- Blue Shield of California (Oakland, CA)
- Your RoleReporting to the Senior Manager, Case Management - Behavioral Health, the Case Management - Clinician, Senior (Behavioral Health Care Manager) ... linkages to behavioral health providers, treatment, and program. The Case Management - Clinician, Senior will offer...referrals. This role will be available to physicians and nurse care managers as a consultant for patients with… more
- Blue Shield of California (Oakland, CA)
- …members and those involved with members care including clinical nurses and treating MDs. The Case Management Nurse , Senior will report to the Sr Manager, ... Your RoleThe Case Management team performs case...cost-effective outcomesYour Knowledge and Experience Requires a current CA RN License Requires current Certified Case Manager… more
- Blue Shield of California (Oakland, CA)
- Your RoleThe Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and ... needs. The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management...computer screen to complete documentation Requires a current CA RN License Certified Case Manager (CCM) Certification… more
- Blue Shield of California (Oakland, CA)
- …correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse , Senior will report to the Utilization Management ... treatment delays, and intervene as clinically appropriate Refer to Case Management when there are acute inpatient...as assignedYour Knowledge and Experience Requires a current California RN License Requires at least 5 years of prior… more
- Blue Shield of California (Oakland, CA)
- Your RoleThe Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination ... Licensed Clinician, Senior, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role, you will conduct clinical review of mental… more
- Stanford Health Care (Palo Alto, CA)
- …and supportive team. You can put your bedside RN experience to great use in case management . Our RN Case Managers work with multidisciplinary teams ... the delivery and quality of patient care. A hospital-based case management system has as its primary...of patient health care **Licenses and Certifications** + Nursing / RN - Registered Nurse -… more
- Stanford Health Care (Palo Alto, CA)
- …an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the ... and utilization management principles. + Experience in case management , utilization review, or related healthcare...systems and other healthcare software. **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ) Knowledge, Skills, & Abilities These ... influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most appropriate use… more
- Sutter Health (Burlingame, CA)
- …: **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification ... the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- Alameda Health System (San Leandro, CA)
- …SLH Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social ... Experience: Varied clinical experience or experience in case management /community health preferred. Preferred Licenses/Certification: Public Health Nurse , … more
- Stanford Health Care (Palo Alto, CA)
- …+ Master's degree in nursing (MSN) + Current unrestricted license as a Registered Nurse issued by the state of California. + National certification ... is your opportunity to put your UM experience and management skills to drive the continuity of care in...timely manner. **Licenses and Certifications** + ACM + CA Registered Nurse - Valid license as a… more
- Stanford Health Care (Palo Alto, CA)
- …assigned conservators, physicians, and/or social workers to ensure compliance. + Case management - Intake, referral, treatment planning, resource allocation, ... Minimum of two (2) years of clinical experience(eg nursing, social work or case management ) in behavioral health Required **Required Knowledge, Skills and… more
- Elevance Health (Palo Alto, CA)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Telephonic Nurse Case Manager I **Job Description:** **Telephonic Nurse Case Manager I** ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for...acute care setting preferred. + Minimum 2 years "telephonic" Case Management experience with a Managed Care… more
- Elevance Health (Palo Alto, CA)
- …EST The **Behavioral Health Case Manager II** is responsible for performing case management telephonically within the scope of licensure for members with ... equivalent background. + Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable...of the United States required. + Previous experience in case management and telephonic and/or in person… more
- Tiburcio Vasquez Health Center (San Leandro, CA)
- …street and venue-based outreach and engagement, assessment, health services and triage, case management , linkages to housing agencies and mental health services. ... improve health and wellness. Under the supervision of the RN Care Manager, the Street Health Outreach Behavioral Health...of clients who are identified to need more in-depth case management services. + Provide outreach and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …including street and venue-based outreach and engagement, assessments, health services, triage, case management , and connections to housing agencies and mental ... involves supervising the Community Health Worker and the Behavioral Health Case Manager. The RN Care Manager collaborates with medical providers on behalf of… more
- Neogen Care (San Jose, CA)
- …ethics at the center of our Core Values. We are looking for a Home Health Registered Nurse to join our fast-growing team. Become part of a notable company and ... help us achieve our goals! POSITION: Registered Nurse (Home Health) TYPE: Full-Time/Part-time PAY:...to achieve positive patient care outcomes. ESSENTIAL FUNCTIONS: + Case management & follow-up skilled nursing visits… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a(an) Utilization Management RN today with HCA Healthcare. **Benefits** HCA Healthcare, offers a ... by location._** Come join our team as a(an) Utilization Management RN . We care for our community!...written policy, regulatory, and Health Plan guidelines . Apply case management skills to members who have… more
- Sutter Health (Burlingame, CA)
- …Social Work Candidates Only or equivalent education/experience **CERTIFICATION & LICENSURE** RN - Registered Nurse of California CCM- Preferred LCSW-Licensed ... or Health Administration or equivalent education/experience Preferred Master's: MS in Nursing, Case management , or related field; or Masters of Social Work… more
- Gentiva (Burlingame, CA)
- …to give people the care they need with dignity, grace, and love. **As a Hospice RN / RN Case Manager, you will:** + Reportdirectly to the Administrator, ... Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison...Range: Min: 91,535 - Max $125,710 **About You** **Hospice Registered Nurse Requirements:** + Hospice heart: compassionate,… more
