• Complex Case Manager RN

    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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (01/31/25)
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  • HBPC Registered Nurse Case

    Veterans Affairs, Veterans Health Administration (Redding, CA)
    …review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The RN functions as a Case Manager for the Home-Based Primary ... safety). 2-5 years of acute care or home health case management experience is strongly preferred. Experience delivering nursing...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Case Manager Behavioral Health…

    Molina Healthcare (San Diego, CA)
    …of service. This position will be supporting our California Health Plan. The Case Manager will provide consultative support to members with severe/complex ... needs **.** This individual may act as a secondary case manager to support with more complex...assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required… more
    Molina Healthcare (01/19/25)
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  • Registered Nurse Critical Care Unit

    Veterans Affairs, Veterans Health Administration (San Diego, CA)
    Registered Nurse , is a professional registered nurse ( RN ) who is... Nurse II reports to the Unit Nurse Manager & Assistant Nurse ... Nurse Total Rewards The Critical Care Unit Registered Nurse assumes the following roles and...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (01/30/25)
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  • Registered Nurse (Patient Safety…

    Veterans Affairs, Veterans Health Administration (Fresno, CA)
    Summary The Patient Safety Manager / Registered Nurse will demonstrate leadership and expertise in formulating creative and effective approaches to the ... an ad-hoc basis, at the discretion of the hiring manager . Virtual: This is not a virtual position. Relocation/Recruitment...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Case Manager , LVN or RN

    Cedars-Sinai (CA)
    …**Req ID** : 7071 **Working Title** : Case Manager , LVN or RN - Medical Provider Network - Hybrid Remote **Department** : MNS Medical Provider Network ... are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager ...in Nursing preferred **License/Certifications:** + Valid CA LVN or RN license required + Certified Case Management… more
    Cedars-Sinai (01/27/25)
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  • Case Manager , RN

    CAI (Sacramento, CA)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • LPN Case Manager

    Adecco US, Inc. (Los Angeles, CA)
    Adecco Healthcare & Life Sciences is hiring an LPN Case Manager ! This role is remote / work from home and you must reside within California to qualify. ... observing, and monitoring and reporting of changes in condition to the supervising RN . . Conduct interviews to understand cause and effect, gather or review health… more
    Adecco US, Inc. (01/31/25)
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  • RN Case Manager

    Insight Global (Chatsworth, CA)
    Job Description Insight Global Health is looking for a remote RN Case Managers to work for a large healthcare company in the Irvine, CA area. In this ... Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements - 2+ years of Case Management experience - Unrestricted RN CA license -… more
    Insight Global (01/02/25)
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  • RN - Assistant Nurse Manager

    Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
    Summary The Assistant Nurse Manager has responsibility and accountability for the direction and supervision of specific orientation, training, development of ... and implement new evidence-based cutting-edge programs/processes. Responsibilities The Assistant Nurse Manager supports the Nurse ...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/31/25)
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  • Supervisor, Appeals and Grievances Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC Appeals &...culturally diverse membership. The position supports the A&G Clinical Manager . This role also assists the A&G Leadership in… more
    LA Care Health Plan (12/20/24)
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  • Orange County - LCSW/LMFT Medical Case

    Amergis (Orange, CA)
    Amergis Healthcare is seeking a highly motivated an experienced LMFT/LCSW Medical Case Manager to help support a health insurance agency! The Medical Case ... related processes. Position Details: Location: Orange (Full Office, no remote !) Schedule: 40 hours a week, 8 AM to...California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of… more
    Amergis (02/01/25)
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  • Field Case Manager

    Sedgwick (Hayward, CA)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager will cover our ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...on the health and lives of others, and a remote work environment that allows face to face interaction… more
    Sedgwick (12/10/24)
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  • Telephonic Case Manager

    Sedgwick (Sacramento, CA)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer 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...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
    Sedgwick (01/22/25)
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  • Care Manager - Remote

    Sharecare (Sacramento, CA)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
    Sharecare (01/17/25)
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  • Senior Manager , PV Operations

    Takeda Pharmaceuticals (Sacramento, CA)
    …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
    Takeda Pharmaceuticals (01/10/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Sacramento, CA)
    …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
    Highmark Health (11/25/24)
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