- 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 of ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
- Sedgwick (Sacramento, CA)
- …Great 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 facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services. **ARE YOU AN IDEAL CANDIDATE?** We are… more
- Humana (Sacramento, CA)
- …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 manage a ... them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering...program at Humana. The nature of the work requires telephonic interaction with members during the majority of the… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates ... the care and wellbeing of members The Care Manager, Telephonic Behavioral Health 2 is a **Licensed,** **Masters level,...members with Social Determinant of Health needs. In a telephonic environment, they assess and evaluate member needs related… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Social Services Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates ... referrals to assist members with Social Determinant of Health needs. In a telephonic environment, they assess and evaluate member needs related to their physical,… more
- Sharecare (Sacramento, CA)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... guidelines to close any existing gaps in care. + Contacts participant by telephonic dialer system per Disease Management program design and call cadence for… more
- Sharecare (Sacramento, CA)
- …**Essential Job Functions:** + Participating in the following types of telephonic calls: + Engagement (inbound and outbound)- contacting eligible participants to ... computer data entry and Microsoft Office + Ability to coordinate telephonic communication with program participants while simultaneously navigating software platform… more
- Sharecare (Sacramento, CA)
- …Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager ... preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + Demonstrates computer competencies… more
- Travelers Insurance Company (Diamond Bar, CA)
- …of highly complex claims. Mentor other Claim Professionals + Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. ... of claim status + Act as technical resource to others. + Participate in Telephonic and/or onsite File Reviews. Respond to inquiries - verbal and written. Keep… more
- Highmark Health (Sacramento, CA)
- …of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to ... review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness.… more
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