Medical Case Manager
1 week ago
We 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 responsible for coordinating medical care and treatment for our customers, working closely with healthcare providers, and developing strategies to facilitate their return to work. This is a challenging and rewarding role that requires strong communication and analytical skills, as well as a deep understanding of the healthcare system.
Key Responsibilities:- Coordinate medical care and treatment for customers, including scheduling appointments and communicating with healthcare providers.
- Develop and implement return-to-work plans, working closely with customers, healthcare providers, and other stakeholders.
- Conduct medical reviews and assessments to determine the extent of injuries or illnesses and develop strategies for recovery.
- Communicate with customers, healthcare providers, and other stakeholders to ensure that all parties are informed and engaged in the recovery process.
- Collaborate with internal teams, including claims and underwriting, to ensure that all aspects of the customer's claim are being addressed.
- Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) required.
- Experience in case management, healthcare, or a related field preferred.
- Strong communication and analytical skills, with the ability to work effectively with customers, healthcare providers, and other stakeholders.
- Ability to work in a fast-paced environment and prioritize multiple tasks and responsibilities.
- Basic knowledge of healthcare laws and regulations, including HIPAA and state-specific requirements.
- A competitive salary and benefits package, including health insurance, retirement plan, and paid time off.
- Opportunities for professional growth and development, including training and education programs.
- A dynamic and supportive work environment, with a team of experienced professionals who are passionate about delivering exceptional customer service.
- A comprehensive wellness program, including mental health resources and employee assistance programs.
If you are a motivated and detail-oriented individual with a passion for healthcare and customer service, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your experience and qualifications for this role.
-
Medical Case Manager
1 week ago
Rancho Cordova, California, United States The Travelers Companies Full timeJob Title: Medical Case ManagerWe 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...
-
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...
-
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...
-
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...
-
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
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...
-
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...