- CVS Health (Sacramento, CA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... + This position consists of working intensely as a telephonic case manager with patients and their...setting. + A Registered Nurse that holds an active, unrestricted… more
- Cedars-Sinai (Marina Del Rey, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for… more
- Elevance Health (Sacramento, CA)
- **LTSS Service Coordinator - RN Clinician** **Location:** Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, ... to client needs, and direct, hands-on engagement. The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the… more
- Sharecare (Sacramento, CA)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and...Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM)… more