- 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
- CVS Health (Sacramento, CA)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or… more
- Sutter Health (Roseville, 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
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy...to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical… more
- Sharecare (Sacramento, CA)
- …and affordable for everyone. To learn more, visit www.Sharecare.com. 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 members,… more
- Fresenius Medical Center (Sacramento, CA)
- …another staff member present. + Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours. **PURPOSE ... AND SCOPE:** The registered professional nurse Home Therapies RN CAP 1 is an entry...data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan… 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 *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/600083) Apply Supervising Public...higher-level nursing manager such as the designated head of public health… 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
- AccentCare, Inc. (Sacramento, CA)
- …/ Registered Nurse , Home Health Location: Sacramento Office Position: RN Case Manager , Home Health Position Type: Full-Time Remote/Virtual Position: No ... Springs, Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager ...physical, financial and mental well-being. Our benefits include: + Medical , dental, and vision coverage + Paid time off… more
- Actalent (Sacramento, CA)
- …. Working knowledge of EZ-CAP, EZ-Net, InterQual, and MCG preferred. . Certified Case Manager (CCM), CPUR, or CPHM credential preferred but not required ... . Apply CMS regulations and evidence-based criteria (MCG, InterQual) to evaluate medical necessity . Collaborate with hospital teams, providers, IPA case … more
- Adams and Associates (Sacramento, CA)
- …o Oversight and management of the wellness budget in conjunction with the Wellness Manager to identify and secure cost-saving measures. o Acts as Center liaison with ... to students. o Coordinates and oversees the chronic condition case management programs. o Complies with local and federal...for the administration of all medications and maintenance of medical records. o Ensures adequate inventory of medical… more
- Dignity Health (Carmichael, CA)
- **Job Summary and 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
- Sharecare (Sacramento, CA)
- …years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical ... everyone. To learn more, visit www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently… more
- CVS Health (Sacramento, CA)
- … Manager role includes: -Collaborate with an interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) ... with heart, each and every day. **Requisition Job Description** The Pharmacy Program Manager is an individual contributor (non-people manager ) role. This is a… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- Molina Healthcare (Sacramento, CA)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and ...officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages… more
- Maxim Healthcare (Roseville, CA)
- …patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician ... Salary: $30- $40 / per hour The Novice Nurse Licensed Vocational Nurse (< 12...collaboration/coordination of care in the medical record and + communicates this information as needed… more
- Travelers Insurance Company (Rancho Cordova, 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. ... such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of… more