- Molina Healthcare (Long Beach, CA)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
- Sharp HealthCare (La Mesa, CA)
- …patient/family counseling within the scope of social work practice.Collaborates with the Case Manager, RN , or MD to identify psychological needs beyond ... position, and employer business practices. **What You Will Do** The Case Management Social Worker provides appropriate patient/family counseling for issues related… more
- Emanate Health (Covina, CA)
- …ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical ... judgment and refer to Medical Directors for review depending on case findings. **Job Requirements** **M** **inimum Education Requirement :** **Minimum Experience… more
- Chapa-De (Grass Valley, CA)
- …Provide staff education on vaccines and pediatric best practices + Pediatric Case Management. Required Experience: Qualifications: + Current and good standing RN ... License issued by the State of California + 2+ years of nursing experience + Pediatric experience About Us: Chapa-De is a non-profit community outpatient health center with a mission to advance the health and well-being of American Indians and low-income… more
- The Cigna Group (Walnut Creek, CA)
- …client growth and retention, and network performance. + **OVERVIEW:** + The Nurse Executive Sales Specialist, as trusted Clinical Leader, Educator and Advocate, is ... persistency targets including medical cost driver analysis and action, complex case review, referral and engagement, account renewal consultation and recommendations… more
- Maxim Healthcare (Vallejo, CA)
- …- $ 50 / per hour Maxim Healthcare Services is seeking a LPN/LVN Novice Nurse (< 12 months of experience). The Novice Nurse Licensed Practical/Vocational ... the Director of + Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician...+ Supports professional practice by observing the following; + Nurse Practice Act + Standards of Nursing Practice +… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within… more
- Chapa-De (Auburn, CA)
- …6% match + Fantastic work/life balance + Opportunities for career advancement Our Diabetes Nurse Case Manager is someone who has a passion for educating patients ... criminal background check is a contingency for an offer of employment. Keyword: Diabetes, Case Manager, RN , Healthcare, Native, Clinic, Outpatient From: Chapa-De 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...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
- The County of Los Angeles (Los Angeles, CA)
- …be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure ... OPTION II: Two (2) years of experience as a registered nurse , of which one year must...Angeles, a Utilization Review Nurse is an RN that has Case Management experience whose… more