- Public Consulting Group (Sacramento, CA)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- System One (Sacramento, CA)
- …community-based non-profit organization leading the effort to eliminate homelessness is looking for a Case Manager . Summary: The Case Manager assists and ... independent whether through employment or assistance with social services. The Case Manager may perform home visits, work a flexible schedule, and must… more
- Cardinal Health (Sacramento, CA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Cardinal Health (Sacramento, CA)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Public Consulting Group (Sacramento, CA)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Sacramento, CA)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Sutter Health (Auburn, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization… more
- The Cigna Group (Sacramento, CA)
- …approximately 12-15 direct reports who are directly responsible for inpatient case management and all associated performance requirements for Cigna. + Interfaces ... Participates in or leads projects/activities and reports progress or barriers to Manager + Build solid working relationships with staff, customers, other key… more
- Sutter Health (Roseville, CA)
- …be able to meet company productivity standards as indicated by organization and manager . + Objectively and effectively solves unique problems as they arise or ... identify when to consult supervisor. + Must be able to deal with challenging work environment with time demands and occasional conflicting priorities. + Maintain a positive and professional image and demonstrate self-directed learning to meet professional… more
- Cardinal Health (Sacramento, CA)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Cardinal Health (Sacramento, CA)
- …+ Must demonstrate a superior willingness to help external and internal customers + First point of contact on inbound calls, and determines needs, and handles ... Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma,… more
- Sutter Health (Sacramento, CA)
- …: **EDUCATION** Graduate of an accredited school of nursing. **CERTIFICATION & LICENSURE** RN-Registered Nurse of California BLS-Basic Life Support Healthcare ... Provider **EXPERIENCE** 2 years experience working as an RN in an acute care setting. **SKILLS AND KNOWLEDGE** Demonstrated general knowledge and competence with regard to nursing theories, concepts and practices; medical terminology; anatomy; and physiology.… more
- Dignity Health (Sacramento, CA)
- …The ** Case Management Coordinator - Non RN** performs activities delegated by RN Case Manager to implement the integrated discharge plan developed by the ... Case Manager . The incumbent uses effective interpersonal...Case Manager . The incumbent uses effective interpersonal skills in all...of services and benefits as directed by the RN Case Manager . This position assists with the… more
- Molina Healthcare (Sacramento, CA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- Travelers Insurance Company (Sacramento, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- Molina Healthcare (Sacramento, CA)
- **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE)** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works ... Management processes **Preferred License, Certification, Association** Active, unrestricted Certified Case Manager (CCM) To all current Molina employees:… more
- Molina Healthcare (Sacramento, CA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Sutter Health (Sacramento, CA)
- …RN-Registered Nurse of California + OR LCSW-Licensed Clinical Social Worker + CCM-Certified Case Manager **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + 8 ... + OR Master's: Master of Social Work for Social Work Candidates Only + OR Master's: MS in Nursing, Case management, or related field **CERTIFICATION & LICENSURE:** +… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …lifestyle management counseling. **Key Responsibilities** + Manage and oversee nurse case manager teams, incorporating continuing education credit opportunities ... lead our Nephrology Patient Support program. This role will oversee nurse case managers, ensuring high-quality patient care and operational excellence in our support… more