Medical Case Manager
1 week ago
We are seeking a skilled Medical Case Manager to join our team at The Travelers Companies. As a Medical Case Manager, you will play a critical role in ensuring that injured employees receive the necessary medical treatment and support to return to work.
Key Responsibilities:- Coordinate medical treatment and return to work plans for injured employees
- Develop strategies to facilitate an injured employee's return to work and achieve maximum medical improvement
- Partner with medical providers to ensure the injured employee is actively participating in a viable treatment plan
- Evaluate medical treatment requests to ensure that they are reasonable and necessary based on jurisdictional guidelines
- Engage specialty resources as needed to achieve optimal resolution
- Registered Nurse; Licensed Practical Nurse or Licensed Vocational Nurse required
- Disability case management experience preferred
- Prior clinical experience preferred
- Familiarity with URAC standards
- Competitive salary and benefits package
- Opportunities for professional growth and development
- A dynamic and supportive work environment
We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.
-
Medical Case Manager
1 week ago
Rancho Cordova, California, United States Travelers Insurance Company Full timeJob Title: Medical Case ManagerWe are seeking a highly skilled Medical Case Manager to join our team at Travelers Insurance Company. As a Medical Case Manager, you will play a critical role in ensuring that our customers receive the best possible care and support during their recovery from injury or illness.Job Summary:The Medical Case Manager will be...
-
Case Manager
2 weeks ago
Rancho Cordova, California, United States Aditi Consulting Full timeJob SummaryThe Case Manager role at Aditi Consulting involves coordinating and facilitating patient care, working closely with healthcare providers to ensure patients receive necessary services. This includes assessing patient needs, evaluating treatment options, and coordinating care.Key ResponsibilitiesCoordinate and provide care that is safe, timely, and...
-
Case Management Specialist
4 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout the RoleBlue Shield of California is seeking a skilled Case Management Specialist to join our team. As a Case Management Specialist, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Key ResponsibilitiesDevelop and Implement Care PlansDesign and implement individualized care plans that promote quality,...
-
Care Manager
4 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout the RoleBlue Shield of California is seeking a highly skilled Care Manager to join our team. As a Care Manager, you will play a critical role in ensuring that our members receive high-quality, cost-effective care.Key ResponsibilitiesDevelop and Implement Care Plans: Research and design treatment/care plans to promote quality of care and cost-effective...
-
Hospice Registered Nurse Case Manager
2 weeks ago
Rancho Cordova, California, United States Interim HealthCare of Sacramento Full timeJob Title: Hospice Registered Nurse Case ManagerWe are seeking a compassionate and skilled Hospice Registered Nurse Case Manager to join our team at Interim HealthCare of Sacramento. As a Hospice RN Case Manager, you will play a vital role in providing end-of-life care to patients and their families, ensuring their physical, emotional, and spiritual needs...
-
Inpatient Case Manager
2 weeks ago
Rancho Cucamonga, California, United States Prospect Medical Full timeJob SummaryWe are seeking a highly skilled Inpatient Case Manager to join our team at Prospect Medical. As a key member of our healthcare team, you will be responsible for coordinating daily Inpatient/SNF services, including assessments, treatment planning, monitoring, evaluation, documentation, and discharge planning.Key ResponsibilitiesEffectively manage...
-
Medical Director Operations
3 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob Title: Medical Director, OperationsBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in ensuring that we are on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare...
-
Medical Care Coordinator
1 week ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob SummaryWe are seeking a highly skilled Medical Registered Nurse to join our Utilization Management team at Blue Shield of California. As a key member of our team, you will play a critical role in reviewing inpatient stays for our members and ensuring that the highest level of care is provided.Key ResponsibilitiesConduct thorough reviews of clinical...
-
Medical Director Operations
1 week ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob SummaryThe Medical Director, Operations (Behavioral Health) will play a critical role in ensuring that Blue Shield of California is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.Key ResponsibilitiesReview pre- and post-service behavioral health service requests and...
