- 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 and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… 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 ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Providence (Torrance, CA)
- **Description** **Appeals RN - Care Manager Remote . This position is Per Diem and will work 8-hour, Day shifts.** The Care Management Recovery ... Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Direct patient care...care ). + 2 years Experience as a case manager in an acute care setting. **Preferred… more
- AccentCare, Inc. (San Marcos, CA)
- … Care Manager , RN Location: San Marcos office Position: Patient Care Manager Position Type: Full-Time Remote /Virtual Position: No #AC-BO Find Your ... Passion and Purpose as a Full-Time Patient Care Manager , RN Salary: $94,700-$135,000...and local regulatory requirements Required Certifications and Licensures: + Registered nurse with current licensure to practice… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- CVS Health (Sacramento, CA)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- AccentCare, Inc. (San Ramon, CA)
- Overview RN / Registered Nurse ,...Location: San Ramon Office Position: RN Case Manager , Home Health Position Type: Full-Time Remote /Virtual ... Castro Valley Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager... care we're building together. Be the Best RN Case Manager You Can Be If… more
- Providence (Orange, CA)
- …+ Associate's Degree Nursing. + Bachelor's Degree Nursing. + Upon hire: California Registered Nurse License. + 3 years Experience in Utilization Management. + ... **Description** **Clinical Program RN at Providence St. Joseph Hospital Orange in...Degree Nursing. + 5 years Experience as a utilization/case manager in an acute care setting. +… more
- Stanford Health Care (Palo Alto, CA)
- …180 Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II… more
- Centene Corporation (Sacramento, CA)
- …experience. CA RN License Required Strong Behavior Health Experience **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Providence (Mission Hills, CA)
- …must empower them. **Required Qualifications:** + Associate's Degree - Nursing. + California Registered Nurse License upon hire. + 2 years - Experience working ... **Description** ** RN Utilization Review at Providence Holy Cross Medical...Center (ANCC), which recognizes organizations that provide the highest-quality care . Only 9.96% of US hospitals earn Magnet(R) recognition,… more
- Providence (Mission Hills, CA)
- …empower them. **Required Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Experience working in a ... **Description** ** RN Utilization Review at Providence Holy Cross Medical...Center (ANCC), which recognizes organizations that provide the highest-quality care . Only 9.96% of US hospitals earn Magnet(R) recognition,… more
- Insight Global (San Francisco, CA)
- …A startup healthcare client in the San Francisco area is looking to hire an RN Case Manager . In this role, you will supervise Licensed Practical Nurses (LPNs), ... review and sign off on care plans, maintain clinical quality standards, and ensure compliance...San Francisco Bay Area, with flexibility for hybrid or remote work. We are a company committed to creating… more
- Amergis (Fairfield, CA)
- The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service ... at least 18 years of age ?? Job Title: RN Case Manager - Travel Assignment ??...Duration: 8-week initial contract + Setting: On-site only (no remote work) ? Requirements: + Active CA RN… more
- Amergis (Fairfield, CA)
- …requirements + Must be at least 18 years of age ?? Job Title: Inpatient Case Manager RN - Fairfield, CA ?? Location: On-site | Fairfield, CA ?? Assignment Type: ... The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service… 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
- Sharecare (Sacramento, CA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (Los Angeles, CA)
- …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active and ... agreements. Contributes to overarching strategy to provide quality and cost-effective member care . The **Delegation Oversight Nurse ** is responsible for ensuring… more
- Molina Healthcare (Los Angeles, CA)
- …skills. * Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Registered Nurse ( RN ). License must be active and ... JOB DESCRIPTION **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement...to overarching strategy to provide quality and cost-effective member care . We are looking for LVN's with at least… more
- Sharp HealthCare (San Diego, CA)
- …BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED + California Registered Nurse ( RN ) - CA Board of Registered … more