- CenterWell (Sacramento, CA)
- … Coordination and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home ... to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) with compact state licensure in state of...+ Managed care experience + Home Health Care experience + Telephonic triage experience +… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches ... them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering...business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess… more
- Elevance Health (Los Angeles, CA)
- ** Telephonic Nurse Case Manager II**...required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within ... the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care … more
- ICW Group (San Diego, CA)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... procedures set by the Company. + Negotiates appropriate level and intensity of care and disability duration with providers through use of medical and disability… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order to be ... more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs....the next round, a recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- Sharecare (Sacramento, CA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst...or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,… more
- CVS Health (CA)
- …+ This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. ... Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience… more
- Sharecare (Sacramento, CA)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...Care guidelines to close any existing gaps in care . + Contacts participant by telephonic dialer… more
- Actalent (Santa Barbara, CA)
- …within an operational unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management, Clinical Reviews ... need is now looking for a REMOTE Health Plan Nurse Coordinator to join their team! Here you will...case management, California Children's Services (CCS), experience in managed care or working with managed care organizations,… more
- LA Care Health Plan (Los Angeles, CA)
- …managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. Previous care ... Enhanced Care Management Clinical Specialist II Job Category: Clinical...aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and… more
- Cedars-Sinai (CA)
- …**What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through discharge. ... Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review ... follow-up appointments and scheduling tests or outpatient procedures with appropriate health care providers. + Refers to Ambulatory Case Manager patients… more
- ICW Group (Sacramento, CA)
- …**KNOWLEDGE AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case ... analytics and field case management support to the managed care and cost containment team in the execution of...+ Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …to achieve resolution through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery ... **Who Are We?** Taking care of our customers, our communities and each...indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate… more