- 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 ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- ICW Group (Sacramento, 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
- Humana (Sacramento, CA)
- …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 techniques to ... 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
- 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
- ICW Group (Sacramento, CA)
- …department and vendors. + Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors. Reviews open ... bill review, case management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program… more
- Sharecare (Sacramento, CA)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Travelers Insurance Company (Rancho Cordova, 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