- Sharp HealthCare (San Diego, CA)
- …Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Bachelor's Degree in Nursing; Master's Degree; Certified Case Manager (CCM) - Commission for ...head as indicated. + Utilization review and utilization managementThe RN CM II will:Conduct initial… more
- Elevance Health (Washington, DC)
- …4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management** **ll** is responsible for managing a team of physical ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary duties may… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II ...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- HCA Healthcare (Thousand Oaks, CA)
- …efficiently. **Are you passionate about delivering patient-centered care?** Submit your application for RN Case Manager II BID position and spend more time ... supporting a balance of optimal care and appropriate resource utilization . + You will provide case management...your career! We are interviewing candidates for our RN Case Manager II BID opening.… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred.… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II ** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within… more
- Elevance Health (Grand Prairie, TX)
- **Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... from 11:30 AM to 8:00 PM EST. The **Nurse Case Manager II ** is responsible...providers, claims or service issues. Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… 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 ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted criteria for… more
- US Tech Solutions (MI)
- **Timing: M-F 8-5** **Job Description:** The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more