- 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
- Sutter Health (Roseville, CA)
- …school of nursing + Bachelor's in Nursing preferred. **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
- CVS Health (Sacramento, CA)
- …be the primary care manager for a selected member population. The RN Case Manager is responsible for telephonically assessing, planning, implementing, ... activities with members across the continuum of care. The RN Case Manager utilizes advanced...English/Spanish Chronic Disease care management CCM Certification **Education** Active Registered Nurse ( RN ) license; a… more
- ICW Group (Sacramento, CA)
- …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … 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
- CommonSpirit Health (Rancho Cordova, CA)
- …out in the community. **Responsibilities** **Position Summary:** The Patient Logistics RN supervises the transfer center activities for Dignity Health Facilities. ... to carry out the patient logistics program responsibilities. The Patient Logistics RN collaborates with customers and staff to ensure efficient and effective… more
- Humana (Sacramento, CA)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
- Sacramento County (Sacramento, CA)
- …of Supervising Public Health Nurse : + Must possess and maintain a current Registered Nurse License and Public Health Nurse Certificate issued by the ... under general administrative supervision of a higher-level health program manager , and receive medical direction as needed from a...to this class must possess and maintain a current Registered Nurse license and Public Health … more
- Evolent (Sacramento, CA)
- …Required + 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
- Sharecare (Sacramento, CA)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- 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
- J&J Family of Companies (Sacramento, CA)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
- Gilead Sciences, Inc. (Sacramento, CA)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- Elevance Health (Rancho Cordova, CA)
- …guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill ... of a registered nurse . Acts as a resource for...include but are not limited to: + Responsible for complex cases that may require evaluation of multiple variables… 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