-
Medical Director Operations
2 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob Title: Medical Director, OperationsBlue Shield of California is seeking a highly skilled Medical Director, Operations to join our team. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based...
-
Care Management Specialist
4 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout the RoleBlue Shield of California is seeking a highly skilled Care Management Specialist to join our team. As a Senior Case Manager, you will play a critical role in supporting the mission of our department, which is to provide exceptional care to our patients in the outpatient setting.Key ResponsibilitiesResearch and Design Treatment Plans: Develop...
-
Medical Director Operations
2 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeYour RoleThe Medical Director, Operations (Behavioral Health) will be a key member of the Medical Management team at Blue Shield of California. This team is responsible for ensuring that the organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California.In this role,...
-
Case Management Coordinator
4 weeks ago
Rancho Cucamonga, California, United States ScionHealth - Kindred Cornerstone & Solara Hospitals Full timeJob Title: Registered Nurse Case ManagerScionHealth - Kindred Cornerstone & Solara Hospitals is seeking a skilled Registered Nurse Case Manager to join our team in Rancho Cucamonga, California.Job SummaryUnder the supervision of the Director of Case Management, the Registered Nurse Case Manager will assist in enhancing the efficiency of the Case Management...
-
Regional Director of Major Case Investigations
4 weeks ago
Rancho Cordova, California, United States THE TRAVELERS INDEMNITY COMPANY Full timeAbout the RoleWe are seeking a highly skilled and experienced Regional Director of Major Case Investigations to join our team at The Travelers Indemnity Company. As a key member of our Investigative Services department, you will be responsible for managing a team of investigators and overseeing the investigation of complex claims.Key ResponsibilitiesManage a...
-
Senior Utilization Management Nurse
4 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout the RoleThe Utilization Management Nurse, Senior will play a critical role in ensuring the quality and appropriateness of care for our members. As a key member of the Utilization Management team, you will be responsible for reviewing inpatient stays to determine medical necessity and level of care.Key ResponsibilitiesPerform prospective utilization...
-
Nurse Case Manager
3 weeks ago
Rancho Cordova, California, United States Interim HealthCare of Sacramento Full timeEmpowering Patients and Families through Compassionate CareAt Interim HealthCare of Sacramento, we are dedicated to providing exceptional end-of-life care to patients and their families. As a Hospice Registered Nurse, you will play a vital role in guiding patients through the delicate journey of end-of-life care with compassion and expertise.Key...
-
Medical Director Operations
6 days ago
Rancho Cordova, California, United States Blue Shield of California Full timeJob SummaryWe are seeking a highly skilled Medical Director, Operations to join our team at Blue Shield of California. As a key member of our Medical Management department, you will play a critical role in ensuring our members receive the right level of care, at the right time, and at the right cost.Key ResponsibilitiesReview and make determinations...
-
Care Manager
4 weeks ago
Rancho Cordova, California, United States Blue Shield of California Full timeAbout the RoleWe are seeking a highly skilled and compassionate Care Manager to join our team at Blue Shield of California. As a Care Manager, you will play a critical role in ensuring that our members receive high-quality, patient-centered care.Key ResponsibilitiesResearch and Design Treatment Plans: Develop and implement individualized care plans that...
-
Medical Director Operations
1 week ago
Rancho Cordova, California, United States Blue Shield Of California Full timeJob SummaryWe are seeking a highly skilled Medical Director Operations to join our team at Blue Shield of California. As a key member of our Medical Management team, you will play a critical role in ensuring that our organization is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system...
-
Medical Office Assistant
3 weeks ago
Rancho Cordova, California, United States ExamWorks Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Floating Receptionist to join our team at ExamWorks. As a key member of our healthcare support team, you will play a vital role in ensuring the smooth flow of examinations and providing exceptional patient care.ResponsibilitiesCoordinate patient flow and ensure timely examinationsVerify patient...