- Highmark Health (Sacramento, CA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...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
- 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 ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Molina Healthcare (Sacramento, CA)
- **HOSPICE OVERSIGHT CASE MANAGER ( REGISTERED NURSE )** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- CAI (Sacramento, CA)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- Sutter Health (Sacramento, CA)
- …Work candidates must have Masters in Social Work) **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire OR LCSW-Licensed Clinical ... Social Worker Upon Hire + CCM-Certified Case Manager Upon Hire **TYPICAL EXPERIENCE:** +...facilitation skills. + Demonstrated ability to develop and manage complex projects. + Working knowledge of InterQual criteria preferred.… more
- Elevance Health (Walnut Creek, CA)
- …depression, and insightful analytics to improve the delivery of care._ **Behavioral Health Case Manager II** **Location:** This is a virtual position, candidates ... there is no weekly/monthly onsite requirement. The **Behavioral Health Case Manager II** is responsible for performing...but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate… more
- Elevance Health (Walnut Creek, CA)
- Nurse Case Manager I...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, ... 11:30 am- 8:00 pm EST. Monday thru Friday. The ** Nurse Case Manager I** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Elevance Health (Walnut Creek, CA)
- …insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager **Location:** Candidate must reside in California Candidates must ... 5:00pm PST **Build the Possibilities. Make an extraordinary impact.** The Behavioral Health Case Manager is responsible for performing case management… more
- Elevance Health (Walnut Creek, CA)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Concord, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager Preferably candidates live in the Vacaville area, able to ... be considered. **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- CommonSpirit Health (Rancho Cordova, CA)
- …healthcare delivery system. **Responsibilities** **Position Summary:** The Patient Logistics RN supervises the transfer center activities for Dignity Health ... to carry out the patient logistics program responsibilities. The Patient Logistics RN collaborates with customers and staff to ensure efficient and effective… 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
- Humana (Sacramento, CA)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Sutter Health (Sacramento, CA)
- …* Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** * RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** * ... state regulations and guidelines. Has frequent contact with hospital leadership, Nurse Executives and Directors, Risk Management & Ethics staff, Ancillary Services,… 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