- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case ... achieve desired clinical outcomes and to enhance quality of medical care. The ** Telephonic Nurse Case Manager ** will collect and document data to… more
- Elevance Health (Costa Mesa, CA)
- ** Telephonic Nurse Case Manager II** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care… 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
- Ventura County (Ventura, CA)
- …Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases. + ... and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management,… more
- CVS Health (Los Angeles, CA)
- …Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager **Required Qualifications:** + Registered Nurse with current license in ... with heart, each and every day. As a Registered Nurse (RN), Home Infusion you will work outside the...patient time and drive time. + Participation in the telephonic on-call rotation and this is two shifts/month. There… more
- Molina Healthcare (CA)
- …and ability to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina employees: If you are ... network to address member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Travelers Insurance Company (Diamond Bar, 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