- Molina Healthcare (Sacramento, CA)
- **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... Management processes **Preferred License, Certification, Association** Active, unrestricted Certified Case Manager (CCM) To all current Molina employees:… 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! If you ... move, apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's members… more
- WestCare Foundation (North Highlands, CA)
- Case Manager Job Details Job Location North Highlands - 4616 Roseville Road - North Highlands, CA Position Type Full Time Education Level High School Salary ... Person in this position will be responsible for the case management of a large caseload of participants in...Functions include those listed below. ESSENTIAL JOB FUNCTIONS: + Case management of a large caseload of participants released… more
- Molina Healthcare (Sacramento, CA)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If ... + RNs provide consultation, recommendations, and education as appropriate to non-RN case managers. + RNs are assigned cases with members who have complex… more
- Cardinal Health (Sacramento, CA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Cardinal Health (Sacramento, CA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- 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 a care plan, encouraging behavior… more
- Cardinal Health (Sacramento, CA)
- …**Responsibilities** * Handle customer escalated cases through investigation and case review * Contact customers to confirm approval/denials of coverage, ... doctors and/or patients checking on the status of the case * Maintain quality while providing an empathetic and...* Support manufacturer field team members as required on case updates * Works internally with team members regarding… more
- Sutter Health (Sacramento, CA)
- …be able to meet company productivity standards as indicated by organization and manager . Objectively and effectively solves unique problems as they arise or identify ... when to consult supervisor. Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. Maintain a positive and professional image and demonstrate self-directed learning to meet professional development… more
- Sutter Health (Sacramento, CA)
- …be able to meet company productivity standards as indicated by organization and manager . + Objectively and effectively solves unique problems as they arise or ... identify when to consult supervisor. + Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. + Maintain a positive and professional image and demonstrate self-directed learning to meet professional… more
- ICF (Sacramento, CA)
- …children to make recommendations for release plans to ORR in conjunction with the case provider Case Manager . Release plans provide for the unaccompanied ... Description ICF is currently seeking Case Coordinators capable of working directly with ORR...transfer of unaccompanied children as well as any related case consultations to support the overall best interest of… more
- Travelers Insurance Company (Sacramento, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- Humana (Sacramento, CA)
- …coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work ... part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to… more
- Highmark Health (Sacramento, CA)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Sutter Health (Sacramento, CA)
- …California Upon Hire OR LCSW-Licensed Clinical Social Worker Upon Hire + CCM-Certified Case Manager Upon Hire **TYPICAL EXPERIENCE:** + 12 years recent relevant ... **Job Description** : **EDUCATION:** + Master's: Masters in Nursing, Case Management, Health Administration, or Social Work OR or...A broad knowledge base of health care delivery and case management within a managed care environment required. +… more
- AccentCare, Inc. (Sacramento, CA)
- Overview Find Your Passion and Purpose as an RN Case Manager Coverage Area: Greater Sacramento/Central Sac #AC-RN Reimagine Your Career in Home Health As a ... first AccentCare-branded scrubs for patient-facing employees Qualifications Be the Best RN Case Manager You Can Be If you meet these qualifications, we want to… more
- Sutter Health (Sacramento, CA)
- …an accredited institution. **CERTIFICATION & LICENSURE:** LCSW-Licensed Clinical Social Worker ACM-SW-Accredited Case Manager - Social Work by the American ... Case Management Association (ACMA) is preferred **PREFERRED EXPERIENECE AS TYPICALLY ACQUIRED IN:** 5 years recent relevant experience **SKILLS AND KNOWLEDGE** **:** + Broad knowledge of clinical social work practices, including current trends, safety… more
- Sutter Health (Sacramento, CA)
- …preferred. Combined Pediatric Hematology Oncology Infusion Treatment Nurse and Nurse Case Manager for new Pediatric Hematology Oncology Medical Practice. ... Time to be split between infusion and case management responsibilities. Provides direct and indirect patient care to clinic patients and their families utilizing the… more
- Dignity Health (Carmichael, CA)
- …and a Certificate of Excellence for Hip and Knee Replacements. **Responsibilities** **Nurse Manager of Care Coordination / Case Management** As our **Nurse ... Manager Care Coordination Manager at Mercy San Juan Medical Center** , you'll...of three (3) years experience in Care Coordination or Case Management. + Bachelor's degree in Nursing or experience… more
- ASM Research, An Accenture Federal Services Company (Sacramento, CA)
- The Bilingual Case Management Analyst III is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking and ... the project goals, will complement the role as a case analyst. + Employee is expected to undertake any...expected to undertake any additional duties as assigned by manager . **Minimum Qualifications** + Bachelor's Degree or equivalent **OR**… more