- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Highmark Health (Sacramento, CA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Sacramento, CA)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager , Appeals and Grievances General Operations (Clinical) Job Category: Clinical Department: CSC Appeals & Grievances Location: ... + Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- 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 ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- AccentCare, Inc. (Newport Beach, CA)
- Overview Clinical Manager , RN Position: Clinical Manager , RN Remote /Virtual Position: No #AC-BO Find Your Passion and Purpose as a Clinical ... care we're building together. Be the Best Clinical Manager You Can Be If you meet these qualifications,...professional nursing and currently licensed to practice as a registered nurse in the state of agency… more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...level of care ; work closely with ambulatory care manager (ACM) at the system level,… more
- Stanford Health Care (Palo Alto, CA)
- …180 Days or + CCDS - Cert Clinical Document Spec required within 180 Days + RN - Registered Nurse - State Licensure And/Or Compact State Licensure required ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... Placement within the range is based on years of RN experience. **What You Will Do** Integrates care...clinical experience as defined by the CBA + California Registered Nurse ( RN ) - CA… more
- AccentCare, Inc. (Culver City, CA)
- Overview RN / Registered Nurse ,...Health Location: Culver City Position: RN Case Manager , Home Health Position Type: Full-Time Remote /Virtual ... City/South Bay Find Your Passion and Purpose as an Registered Nurse , Home Health Case Manager... care we're building together. Be the Best RN Case Manager You Can Be If… more