- Cedars-Sinai (CA)
- …America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case… more
- Amergis (Mission Hills, CA)
- …PM + Weekend Requirement: Every other weekend ?? Requirements + Minimum 1 year of Case Management and Utilization Review experience in a hospital setting + ... Salary: $3099 / Week The RN Case Manager is responsible for coordinating...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- Sutter Health (San Francisco, CA)
- …nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to ... A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… 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 ... Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Sharp HealthCare (La Mesa, CA)
- …Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving… more
- Trinity Health (Fresno, CA)
- **Employment Type:** Part time **Shift:** **Description:** This position coordinates utilization review service for defined patient populations across the acute ... from an accredited baccalaureate nursing program (BSN) is preferred. 4. Certified Case Manager (CCM) national certification is preferred. 5. Interquel training… more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the exception ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Amergis (French Camp, CA)
- …Local Contract: $75/HR | $112/OT Hiring points for a perfect candidate: **Needs Case Manager Experience in ACUTE setting** Current Discharge Planning experience ... Denials experience + Appeals Experience Utilization review experience InterQual experience Working with...PERFORMANT or CDCR denials PREFERRED not REQUIRED. The RN Case Manager is responsible for coordinatingcontinuum of… more
- VNA Health (Santa Ynez, CA)
- …hour, minimum. + Visual and audio acuity. Apply today to be considered for our RN Case Manager role or email ###@vna.health with your resume. Powered by JazzHR ... Description: VNA Health is looking for compassionate Registered Nurse Case Managers (RN CM) to join our Home Health...directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her… more