• WORKCARE INC (Anaheim, CA)
    …Bachelor of Science in Nursing is highly preferred. Minimum of 3 years' experience as a case manager in health care setting. Must have a compact RN license. RNs ... must be able to maintain Enhanced Nurse Licensure Compact (eNLC) and reside in a compact...trained in Case Management and Occupational Health. Telephonic case management experience preferred. Ability to… more
    Upward (07/31/25)
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  • Clever Care Health Plan (Huntington Beach, CA)
    … (LVN) license issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse (CMCN) preferred Skills *2-3 ... organization that celebrates diversity and innovation. Job Summary The role of the Case Manager is to promote quality, cost-effective outcomes for an assigned… more
    Upward (07/31/25)
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  • Telephonic Nurse Case

    Elevance Health (Costa Mesa, CA)
    ** Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care… more
    Elevance Health (08/29/25)
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  • Telephonic Nurse Case

    ICW Group (Woodland Hills, CA)
    …perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,...unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management,… more
    ICW Group (09/17/25)
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  • Cost Containment Analyst

    ICW Group (Woodland Hills, CA)
    …claims department and vendors. + Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors. Reviews ... management and utilization review. + Works closely with Case Management Manager and Director to perform...Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management, and… more
    ICW Group (09/22/25)
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  • Sr. Workers' Compensation Claim Representative

    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
    Travelers Insurance Company (08/02/25)
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