- WORKCARE INC (Anaheim, CA)
- …Bachelor of Science in Nursing is highly preferred. Minimum of 3 years' experience as a case manager in health care setting. Must have a compact RN license. RNs ... must be able to maintain Enhanced Nurse Licensure Compact (eNLC) and reside in a compact...trained in Case Management and Occupational Health. Telephonic case management experience preferred. Ability to… more
- Clever Care Health Plan (Huntington Beach, CA)
- … (LVN) license issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse (CMCN) preferred Skills *2-3 ... organization that celebrates diversity and innovation. Job Summary The role of the Case Manager is to promote quality, cost-effective outcomes for an assigned… more
- Elevance Health (Los Angeles, CA)
- ** Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care… more
- ICW Group (San Diego, CA)
- …perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,...unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management,… more
- CenterWell (Sacramento, CA)
- …Care Coordination and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell ... **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) with compact state licensure in state of residence with no… 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 ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...the next round, a recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- CVS Health (CA)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... in Pediatrics, **Oncology** or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or … 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
- Cedars-Sinai (CA)
- …us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... (preferred). **Certifications/Licenses:** + Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case Manager … more
- Sharecare (Sacramento, CA)
- …according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare ... To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the… more
- Actalent (Santa Barbara, CA)
- …operational unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management, Clinical Reviews Experience ... need is now looking for a REMOTE Health Plan Nurse Coordinator to join their team! Here you will...goals. + Perform utilization management activities, which may include telephonic or onsite clinical review; case or… 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 and ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- ICW Group (Sacramento, CA)
- …claims department and vendors. + Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors. Reviews ... management and utilization review. + Works closely with Case Management Manager and Director to perform...Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management, 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 ... claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity… more
- Cedars-Sinai (Beverly Hills, CA)
- …appropriate. + For patients who are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for ... Little More About What You Will be Doing** The Case Manager is responsible for the ...the health plan using the accepted format (MIDAS or telephonic ) and coordinate health plan communication with assigned hospitalist… more
- LA Care Health Plan (Los Angeles, CA)
- …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range… more
