- Elevance Health (Costa Mesa, CA)
- …card, send you a check, or ask you for payment as part of consideration for employment. ** Telephonic Nurse Case Manager II** + Job Family: MED > Licensed ... + VA, RICHMOND + TX, HOUSTON + CO, DENVER + VA, NORFOLK **Description** **" Telephonic " Nurse Case Manager II** **Location: This is a virtual position.… more
- Sedgwick (Sacramento, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California, to provide care ... Fri between 7AM - 6PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): +...and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support… more
- The Arora Group (Coronado, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager in Coronado, California, to work at Coronado ... Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): +...and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... for professional growth and development as related to the case manager position and maintenance of CM...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- Travelers Insurance Company (Diamond Bar, CA)
- …medical case management may be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face to face following ... you do and where you do it. **Job Category** Nurse - Medical Case Manager ...Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on… more
- Actalent (Riverside, CA)
- …and KP physicians. *Float department (if needed): Special Needs Department (SNP), provide telephonic case management *Certificates required: RN license The RN ... Case Manager Assistant is responsible to conduct medical necessity screening...care. Order clarification admission status and patient classification. Skills: case management, acute care, Registered Nurse , excel… more
- Molina Healthcare (San Diego, 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
- 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; + ... policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of licensure for… more
- LA Care Health Plan (Los Angeles, CA)
- …a clean record and Auto Insurance Required Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department:...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- Actalent (Santa Barbara, CA)
- Actalent is looking for a fully remote RN Case Manager to work Monday-Friday 8am-5pm, making $40-$50/hr (based on experience). ** Send email with resume and copy ... RN License to khabitz @actalentservices.com** Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse ...HPNC may perform utilization management activities, which may include telephonic or onsite clinical review; case or… 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
- Marriott (Sacramento, CA)
- …Must be a licensed registered nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required + ... **Additional Information** Nurse CARE Manager (CARE - Coordinated...concern in this position. **SCOPE/EXPECTED CONTRIBUTIONS** Scope + Provides telephonic case management of associates with occupational… more
- Travelers Insurance Company (Irvine, 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
- Cedars-Sinai (Beverly Hills, CA)
- …coordinate health plan communication with assigned hospitalist as appropriate. + Coordinates with nurse practitioner and case manager assigned to the SNF's ... care plan) Staff who will be handling issues, questions, concerns, ie Case Manager . + Authorizes all appropriate services based upon covered benefits and… 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