Top 44 Nurse case manager Jobs in Monterey, Ca

UM Genetic Counselor Medical Reviewer
Wollborg Michelson Recruiting —California
- $62.00 - $64.70 an hour
- Full-time
- LVN
- Windows
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
6d
Oncology Clinical Nurse Navigator
Clinical Management Consultants —Marina, CA
- $151,880 - $192,020 a year
- Full-time
- Nursing
- Hospital
- Case management
- Health insurance
- Dental insurance
Medical Field Case Manager
Enlyte —Salinas, CA
- $100,000 - $105,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
RN, Case Manager
ISYS SOLUTIONS INC —Monterey, CA
- $120,000 - $180,000 a year
- Full-time
- Research
- Mid-level
- Driving
- Disability insurance
- Health insurance
Quick Apply
Case Manager (Per Diem ) - Hospice of the Central Coast
Montage Health —Monterey, CA
- $84.27 - $112.70 an hour
- Part-time
- Spanish
- Nursing
- Clean driving record
6d
Nurse Case Manager - Gilroy and Salinas, CA
Paradigm Corp —Salinas, CA
- $108,400 - $122,500 a year
- Full-time
- RN License
- Experience working with individuals with disabilities
- Hospital
- Mileage reimbursement
- Health savings account
Trauma Registrar
Natividad Medical Center —Salinas, CA
- $7,474.48 - $10,208.47 a month
- Weekends as needed
- Anatomy knowledge
- Hospital
- Customer service
RN Case Manager
CareOne Home Health —Monterey, CA
- $55 - $68 an hour
- Per diem
- CPR Certification
- RN License
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
9d
Clinical Care Coordinator, LVN
Cypress Healthcare Partners —Salinas, CA
- $42 - $46 an hour
- Full-time
- Spanish
- LVN
- BLS Certification
Quick Apply
7d
Infection Prevention Manager (RN) - Quality Management
Montage Health —Monterey, CA
- $81.37 - $108.82 an hour
- Full-time
- Nursing
- RN License
- 5 years
SUPERVISING PUBLIC HEALTH NURSE
County of Monterey, CA —Salinas, CA
- $9,504 - $12,981 a month
- Weekends as needed
- Background check
- Nursing
- RN License
Care Manager - CA
Independent Living Systems —Salinas, CA
- $26.00 - $43.81 an hour
- Full-time
- Spanish
- CPR Certification
- Nursing
Quick Apply
Transitional Care Coordinator - Temporary - (On-site, Salinas, CA)
Salinas Valley Health —Salinas, CA
- From $72.45 an hour
- Full-time
- Spanish
- Nursing
- RN License
Disease-Specific Care Coordinator - Stroke
Salinas Valley Health —Salinas, CA
- $72.45 - $90.00 an hour
- Full-time
- Nursing
- RN License
- Hospital
Licensed or Associate Therapist
NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION —Salinas, CA
- $72,800 - $135,200 a year
- Full-time
- Background check
- LMFT
- Spanish
- Health savings account
- Health insurance
Quick Apply
Registered RN Case Manager
DAVITA —Salinas, CA
- $87,400 - $114,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Licensed Vocational Nurse (LVN) - ECM
Pacific Health Group —Monterey, CA
- $62,400 - $72,800 a year
- Weekends as needed
- Hybrid work
- Background check
- Spanish
- Vital signs
- AD&D insurance
- Paid holidays
Quick Apply
21h
Licensed Therapist - LCSW, LMFT, or LPCC
NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION —Monterey, CA
- $95,680 - $135,200 a year
- Full-time
- Background check
- LMFT
- Psychiatry
- Health savings account
- Health insurance
Quick Apply
Pharmacy Manager
Walgreens —Monterey, CA
- $74.10 - $90.55 an hour
- Bachelor of Science
- Mid-level
- Patient care
- Continuing education credits
Nurse Practitioner - Wound Healing (Per Diem)
Montage Health —Monterey, CA
- $100.73 - $134.72 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital

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nurse case manager jobs near monterey, ca

UM Genetic Counselor Medical Reviewer

Wollborg Michelson Recruiting -
California

Quick Apply

Job Details

Full-time | Contract
$62.00 - $64.70 an hour
6 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Certified Genetic Counselor (CGC)
Windows
Master's degree
Clinical case management
Genetic counseling
Utilization management
Ad-hoc reporting

Full Job Description

Genetic Counselor
Job Summary

Provides clinical genetic counseling and supports utilization management activities involving genetic testing, medical necessity review, prior authorization, concurrent review, and post-service review.

Responsibilities

Evaluate genetic testing requests using clinical guidelines, medical policies, and medical necessity criteria.
Perform prior authorization, concurrent review, and post-service review activities.
Apply utilization management principles and applicable regulatory and accreditation standards.
Support the development and interpretation of genetic testing medical policies.
Document clinical decisions and communicate recommendations in a managed care or clinical environment.

Requirements

Master’s degree in Genetic Counseling from an accredited program.
Current certification as a Genetic Counselor or equivalent national certification.
Active, unrestricted genetic counselor licensure.
At least five years of relevant experience in genetic counseling, molecular medicine, genetic testing, carrier screening, prenatal testing, newborn testing, or neonatal intensive care.
At least three years of case management experience.
At least two years of experience as a registered nurse or licensed vocational nurse, with strong clinical judgment.
Experience with prior authorization, concurrent review, and post-service review preferred.
Experience in a health plan, administrative services, or independent practice association setting preferred.

Summary Qualification

Strong clinical understanding of molecular, cellular, and genetic medicine.
Knowledge of somatic and germline genetic testing and related clinical applications.
Working knowledge of utilization management, medical necessity review, regulatory requirements, and accreditation standards.
Strong analytical, clinical decision-making, and documentation skills.

Skill

Genetic counseling and clinical assessment.
Utilization management and case management.
Medical policy interpretation and development.
Prior authorization, concurrent review, and post-service review.
Strong computer skills with Windows-based applications.
Experience with Topaz and IBM FileNet preferred.

Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.

Pay: $62.00 - $64.70 per hour

Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

nurse case manager jobs in monterey, ca

UM Genetic Counselor Medical Reviewer

Oncology Clinical Nurse Navigator

Medical Field Case Manager

RN, Case Manager

Case Manager (Per Diem ) - Hospice of the Central Coast

Nurse Case Manager - Gilroy and Salinas, CA

Trauma Registrar

RN Case Manager

Clinical Care Coordinator, LVN

Infection Prevention Manager (RN) - Quality Management

SUPERVISING PUBLIC HEALTH NURSE

Care Manager - CA

Transitional Care Coordinator - Temporary - (On-site, Salinas, CA)

Disease-Specific Care Coordinator - Stroke

Licensed or Associate Therapist

Registered RN Case Manager

Licensed Vocational Nurse (LVN) - ECM

Licensed Therapist - LCSW, LMFT, or LPCC

Pharmacy Manager

Nurse Practitioner - Wound Healing (Per Diem)

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