Case Manager Jobs in Rancho Cordova
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Search Results - Case Manager Jobs in Rancho Cordova
Blue Shield of California-Rancho Cordova
Your Role
Work schedule is Mon-Fri 10am- 7pm
The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating...
Concentra-Rancho Cordova
in the case management. The treatments you provide will make a tremendous difference in the lives of those who look to us for care and comfort.
Responsibilities: Half a day per week or biweekly
Flexible scheduling with consideration of your private practice...
Blue Shield of California-Rancho Cordova
metrics.
• Process Faxed /Web Portal /Phoned in Authorization or Hospital Admission Notification Requests, Utilization Management (UM)/Case Management (CM) requests and/or calls left on voicemail.
• Select support for Case Manager such as mailings...
Rancho Cordova
for career growth and development
• Retirement Programs
• Wellness Programs
#LI-DH
Qualifications:
Minimum:
• Bachelor's degree in Nursing, Health Care Administration or related clinical field
• Minimum 5 years of clinical case management (Utilization...
icims.com -
Blue Shield of California-Rancho Cordova
metrics.
• Process Faxed /Web Portal /Phoned in Prior Authorization or Hospital Admission Notification Requests, Utilization Management (UM)/Case Management (CM) requests and/or calls left on voicemail.
• Select support for Case Manager such as mailings...
MMC Group-Rancho Cordova
refer callers to the appropriate case manager or career development specialist for service.
• Performs data entry, as caller is providing information over the phone, in accordance with established individual objectives and defined quality levels...
smartsearchonline.com -
Blue Shield of California-Rancho Cordova
appropriate
• Provides referrals to Case Management, Disease Management, Appeals and Grievance, and Quality Departments as necessary
• Attend staff meetings, clinical rounds and weekly huddles
• Maintain quality and productivity metrics for all casework...
Rancho Cordova
of practice and Federal and State Regulations.
Qualifications:
Minimum Qualifications:
• Minimum of 3 years in a Care Coordination or Case Manager role.
• Clear and current CA Registered Nurse (RN) license.
• Associate Degree in Nursing (ADN) or Bachelors...
icims.com -
Robert Half-Rancho Cordova
Case management experience (3+ years).
• Strong understanding of statistical A/B testing methodologies.
• Agile project management experience (2+ years).
• Exceptional verbal and written communication skills.
Other Requirements:
• Proven ability...
roberthalf.com -
Blue Shield of California-Rancho Cordova
to the providers in compliance with state, federal and accreditation requirements
• Works well in a fast paced, production environment
• Initiates appropriate referrals for member’s needs to other departments such as Case Management.
Your Knowledge...
Rancho Cordova
up to or including supervisory role
• Experience in Utilization Management Case Management or Care Coordination Managed Care is preferred
Required Minimum Knowledge, Skills and Abilities:
• Knowledge of current nursing technique, principles...
icims.com -
Blue Shield of California-Rancho Cordova
with urgent needs
• Provides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments, as necessary
• Other duties as assigned
Your Knowledge and Experience
• Requires a bachelor's degree or equivalent experience...
Rancho Cordova
including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party...
icims.com -
Rancho Cordova
independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim...
icims.com -
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