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Telephonic Case Manager Rn Jobs in California

Case Manager Rn Jobs
By AHMC HealthCare At Anaheim, CA, United States
2 years Utilization Management/Case Management experience preferred in acute care setting.
Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills.
Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care is required.
Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria.
Working knowledge of Title XVII and Title XIX.
Working knowledge of community resources.
Case Manager/Rn Jobs
By Sutter Health At , San Francisco $73.93 - $100.06 an hour

Equivalent experience will be accepted in lieu of the required degree or diploma.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Case Manager - Rn (Santa Clarita, Ca)
By ISYS SOLUTIONS INC At , Santa Clarita, 91321, Ca $120,000 - $180,000 a year
Always do the right thing
Deliver excellence in everything we do
Encourage a Hug Your Customer® philosophy
Be honest, authentic, grateful, and humble
Promote individual and economic liberty
( Field based position servicing Santa Clarita and surrounding areas)
Telephonic Nurse Case Mgr Ii
By Elevance Health At , Costa Mesa, Ca $70,320 - $126,576 a year
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Certification as a Case Manager is preferred.
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
Minimum 2 years’ experience in acute care setting.
Rn – Medical Case Manager – High Risk Pregnancy
By Impresiv Health At Orange, CA, United States

Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for the Health Plan’s members. The Medical Case Manager, High-Risk ...

Medical Case Manager - Rn
By Impresiv Health At Orange, CA, United States

Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for the Health Plan’s members. The Medical Case Manager will facilitate ...

Case Manager Supervisor – Rn
By AHMC HealthCare At Whittier, CA, United States

Under the general supervision of the case management Director acts as a patient advocate/case manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and ...

Rn - Case Manager (Days) #Rsu-230627-04
By Adelphi Medical Staffing, LLC At Temecula, CA, United States

Shift Schedule: 8 hours/Day; 40 hours/week

Active RN license in CA

Travel Case Manager Rn Job In Santa Rosa, Ca - Make $2791 To $2947/Week
By Aya Healthcare At Santa Rosa, CA, United States
At least one year of experience required
Access to unlimited continuing education units online.
Shift: 5x8-Hour 07:00 - 15:00
Paid company housing (we’ll help you bring your pets along, too!) or a generous housing stipend.
The industry’s only clinical ladder program for RNs on assignment.
Licensure, relocation and other reimbursements, when applicable.
Rn Case Manager Jobs
By Interim HealthCare Inc. At Redding, CA, United States
Uses clinical decision making to efficiently and effectively manage an assigned patient population.
6 months of current nursing experience preferred.
Will hire new grads depending on prior experience
Able to perform and evidence of current CPR certification for adults, children and infants.
Weekly Pay and Direct Deposit
Generous Paid Time Off and Paid Holidays – we believe in balance!
Case Manager Rn Jobs
By AHMC HealthCare At Riverside, CA, United States

The Case Manager Registered Nurse is primarily responsible for the preparation, recording and tracking of initial and retrospective payments for hospital services. Answers, directs and records ...

Case Manager Rn Jobs
By Clever Care Health Plan At , Huntington Beach, 92647, Ca $70,000 - $90,000 a year
Maintains ongoing member caseload for regular outreach and management.
2-3 years in case management, disease management, managed care or medical or behavioral health settings
RNs provide consultation, recommendations, and education as appropriate to non-RN staff.
Certified Case Manager (CCM) preferred
Certified Managed Care Nurse (CMCN) preferred
High level of critical thinking and problem-solving skills
Telephonic Workers Compensation Nurse Case Manager
By Liberty Mutual At , Rocklin, 95765, Ca $78,200 - $97,700 a year
Previous medical case management experience a plus.
Strong communication skills in order to build relationships with injured employees, medical professionals, employers, field claims staff and others.
Good negotiation skills to effectively establish target return to work dates and coordinate medical care.
Knowledge of state, local and federal laws related to health care delivery preferred.
Personal computer knowledge and proficiency in general computer applications such as Internet Explorer and Microsoft Office (including Word, Excel and Outlook).
Must have additional professional certifications, such as CCM, COHN, CRRN, etc., where required by WC law.
Travel Rn - Case Manager
By TLC Travel Staff At Orange, CA, United States

$2,976.00 total gross weekly for 36 hours per week for 13 weeks.

Rn Case Manager Jobs
By Continuum Hospice & Palliative Care Massachusetts At Petaluma, CA, United States
Tuition Reimbursement & Certification Assistance
One (1) year experience as a professional nurse within the last three (3) years.
Hospice/home health experience preferred but not required.
Possess and maintains current CPR certification.
Health, Dental, & Vision Insurance
GENEROUS time-off package (20 days PTO & 9 Holidays)