- 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
- LA Care Health Plan (Los Angeles, CA)
- …to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service ... Utilization Management Nurse Specialist LVN II Job Category: Clinical Department:...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or on site admission and concurrent review, and… 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
- Belcan (Los Angeles, CA)
- …call staff member for all US based operations * Works with the Return to Work Case Manager on certain cases as needed, which includes conducting case ... Occupational Health Nurse Job Number: 351617 Category: Professional First /...to plasma center locations throughout the US. * Perform telephonic triage of injury events to determine the level… more
- 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
- 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