- Actalent (Sacramento, CA)
- …Medicare client members referred for complex case management. The Senior Nurse Case Manager coordinates all systems/services needed for an organized, ... Inpatient review and Case Management, the Senior Nurse Case Manager is responsible...appropriate payers. Responsibilities: + This level responds to more complex medical issues, serves as a subject matter expert… more
- ICW Group (Woodland Hills, CA)
- …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,...unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management,… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …care, WIC support, mental health counseling, community health education, and more. The Registered Nurse (RN), Case Manager - Transitional Care, is a member ... of the Senior Director of Population Health, the Registered Nurse (RN), Case Manager -...pediatric populations. + Maintenance of continuing education requirements for Complex Care Management (CCM) and Enhanced Care Management (ECM)as… more
- CVS Health (Sacramento, CA)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... documenting electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator or… 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 ... Pediatrics or Specialty Pharmacy Advocacy** **.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or … more
- Elevance Health (Los Angeles, CA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- VNA Health (Santa Barbara, CA)
- …reimbursement. + Competitive Compensation: $55 - 58 per hour Job Description: The Registered Nurse Case Manager (RN CM) plans, organizes and directs hospice ... situations. + Ability to reason, deduce and carry out complex multiple step processes. + Bilingual - Spanish preferred,...acuity. Apply today to be considered for our RN Case Manager role or email ###@vna.health with… more
- Sutter Health (Goleta, CA)
- …& LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to acquire ... utilization of health services among a patient population with complex health needs. **Job Description** : **This position is...A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
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