• Complex Case Manager

    Highmark Health (Sacramento, CA)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (06/13/25)
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  • Registered Nurse , Case

    CVS Health (Sacramento, CA)
    …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Case Manager , Registered

    CVS Health (Sacramento, CA)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Oncology or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (06/19/25)
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  • Care Manager , Registered

    Sutter Health (Sacramento, CA)
    …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN ...Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to… more
    Sutter Health (06/07/25)
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  • Care Manager , Registered

    Sharecare (Sacramento, CA)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (06/03/25)
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  • Hospice Oversight Care Manager ( RN

    Molina Healthcare (Sacramento, CA)
    **HOSPICE OVERSIGHT CASE MANAGER ( REGISTERED NURSE )** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (05/26/25)
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  • Telephonic Nurse Case Manager

    ICW Group (Sacramento, CA)
    …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... providing direct clinical care required. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse ( RN ) or Licensed Vocational … more
    ICW Group (06/18/25)
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  • RN Utilization Management Clinical Reviewer…

    The Cigna Group (Sacramento, CA)
    + **Job Description Summary** Provides advanced professional input to complex Nurse Case Management assignments/projects. Plans, implements, and evaluates ... to develop models and procedures, and monitor trends, within Nurse Case Management. RN and...related to this role. **Minimum requirements:** + Active unrestricted Registered Nurse ( RN ) license in… more
    The Cigna Group (05/29/25)
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  • Care Manager ( RN ) : California

    Molina Healthcare (Sacramento, CA)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (04/20/25)
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  • Field Case Manager -Sign On Bonus…

    Sedgwick (Sacramento, CA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! If you have at least** **1.5 years...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (06/19/25)
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  • Telephonic Case Manager

    Sedgwick (Sacramento, CA)
    …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 advocacy,… more
    Sedgwick (06/14/25)
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  • Transition of Care Coach ( RN ): California

    Molina Healthcare (Sacramento, CA)
    …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (06/19/25)
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  • Supervising Public Health Nurse

    Sacramento County (Sacramento, CA)
    …of Supervising Public Health Nurse : + Must possess and maintain a current Registered Nurse License and Public Health Nurse Certificate issued by the ... under general administrative supervision of a higher-level health program manager , and receive medical direction as needed from a...to this class must possess and maintain a current Registered Nurse license and Public Health … more
    Sacramento County (04/22/25)
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