• Telephonic Nurse Case

    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
    Elevance Health (05/10/24)
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  • Nurse Medical Case Manager

    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
    Travelers Insurance Company (05/11/24)
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  • Utilization Management Nurse Specialist RN…

    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
    LA Care Health Plan (05/07/24)
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  • Workers' Compensation Claim Representative

    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
    Travelers Insurance Company (05/11/24)
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  • RN Care Coordinator - Inpatient Specialty Program

    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 (04/28/24)
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  • Enhanced Care Management Clinical Specialist II

    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
    LA Care Health Plan (03/02/24)
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