Nurse Manager

Job SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes...

Job Summary:We are seeking a skilled Registered Nurse to join our team as a Case Manager. The ideal candidate will have experience in clinical pathways, navigation, and utilization review.Responsibilities:Manage patient care and coordinate with healthcare teamsDevelop and implement clinical pathways to improve patient outcomesConduct utilization reviews to...

Job Title: Clinical Nurse Case ManagerJob Summary:We are seeking a skilled Clinical Nurse Case Manager to join our team at Blue Shield of California. As a Clinical Nurse Case Manager, you will play a critical role in providing high-quality patient care and ensuring that our members receive the best possible health outcomes. About the Role:In this position,...

Your RoleThe Utilization Management team at Blue Shield of CA reviews inpatient stays for our members under nationally recognized levels of care guidelines.The Senior Utilization Management Nurse will report to the Utilization Management Nurse Manager.In this role, you will be assigned a list of inpatient facilities and review clinical information provided...

Job SummaryWe are seeking a skilled Nurse Practitioner to join our team as a Medication Management Specialist. In this role, you will be responsible for providing leadership and guidance to staff regarding medication administration, as well as providing direct care to individuals with complex medication needs.Key ResponsibilitiesProvide leadership and...

Job Summary:As a Case Manager at Fifth Commandment Healthcare Staffing, you will be responsible for providing exceptional patient care and coordinating services to ensure seamless transitions and optimal outcomes. This role requires a skilled and compassionate Registered Nurse with experience in case management and a strong understanding of Level I Trauma...

Job SummaryThe Senior Utilization Management Nurse will be responsible for performing first-level determination approvals for members using BSC evidenced-based guidelines, policies, and nationally recognized clinical criteria across lines of business or for a specific line of business such as Medicare. This role requires a strong clinical judgment and...

Job SummaryWe are seeking a highly skilled Senior Utilization Management Nurse to join our team at Blue Shield of California. In this role, you will be responsible for reviewing medical documents and applying clinical criteria to establish the most appropriate level of care. You will also be reviewing hospital itemized bills for a comprehensive line-by-line...

About the JobWe are seeking a compassionate RN Case Manager to join our team at MCM & Associates. This is a full-time position that offers a sign-on bonus and a competitive salary of $56.00 per hour.Job SummaryThe RN Case Manager will be responsible for planning, organizing, and directing hospice care. The ideal candidate will have experience in nursing,...

Molina Healthcare Services is seeking a Registered Nurse Case Manager to support our Washington State Plan. This role will involve working with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...

About the RoleThe Care Management Coordinator will play a vital role in supporting Integrated Care Case Managers in the day-to-day clinical operations to improve member outcomes and timely care coordination in partnership with and under guidance of the Integrated Care Delivery Care Team according to Care Management protocol, policy, and procedure.Key...

Care Management Role OverviewThe Senior Care Manager will serve as a key member of the Blue Shield of California Care Management team. This team is responsible for ensuring that patients receive the highest quality care while maintaining health and wellness in the outpatient setting.In this role, you will:Develop and Implement Care PlansResearch and design...

Job Summary:We are seeking an experienced Registered Nurse to manage our Cardiac Catheterization Laboratory in Redondo Beach, CA. The ideal candidate will have a strong background in nursing and leadership, with experience in cardiac catheterization and electrophysiology laboratory management.Key Responsibilities: Oversee the clinical care and day-to-day...

Your RoleThe Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role, you will be responsible for determining, developing, and implementing a plan of care based on accurate and comprehensive assessments of members' needs. This plan will focus on promoting quality, cost-effective care, and will involve...

Job Title: RN Case Manager for Medicaid PopulationJob Summary:Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need...

Job Summary:The Registered Nurse (Case Management) role reports to the Chief Medical Officer and is primarily focused on virtual work. Key responsibilities include supporting census management, reviewing patient data across inpatient, ER, and skilled nursing facility stays, outreaching to hospital case managers, coordinating transitions of care and...

Job Title: Field Case Manager, LTSSMolina Healthcare is seeking a skilled and compassionate Field Case Manager to join our Long Term Services and Supports (LTSS) team. As a Field Case Manager, you will play a critical role in ensuring the health and well-being of our Medicaid members by providing comprehensive case management services.Key...

Job SummaryAdvanced Medical Manage is seeking a skilled Medical Case Manager to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the continuity and coordination of care for our members.Key Responsibilities:Conduct thorough reviews of authorization requests to verify accurate provider...

Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need...

Job Summary:At Fifth Commandment Healthcare Staffing, we are seeking a skilled Registered Nurse/Case Manager to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and case management services in a fast-paced environment.Key Responsibilities:Provide patient care and case management services...