- ERP International (Twentynine Palms, CA)
- …Counselor Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of ... **Overview** ERP International is seeking **Registered Nurse (RN) Case Managers** for full-time...obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case … more
- 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 ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- Travelers Insurance Company (Walnut Creek, CA)
- …medical case management may be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face to face following ... do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager ...Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on… 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 ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or… 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 ... care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps...and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents… more
- Cedars-Sinai (CA)
- …us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... (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)
- …for a $5,000 Employee Referral Bonus **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... (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
- 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. + ... and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management,… more
- Cedars-Sinai (CA)
- …appropriate. + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for ... Little More About What You Will be Doing** The Case Manager is responsible for the ...the health plan using the accepted format (MIDAS or telephonic ) and coordinate health plan communication with assigned hospitalist… 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 ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department:...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… 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
- Travelers Insurance Company (Rancho Cordova, CA)
- …to achieve resolution through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the ... claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity… more
