- Magellan Health Services (San Diego, CA)
- …Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... pacific. + A California active independent behavioral health or RN (with psychiatric/behavioral health) licensure is required. + CEAP... care . General Job Information Title Behavioral Health Care Manager Remote , must be… more
- Highmark Health (Sacramento, CA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Sacramento, CA)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Sacramento, CA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- CVS Health (Sacramento, CA)
- …. - Perform medical necessity reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. - A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Sacramento, CA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Public Consulting Group (Sacramento, CA)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- Summary The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) Women's Health is responsible for providing competent, evidence-based ... the Primary Care Department. Responsibilities The PACT RN Care Manager assumes the...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Highmark Health (Sacramento, CA)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Sacramento, CA)
- …and 2 - 4 years of related experience. Must reside in CA **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Highmark Health (Sacramento, CA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Devereux Advanced Behavioral Health (Goleta, CA)
- …system and is forward-thinking in their clinical practice andresearch. \#sponsored Keywords - RN , Registered Nurse , nursing, adults IDD **Qualifications** + ... joining our Devereux Advanced Behavioral Health team! **Being a Nurse Manager at Devereux has its Advantages**...Must have a current license as a Registered Nurse in California. + Graduate of… more
- Amergis (Orange, CA)
- … - Health Insurance Agency Amergis Healthcare is seeking an experienced Registered Nurse ( RN ) Medical Case Manager to support a health insurance agency. ... facilitating coordination among healthcare providers to ensure quality, cost-effective care for members. Responsibilities include assessment, planning, implementation, monitoring,… more
- Molina Healthcare (San Francisco, CA)
- …behavioral health settings. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... California must work California Pacific business hours. This position is 100% remote at this time.** **Job Description** **Job Summary** Transplant Case Managers… more
- Amazon (San Francisco, CA)
- …accreditation and Joint Commission processes. - Understanding of regulations related to primary care and remote care settings. Preferred Qualifications - ... Description Amazon One Medical is seeking an experienced RN Patient Safety Manager to ensure the organization's systems and processes align with regulatory… more
- Elevance Health (Walnut Creek, CA)
- ** Manager II Grievance/Appeals ( RN )** **Location** : **Hybrid 2:** This role requires associates to be in-office **3** days per week, fostering collaboration and ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may… more
- Insight Global (Chatsworth, CA)
- Job Description Insight Global Health is looking for a remote RN Case Managers to work for a large healthcare company in the Irvine, CA area. In this position, ... with outpatient members, providers, and caregivers to facilitate intensive, comprehensive care management. These RNs will complete Health Risk Assessments, care… more
- CenterWell (Sacramento, CA)
- …Quality FLSA: Exempt **Work Schedule** : Full-time/40 Hours **Position Type** : Hybrid ( Remote & Field-based Travel) **Assigned Markets:** CA and NV The ** RN ** ... branches through coaching frontline clinical managers and staff on improving care delivery and documentation requirements. + Implements and monitors clinical… more
- Elevance Health (Costa Mesa, CA)
- ** Nurse Appeals Lead ( RN )** **Location** : This role requires associates to be in-office **1-2 days per week** , fostering collaboration and connectivity, while ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may… more
- Molina Healthcare (Long Beach, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in nursing. ... Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager ...be discussed during our interview process. CA located - Remote position Work hours: Monday - Friday 8:00am -… more