Travel locally. Must have a valid Driver's License and CA Auto Insurance. California Registered Nurse (RN) license. 2+ years clinical nursing experience. Workers's Compensation Case Management experience or fluent in Spanish. Ability to use Microsoft Word and Excel efficiently.
Registered Nurse. Knowledge and experience with national clinical criteria applied in case management. Working knowledge of billing codes, Revenue Codes, and CPT. Experience and knowledge of managed care contracts. Other requirements as outlined in the job description.
BSN or higher. Have either a current, valid, unrestricted independent license in behavioral health or nursing. Valid California State Clinical License required (RN, LCSW, MFT, LPCC, PhD or PsyD) Minimum of five (5) years of combined direct behavioral health clinical and managed care experience.
Position Requirements Include: Certified by the Board of Nursing and has an active California license to practice. Minimum of 5 years primary care and comfortable with differential diagnosis. A caring and compassionate person who loves helping others.
Qualifications for this position include: Education MA/MS. Independent behavioral health licensure valid in State of California: (LCSW, LPCC, LMFT) One or more of the following licensure is required for this role with necessary degrees: CEAP, LMSW, LCSW, LPC, RN or LPN.
A healthcare company is seeking a Telecommuting Senior Case Manager Registered Nurse. Core Responsibilities of this position include: Managing network participation, care with specialty networks, care with DME providers and transfers. Recommending services for Plan members.
A healthcare company is in need of a Telecommute Care Manager. Must be able to: Provide patient and provider education. Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment. Assess the member's current health status. Position Requirements Include:
Associate’s Degree or higher. 2+ year’s experience in either insurance or hospital UM or appeal experience. Strong acute Utilization Review experience. Experience with Milliman (MCG) or InterQual. RN licensure- Licensed to work California and Nevada payors.