health (San Francisco, CA)
- …management or related field. **CERTIFICATION & LICENSURE** + RN - Registered Nurse of California (required) + CCM-Certified Case Manager (preferred) ... CPMC-California Pacific Med Center Van Ness **Position Overview:** The RN Case Manager is responsible...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port ... for professional growth and development as related to the case manager position and maintenance of CM...( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- ERP International (Lemoore, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Health Clinic ... the program. Perform clinical assessments of the patients and managed care records that include clinical input from various...Education:** BSN **Experience:** Minimum 1 year experience as a RN Case Manager within the… more
- Sutter Health (Roseville, CA)
- …school of nursing + Bachelor's in Nursing preferred. **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 ...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- Sharp HealthCare (San Diego, CA)
- …Utilization/ Case Management experience, preferably in a Managed Care setting. + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA...Professional (AHA BLS Healthcare) - American Heart Association; Certified Case Manager (CCM) - Commission for … more
- Dignity Health (Northridge, CA)
- …centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ... Knowledge of CMS standards and requirements. **Qualifications** + CA Registered Nurse ( RN ) License required....Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM… more
- Providence (Eureka, CA)
- …and retain the best people, we must empower them. **Required Qualifications:** + California Registered Nurse License upon hire. + 2 years - Acute Care clinical ... **Description** The RN Care Manager is responsible for... Manager is responsible for carrying out effective case management functions for identified patients by planning, coordinating,… more
- Highmark Health (Sacramento, CA)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management...loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line … more
- Sutter Health (Los Altos, CA)
- …Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The nurse case manager conducts preauthorization, concurrent, ... community resources. * For cases not meeting criteria, the case manager documents applicable guideline, rationale, and...of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California **TYPICAL… more
- Providence (Mission Viejo, CA)
- …**Required qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in ... upon hire. + 3 years Experience in utilization management or case management. + Managed care experience. **Why Join Providence?** Our best-in-class benefits are… 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
- Crawford & Company (Los Angeles, CA)
- …Health, STD, LTD, Auto, Liability, TPA, Catastrophic, Life Care Planning). Specifically, the case manager should be experienced in catastrophic cases plus 2-3 ... Certification such as CCM, CRC, COHN, CRRC REQUIRED + RN degree required + Prior Workers Compensation Case...be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process.… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II**...in acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Elevance Health (San Francisco, CA)
- …depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager ** **Location:** 50 Beale St., San Francisco, CA 94105 ... days physically in office per week. The **Behavioral Health Case Manager II** is responsible for performing...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… 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
- Elevance Health (Cerritos, CA)
- The **Behavioral Case Manager II (Part-Time)** is responsible for performing case management telephonically and/or by home visits within the scope of ... providers. . Serves as a resource to other BH Case Managers. . Participates in cross-functional teams projects and...equivalent background. . Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… more
- Dignity Health (Long Beach, CA)
- …(5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM- RN ) or UM Certification preferred + Knowledge of ... our hospitals and out in the community. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression...acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1… more