- 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 the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… 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 ... in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
- CVS Health (Sacramento, CA)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- University of Southern California (Los Angeles, CA)
- In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... to 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… more
- ERP International (Twentynine Palms, CA)
- …of the following certifications: (Must obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case Manager (CCM) o ... Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of Certified Care… more
- Cedars-Sinai (CA)
- …America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... (preferred). **Certifications/Licenses:** + Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case Manager … more
- Cedars-Sinai (Marina Del Rey, CA)
- …Employee Referral Bonus **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... (preferred). **Certifications/Licenses:** + Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case Manager … more
- Sharecare (Sacramento, CA)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Elevance Health (Costa Mesa, CA)
- **JR177558 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health ... and substance use disorder inpatient and outpatient benefits through telephonic and written processes. Also provides telephonic support for crisis intervention,… more
- Elevance Health (Costa Mesa, CA)
- **Behavioral Health Case Manager I** Schedule: Monday-Friday, 8:00am-5:00pm _*Ideal candidate must be licensed in_ **_California._** **_Virtual: _** _ _ This ... to improve the delivery of care. The **Behavioral Health Case Manager I** responsible for performing ...required. **Preferred Skills, Capabilities, and Experiences:** + Experience in case management and telephonic and/or in person… more
- Elevance Health (Los Angeles, CA)
- **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or autism facility-based and outpatient… more
- WestCare Foundation (Fresno, CA)
- …incoming Member referrals from the Medi-Cal managed health care plan. The Lead Care Manager will work as part of the Member's multi-disciplinary care team and will ... the Medi-cal managed health care plan service area including in person, telephonic , street outreach and engagement. * Conduct a comprehensive assessment and develop… more
- Intuit (Mountain View, CA)
- …edge cases and escalations across loan products and servicing platforms holistically; solving case by case , leveling up the learnings, tracking trends, and ... at scale, and a proven track record of working with loan management systems, telephonic /SMS services, and other CRM tools (such as Salesforce or Zendesk) in the… more
- Cedars-Sinai (Beverly Hills, CA)
- …environment that fuels innovation. **A Little More About What You Will be Doing** The Case Manager is responsible for the case management of patient while ... care settings. In collaboration with the Inpatient Specialty Program (ISP) hospitalists, the Case Manager will assist patients from the time they are admitted… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
- Travelers Insurance Company (Irvine, CA)
- …claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity ... outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the...complex claims. Mentor other Claim Professionals + Participate in Telephonic and/or onsite File Reviews. Respond to inquiries -… more
- Ventura County (Ventura, CA)
- …Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases. + ... policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of licensure for… more
- Actalent (Sacramento, CA)
- …. Working knowledge of EZ-CAP, EZ-Net, InterQual, and MCG preferred. . Certified Case Manager (CCM), CPUR, or CPHM credential preferred but not required ... . Conduct in-person hospital rounds 2-3 days per week, telephonic review and participate in interdisciplinary case ...week, telephonic review and participate in interdisciplinary case reviews . Escalate complex or ambiguous cases to… more
- Actalent (Sacramento, CA)
- …+ Working knowledge of EZ-CAP, EZ-Net, InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential preferred. + Background in ... + Conduct in-person hospital rounds 2-3 days per week, telephonic review and participate in interdisciplinary case ...week, telephonic review and participate in interdisciplinary case reviews + Escalate complex or ambiguous cases to… more
- GovCIO (Irvine, CA)
- …tools + Able to discern and log relevant call information into a web-based case management system + Work cases to be referred to an Officer/Agent, field offices ... agency headquarters offices for follow-up review and action + Leverage third-party telephonic interpreter services provided, as necessary + Ability to review case… more