- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… 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 ... Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life, and… more
- CVS Health (Sacramento, CA)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Sacramento, CA)
- …cost-effective quality care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- ERP International (Port Hueneme, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support...for professional growth and development as related to the case manager position and maintenance of CM… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this ... Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on...be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face… more
- ERP International (Twentynine Palms, CA)
- …of the following certifications: (Must obtain within 18 months of employment.) o Commission for Case Manager Certification Certified Case Manager (CCM) o ... Certification: Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy of Certified Care… more
- Elevance Health (Los Angeles, CA)
- …insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager I **Location:** Candidate must reside in California **Virtual:** ... integration, and ensures essential face-to-face onboarding and skill development. The **Behavioral Health Case Manager I** is responsible for performing case … more
- Sharecare (Sacramento, CA)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Molina Healthcare (San Francisco, CA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Elevance Health (Costa Mesa, CA)
- **Behavioral Health Care Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing requests for Applied Behavior Analysis… more
- WestCare Foundation (Fresno, CA)
- Lead Care Manager Job Details Job Location Fresno - 1900 N Gateway - Fresno, CA Position Type Full Time Education Level High School Salary Range $26.00 - $26.00 ... incoming Member referrals from the Medi-Cal managed health care plan. The Lead Care Manager will work as part of the Member's multi-disciplinary care team and will… more
- Elevance Health (CA)
- …in forming a supportive, peer recovery network. + Assist members in working with their case manager or treatment team in determining the steps he/she needs to ... and ensures essential face-to-face onboarding and skill development. This position is telephonic . Work will be completed during standard business hours (8am to 5pm… more
- Travelers Insurance Company (Walnut Creek, CA)
- …claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity ... outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the...complex claims. Mentor other Claim Professionals + Participate in Telephonic and/or onsite File Reviews. Respond to inquiries -… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
- ICF (Orange, CA)
- …the validation of data queries and reporting accuracy. The Manager supports high-level strategic planning, handles high-priority and quick-turnaround assignments, ... brings extensive, multi-year experience working with ServiceNow as a comprehensive case management system (CMS). **Location** Candidate must live or commute onsite… more
- Matrix Providers (Fairfield, CA)
- …through committees such as Population Health Working Group. - Proactively coordinates with the Case Manager and Utilization Manager as needed. - Assists in ... symptoms and quickly reacts in emergency situations. - Completes in-person and telephonic evaluations that include determination of optimal time and location for… more
- CVS Health (San Francisco, CA)
- …Oncology, PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager **Anticipated Weekly Hours** 15 **Time Type** Part time ... are mostly during the day, but evening and weekend availability is welcomed. - Telephonic on call commitment of one evening, or weekend day/month. There are no… more
- CVS Health (Burbank, CA)
- …PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager **Required Qualifications:** * Registered Nurse with current ... out to San Fernando and Santa Clarita as needed. - Participation in the telephonic on-call rotation and this is two shifts/month. There are not in-person visits when… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... or overutilization, including overlapping services. Engages with members by conducting telephonic nursing follow up and care coordination when necessary, including… more