- 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
- Somatus (Fairfield, CA)
- …multiple settings. + 2+ years healthcare related experience. + Current, unrestricted CA Registered Nurse license + Requires all teammates to maintain current, ... + And more! $5,000 SIGN ON BONUS OFFERED The RN Care Manager is a critical member...and physicians. This position will be working closely with complex renal patients in their home, dialysis center, by… 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
- Somatus (Sacramento, CA)
- …well-being + Community engagement opportunities + And more! **$5,000 Sign On Bonus Offered ** The RN Transition of Care RN Manager is a critical member of ... gaps in care and barriers to good health; the RN TOC Manager is expected to conduct...coordinating care across multiple settings + Current, unrestricted CA Registered Nurse license + Valid BLS certification… 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)
- …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)
- …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
- 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
- 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
- Elevance Health (Walnut Creek, CA)
- ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… more
- Sutter Health (Antioch, CA)
- …Work candidates must have Masters in Social Work) **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + OR LCSW-Licensed Clinical Social ... Worker + CCM-Certified Case Manager **TYPICAL EXPERIENCE:** 12 years recent...facilitation skills. + Demonstrated ability to develop and manage complex projects. + Working knowledge of InterQual criteria preferred.… 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
- Elevance Health (Walnut Creek, CA)
- …planning experience preferred. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. For candidates working in person or remotely in ... - 7am CST or 11am - 8pm EST.** The Nurse Care Mgr I is responsible for collaborating with...activities within the scope of licensure for members with complex and chronic care needs. Primary duties may include,… more