- Battelle Memorial Institute (Oceanside, CA)
- …The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team in support of our ... and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful research and analytics that… more
- Prime Healthcare (Huntington Beach, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228171/registered- nurse -%28rn%29 case - ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- California Therapy Services (Irvine, CA)
- …therapists to stay closer to home than our competition. We also have our own in house Nurse Case Manager to provide the highest level of clinical support to ... you! Here's a few other benefits of our company: + New to home health? New grad? We provide a 1 on 1 orientation that fully educates in the rules, regulations, protocols, and everything you need to know to be successful in home health. + The easiest… 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
- HCA Healthcare (Riverside, CA)
- …at Riverside Community Hospital have the opportunity to make a real impact. As a Case Manager RN Coordinator you can be a part of change. **Benefits** Riverside ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...and improve positive outcomes for your patients as a Case Manager RN Coordinator. We want your… more
- AccentCare, Inc. (Ontario, CA)
- …teaching + Maintain continuity of care in coordinating with the care team and case manager for patients with ongoing needs + Prescribe medication as permitted ... Overview Nurse Practitioner/ NP , Hospice Location: Ontario, CA...Find Your Passion and Purpose as a PRN/Part-Time Hospice Nurse Practitioner Salary: $150 - $160 PPV Schedule: PRN… more
- Molina Healthcare (Long Beach, CA)
- …* Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... JOB DESCRIPTION **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing… more
- Providence (Brea, CA)
- …+ Graduate of an accredited school of nursing. + Upon hire: California Registered Nurse License + Case management or acute care experience in a healthcare ... day, evening, night, or variable shifts. Under the direction of the Supervisor/ Manager , this position is responsible for triaging incoming calls, assessing needs and… more
- Dignity Health (Northridge, CA)
- …impacting patient lives? We're actively seeking a Quality Patient Safety Program Manager , Licensed. We rely on meticulous individuals. Your commitment to accuracy ... through as you review patient records, distill complex information into clear case summaries, and rigorously uphold the confidentiality inherent in the peer review… more
- Molina Healthcare (Long Beach, CA)
- …and ability to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina employees: If you are ... resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and...equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- Providence (Anaheim, CA)
- …qualifications:** + Graduate of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience in an HMO, medical ... in Nursing or + Master's Degree in related field. + Certification in Case Management (CCM, ACM) upon hire. + Specialty Certification in Oncology, Rehab, Pediatrics,… more
- Providence (Mission Viejo, CA)
- **Description** The Nurse Navigator works with the manager and program staff to implement program goals and objectives. The Nurse Navigator collaborates with ... to classes, health screenings, health advocacy, health access support groups, case management and outreach to identified underserved populations. The nurse… more
- Molina Healthcare (Long Beach, CA)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... California Registered Nurse residents preferred. Candidates who do not live...equivalent combination of relevant education and experience. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed… more
- Prime Healthcare (Ontario, CA)
- …closely with Director/ Manager of Health Information Department and Director/ Manager of Case Management to be instrumental in supplementing assistance to ... new members to join our corporate team! Responsibilities CDS Manager is responsible for implementation and improvement of clinical...in Medicine/Surgery or license as physician assistant or registered nurse . + Two years of experience as a clinical… more
- Travelers Insurance Company (Irvine, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Completes outside investigation as needed per case specifics. + Actively engages in the identification, selection and direction… more
- Travelers Insurance Company (Diamond Bar, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Completes outside investigation as needed per case specifics. + Actively engages in the identification, selection and direction… more
- Travelers Insurance Company (Irvine, CA)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to...fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and… more
- Molina Healthcare (Riverside, CA)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigation/Evaluation: + Investigates ... to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to...fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and… more