- Highmark Health (Sacramento, CA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Highmark Health (Sacramento, CA)
- …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case ... to handle multiple priorities in a fast paced environment **Required Licensure** Registered Nurse **Preferred** Certification in Case Management **LANGUAGE… more
- Sutter Health (Sacramento, CA)
- …+ Graduate of an accredited school of nursing **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 ...Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to… more
- Somatus (Sacramento, CA)
- …teammates physical and mental well-being + Community engagement opportunities + And more! The RN Transition of Care RN Manager is a critical member ... gaps in care and barriers to good health; the RN TOC Manager is expected to conduct...coordinating care across multiple settings + Current, unrestricted compact Registered Nurse license + Valid BLS certification… more
- Evolent Health (Sacramento, CA)
- …coordinating care across multiple settings and with multiple providers - Required Current Registered Nurse license - Maryland or Compact License - **Required** ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...for this population. **What You Will Be Doing:** This RN Care Manager The RN … more
- 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 successful return to work through… more
- Evolent Health (Sacramento, CA)
- …York State Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- Centene Corporation (Sacramento, CA)
- …assist Clinical Directors + Supports Clinical Supervisors in tracking of monthly Care Manager audit results + Works with Data Analysis Department to design data ... and makes recommendations to Healthcare Services teams + Conducts complex trend analysis and, based on analysis, creates Corrective...or related field preferred + Three to five years case management or related clinical experience + Two to… more
- Elevance Health (Rancho Cordova, CA)
- …or 1-hour commute each way of a relevant Elevance Health location. The ** Nurse Medical Management ll** is responsible to collaborate with healthcare providers and ... member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high quality, cost effective care through… more