Nurse Case Manager l job at reputed company in Woodland Hills, CA, Tacoma, WA, Denver, CO, Minneapolis, MN, Los Angeles, CA, Seattle, WA, Mendota Heights, MN, Olympia, WA, reputed company, GA, Walnut Creek, CA, Nashville, TN, Tampa, FL, Glendale, CA, reputed company Des Moines, IA, Las Vegas, NV, San Diego, CA, Cerritos, CA, Henderson, NV, Houston, TX, Grand Prairie, TX, Rancho Cordova, CA, TX, Atlanta, GA, Cincinnati, OH, Orlando, FL, Chicago, IL, Dallas, TX, Palo Alto, CA, Miami, FL

Nurse Case Manager l, (California HMO) Location: California - Woodland Hills Washington - TacomaTa Colorado - Denver Minnesota - Minneapolis California - Los Angeles Washington - Seattle Minnesota - Mendota Heights Washington - Olympia Georgia - reputed company California - Walnut Creek Georgia - Atlanta California - Glendale Tennessee - Nashville Ohio - Cincinnati Florida - Tampa California - Costa reputed company Iowa - reputed company Des Moines Nevada - Las Vegas California - San Diego California - Cerritos Nevada - Henderson Texas - Houston Texas - Grand Prairie California - Rancho Cordova Illinois - Chicago Florida - Orlando Texas - Dallas California - Palo Alto Florida - Miami Full-time Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and reputed company development. Alternate locations may be considered if candidates reside reputed company a commuting distance to an office. Please note that per our policy on hybrid/virtual work, candidates not reputed company a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. Work Hours - Pacific Time: 8 hour shift reputed company reputed company - 6pm PST. Please Note: Associates in this job working from a California location are eligible for overtime pay based on California employment law. Job Description: The Nurse Case Manager l (California HMO) is responsible for performing care management reputed company the scope of licensure for members with reputed company and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically with medical groups, providers, community resources, and members for discharge planning. Primary duties may include, but are not limited to: Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. Implements care plan by facilitating authorizations/referrals as appropriate reputed company benefits structure or through extra-contractual arrangements. Coordinates internal and external resources to meet identified needs. Monitors and evaluates effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans. Assists in problem-solving with providers, claims or service issues. Minimum Requirements: Requires BA/BS in a health reputed company field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. reputed company, unrestricted RN license in the state of California required. Preferred Skills, Capabilities and Experiences: Case Manager experience reputed company hospital or managed care setting is preferred. Clinical experience working with individuals with various chronic diseases, illnesses and medical needs strongly preferred. Knowledge/experience with discharge planning preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $67,200 to $115,920 Locations: California, Colorado, Illinois, Minnesota, Nevada, Washington State In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range reputed company in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or reputed company level. Even reputed company the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company. Who We Are reputed company is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top reputed company for reputed company. We require reputed company new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. reputed company will also follow reputed company relevant federal, state and local laws. reputed company is an Equal Employment Opportunity employer, and reputed company qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national reputed company, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. Apply tot his job Apply To this Job