- 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
- 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
- Molina Healthcare (North Sacramento, CA)
- REGISTERED NURSE , qualified candidate must live and be willing to travel in California.** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) ... ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Sutter Health (Sacramento, CA)
- …MS in Nursing, Case management, or related field **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California OR LCSW-Licensed Clinical Social Worker ... Sutter Health! **Organization:** SHSO-Population Health Services-Valley **Position Overview:** The RN Manager of Post-Acute Performance Management team...CCM-Certified Case Manager **TYPICAL EXPERIENCE:** 8 years recent… 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 ** **Location:** 50 Beale St., San Francisco, CA 94105 ... day physically in office per week. 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)
- …Elevance Health PulsePoint location. **Schedule:** First shift PST daytime hours **Behavioral Health** ** Case Manager II** The Behavioral Health Case ... Manager II is responsible for performing case management telephonically within the scope of licensure for...you will make an impact:_** + Responds to more complex cases and account specific requests. + Uses appropriate… more
- Elevance Health (Walnut Creek, CA)
- **Telephonic Nurse Case Manager I**...**Preferred Capabilities, Skills and Experiences:** + Certification as a Case Manager . + Compact RN ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Elevance Health (Walnut Creek, CA)
- …of one of our listed California Elevance Health PulsePoint locations. The **Behavioral Health Case Manager 1** is responsible for performing telephonic case ... members and collaborates with providers. + Responds to more complex cases and account specific requests. + Identifies members...care team. + Serves as a resource to other Case Managers. + Participates in cross-functional teams projects and… 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 ... hours of receipt and meet the criteria._** 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
- Elevance Health (Walnut Creek, CA)
- …location. **Schedule:** First shift PST daytime hours The **Behavioral Health Care Manager I** is responsible for performing case management telephonically ... social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder...equivalent background. + Current active unrestricted license such as RN LCSW (as applicable by state law and scope… 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
- 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
- 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
- Dignity Health (Carmichael, CA)
- …RN license + Minimum of two (2) years of clinical experience as a registered nurse . + Current AHA BLS + ONS Chemotherapy Fundamentals in Administration within ... of Excellence for Hip and Knee Replacements. **Responsibilities** **Night Nurse Shift Manager Oncology** Oncology Acute is...complex oncological conditions. Unit staffing is composed of RN ratio 1:4 or 1:5 depending on patient acuity… 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
- 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 (Walnut Creek, 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