- Travelers Insurance Company (Rancho Cordova, CA)
- …what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for ... the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early...may be required to support Concierge locations, where a Nurse Case Manager meets with… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …through the best possible outcome + Collaborate with our internal nurse resources ( Medical Case Manager ) in order to integrate the delivery of ... and indemnity position of the claim with a Medical Case Manager . Independently handles...returning injured party to work and coordinating the appropriate medical treatment in collaboration with internal nurse … 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 ... Health Facilitation Centers, Home Office departments; externally with customers, medical providers, vendors, claims payors, and insurance professionals. +… more
- Sutter Health (Auburn, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to… 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
- Public Consulting Group (Sacramento, CA)
- …and on a team. + Proven working experience in case management, including as a nurse , medical , mental health care manager or a related job + Excellent ... qualified Registered Nurse to perform as a Case Manager . The Case ...* Develops effective working relations and cooperate with the medical team throughout the entire case management… more
- Public Consulting Group (Sacramento, CA)
- …and on a team. + Proven working experience in case management, including as a nurse , medical , mental health care manager or a related job + Excellent ... status and treatment options + Develops effective working relations and cooperate with medical team throughout the entire case management process + Interacts… more
- Sharecare (Sacramento, CA)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Sacramento County (Sacramento, CA)
- …Health Nurses work under general administrative supervision of a higher-level health program manager , and receive medical direction as needed from a physician or ... Supervising Public Health Nurse Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/600083) Apply Supervising Public Health...higher-level nursing manager such as the designated head of public health… more
- Actalent (Sacramento, CA)
- Registered Nurse - Utilization Management PAY: $45 hourly - $50 hourly Target Start Date: July 28, 2025 Location: Fully Remote Schedule: Monday - Friday, 8am to ... We are seeking an experienced and detail oriented. Registered Nurse (RN) to join our Utilization Management team. This...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Sacramento County (Sacramento, CA)
- …administrative supervision of a higher level Health Program Manager or Facility Manager and receive medical direction as needed from a physician or higher ... Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse D/CF Salary… more
- Sutter Health (Sacramento, CA)
- …of an accredited school of nursing. **CERTIFICATION & LICENSURE** RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider **EXPERIENCE** 2 years ... and competence with regard to nursing theories, concepts and practices; medical terminology; anatomy; and physiology. Working knowledge of the healthcare industry,… more
- Molina Healthcare (Sacramento, CA)
- …Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified ... Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager ...Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes,… more
- Travelers Insurance Company (Rancho Cordova, 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. ... such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of… more
- AccentCare, Inc. (Folsom, CA)
- Overview Find Your Passion and Purpose as an RN Case Manager Coverage Area: Folsom to Placerville Shift: M-F 8a-5p On Call: 2 weekend days per month #AC-RN ... Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts...scrubs for patient-facing employees Qualifications Be the Best RN Case Manager You Can Be If you… 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
- Molina Healthcare (Sacramento, CA)
- **HOSPICE OVERSIGHT CASE MANAGER (REGISTERED NURSE )** California residents preferred** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) ... Management processes **Preferred License, Certification, Association** Active, unrestricted Certified Case Manager (CCM) To all current Molina employees:… more
- Sutter Health (Sacramento, CA)
- … Nurse of California + OR LCSW-Licensed Clinical Social Worker + CCM-Certified Case Manager **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + 8 years ... Medical Groups, IPAs, and with the Administrative Team, Nurse Executives and Directors, Risk Management & Ethics staff,...**SKILLS AND KNOWLEDGE:** + Knowledge of Accreditation Council for Medical Affairs (ACMA), Case Management Society of… more
- Dignity Health (Carmichael, CA)
- **Responsibilities** ** Nurse Manager of Care Coordination / Case Management** **Sign On / Relocation Options** As our ** Nurse Manager Care ... Coordination Manager at Mercy San Juan Medical Center** , you'll report to our Director of...of three (3) years experience in Care Coordination or Case Management. + Bachelor's degree in Nursing or experience… more
- The Cigna Group (Sacramento, CA)
- + **Job Description Summary** Provides advanced professional input to complex Nurse Case Management assignments/projects. Plans, implements, and evaluates ... to develop models and procedures, and monitor trends, within Nurse Case Management. RN and current unrestricted...to an alternate level of care. + Consults with manager and medical director to resolve any… more