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Telephonic Case Manager Rn Jobs in San Francisco, California

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 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 (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)
Rn Case Manager Jobs
By Serenity Hospice Care At Essex County, NJ, United States
Strong communication and interpersonal skills.
Complete an initial assessment of patient and family to determine hospice care needs
Regularly re-evaluates the patients nursing needs
Use assessment data to determine care plan needs
RN counsels the patient and family in meeting end of life needs
Registered Nurse initiates appropriate preventative nursing procedures
Rn Case Manager, Western Cuyahoga
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting, preferred.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience, preferred.
Rn Case Manager, Eastern Cuyahoga County
By VNA of Central Jersey At Ohio, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Rn Case Manager, Eastern Cuyahoga County
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Case Manager - Rn, Canonsburg
By Allegheny Health Network At Canonsburg, PA, United States
Actively seeks professional development opportunities through professional certification, mentoring/precepting, and/or participation on department/hospital/system committees.5%
Adheres to the policies, procedures, rules, regulations, and requirements of hospitals and other clinical settings. 5%
Discharge planning and community resource knowledge preferred.
Care facilitation and utilization review experience preferred.
Coordinates the clinical care with the patient, family, provider(s), and members of the interdisciplinary team.25%
3 years in a clinical nursing role
Rn Case Manager (Exempt)
By Infirmary Health At Mobile, AL, United States
Some background in management, clinical education or case management
Working knowledge of acute care, rehabilitation, or home care
National certification applicable to area of clinical practice
Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama*
BSN preferred; Master's degree in a clinical specialty desirable
Telephonic Case Manager Rn - Richardson, Tx
By Optum At , Richardson, 75081
Provide patient education to assist with self-management
Experience in a leadership, account management or client facing role
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
3+ years of experience in a hospital, acute care or direct care setting
Experience or exposure to discharge planning
Experience in discharge planning or utilization review
Telephonic Nurse Case-Manager – Rn Or Lpn – Workers’ Compensation
By Brown & Brown Insurance At ,
Case-management experience desired – Workers’ Comp preferred.
Developing case management care plan.
Managing the file proactively, utilizing all appropriate case management tools.
Ensuring education is provided to the injured employee.
RN or LPN with a minimum of three years clinical experience (medical-surgical, orthopedic, neurological, ICCU, industrial, ER or occupational).
Maintains knowledge of current trends, standards and law changes.
Telephonic Scheduler - A
By illumifin At , Eden Prairie, 55344
Work From Home (WFH) Employees must have high speed internet connectivity and an analog or digital phone line.
Education: Associate's Degree or Bachelor's Degree in Business Administration.
1-2 years Auto Dialer experience.
1-2 years Call Center experience.
Monitor Requirements: 1680 x 1050 Resolution
Phone that has headset connection capabilities
Rn/Case Manager - East Cuyahoga County
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Rn Case Manager- Msu Clinic
By Mercy At , Springfield, 65807
Demonstrates knowledge of the legal and ethical issues related to confidentiality when working in case management, and with various health plans.
Certification/Registration: CCM or RN-BC professional case management certification preferred or attained within 36 months of hire.
Advocates for the individuals health care needs with emphasis on responsible health practices, self-care management, and patient safety.
Works closely with the inpatient care management teams for effective patient handoffs.
Documents case management activities timely and according to departmental policies and other nationally established standards.
Tuition reimbursement up to $2,000 for continuing education
Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Chappells, SC, United States

Compassionate Care Coordination: Utilize your exceptional clinical expertise and superb organizational skills to assess patient needs, develop comprehensive care plans, and coordinate all aspects of ...

Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Cayce, SC, United States

As a Remote RN Case Management Specialist, you'll play an integral role in orchestrating and advocating for the comprehensive care needs of patients. By delivering outstanding medical services, ...

Rn Case Manager Jobs
By Morgan Stephens At Hamilton, OH, United States

MUST BE LOCAL TO HAMILTON, OH About Us Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and ...

Telephonic Case Manager Rn - Arizona - Remote
By Optum At , Phoenix, 85040
Provide patient education to assist with self-management
Experience in utilization review, concurrent review and/or risk management
Certified Case Manager (CCM) or the ability to obtain certification within 18 months of employment
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Identify gaps or barriers in treatment plans
Interact with Medical Directors on challenging cases
Case Manager Rn Jobs
By US Veterans Health Administration At , Augusta, 30904 $67,545 - $124,603 a year
If you are relying on your education to meet qualification requirements:
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Telephonic Nurse Case Manager
By ICW Group At ,
Certification in case management, rehabilitation nursing or a related specialty is strongly preferred.
Creates a case management plan based on the assessment with measurable goals and objectives utilizing evidence-based criteria.
Implements plan through case management interventions and communication with all parties to reach desired goals and objectives.
Maintains accurate record of management including costs, savings and demographic data.
Equivalent combination of education and experience may be considered.
Minimum 2 years of professional experience providing direct clinical care required.
Case Manager Rn Jobs
By CVS Health At , San Antonio, 78238 $58,760 - $125,840 a year
Reviews prior claims to address potential impact on current case management and eligibility.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Case Management in an integrated model
3 + years clinical practice experience as an RN required
1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications
Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Rn Case Manager Jobs
By Wake Forest Baptist Health At , Winston-Salem, 27157

Weekends: Friday, Saturday & Sunday