- Elevance Health (Costa Mesa, CA)
- **" Telephonic " Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... the assessment within 48 hours of receipt and meet the criteria._** The **" Telephonic " Nurse Case Manager II** is responsible for performing care… 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 ... hours per two week period. 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 (Rancho Mirage, 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
- Actalent (Santa Barbara, CA)
- Non-profit healthcare network is looking for a registered nurse case manager to join their team on a contract basis! Opportunity to gain experience with ... with a leading healthcare organization 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
- Intermountain Health (Sacramento, CA)
- …FEHB, Marketplace Qualified Health Plans and fully-funded and self-funded Commercial plan. The Care Manager 1 - Remote is a Registered Nurse who partners with ... for meetings and training. Position reports to a Healthy Connections Director. Conducts telephonic or video assessments and updates to care plans Job Essentials +… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License 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
- 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
- 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