- Elevance Health (Costa Mesa, CA)
- ** Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for performing care… more
- ICW Group (Sacramento, CA)
- …perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,...unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management,… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Sedgwick (Sacramento, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While ... 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
- 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 Hueneme, ... for professional growth and development as related to the case manager position and maintenance of CM...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- Travelers Insurance Company (Irvine, CA)
- …collaboration. Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base ... Is the Opportunity?** Under moderate supervision, provide office based telephonic and/or in-person medical case management supporting...have face to face time while working as a case manager . **What Will You Do?** +… more
- 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
- ERP International (Lemoore, CA)
- …Close cases when goals are met, patient declines service, patient transitions to another case manager or patient needs are no longer identified. Provide case ... **Overview** ERP International is seeking **Registered Nurse (RN) Case Managers** for full-time...and/or facility providing scientific and practice-based knowledge per the Case Manager Core Competencies. Provide support to… more
- CVS Health (Sacramento, CA)
- …to make health care more personal, convenient and affordable. **Position Summary:** **This RN Case Manager position is 100% remote and candidates can apply from ... both) per the needs of the team.** The RN Case Manager is responsible for telephonically and/or...and unrestricted RN license and, if located within the Nurse Licensure Compact jurisdiction, the ability to use their… 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
- 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
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …staff member for all Grifols US based operations. + Works with the Return to Work Case Manager on certain cases as needed; which includes conducting case ... than 110 countries and regions. **_Job Summary:_** The Staff Nurse provides Grifols employees based in the US access...services to plasma center locations throughout the US. Perform telephonic triage of injury events to determine the level… 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 ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Travelers Insurance Company (Irvine, 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
- LA Care Health Plan (Los Angeles, CA)
- …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more