Top 61 Rn case manager Jobs in Roseville Ca

RN, Care Manager, Utilization Management (Full-time, Remote)
Adventist Health —Roseville, CA
- $59.23 - $81.24 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
14d
Care Manager, Registered Nurse
Sutter Health —Roseville, CA
- $82.48 - $115.46 an hour
- 8 hour shift
- Acute care
- Nursing
- RN License
Care Coordinator RN
Methodist Hospital Sacramento —Sacramento, CA
- $98.49 an hour
- PRN
- Acute care
- Nursing
- RN License
RN Case Manager, Home Health
Sutter Health —Roseville, CA
- $71.18 - $99.65 an hour
- 8 hour shift
- Nursing
- RN License
- Writing skills
Care Manager, Registered Nurse, Emergency Department
Sutter Health —Roseville, CA
- $82.48 - $115.46 an hour
- Weekends as needed
- Nursing
- RN License
- Customer service
3d
Ambulatory Case Manager RN (CASE MGR NEX)
UC Davis Health —Sacramento, CA
- $75.58 - $110.71 an hour
- Multiple hires
- Background check
- Nursing
- RN License
- Continuing education credits
- Paid holidays
Nurse Case Manager - Sacramento, CA
Paradigm Corp —Rocklin, CA
- $92,800 - $120,300 a year
- Full-time
- Hybrid work
- RN License
- Experience working with individuals with disabilities
- Hospital
- Mileage reimbursement
- Health savings account
Nurse Case Manager Trainee
Choices Case Management —Sacramento, CA
- $82,700 - $87,800 a year
- No weekends
- Spanish
- RN License
- Clinic
Quick Apply
Case Manager (LPN/LVN License Required)
Citrus Heights Post Acute —Citrus Heights, CA
- $40 - $47 an hour
- Weekends as needed
- Nursing
- LVN
- RN License
Quick Apply
10d
Clinical Case Manager (CASE MGR NEX)
UC Davis Health —Sacramento, CA
- $75.58 - $110.71 an hour
- Overtime
- Background check
- Nursing
- RN License
- Continuing education credits
- Paid holidays
12d
RN Case Manager Full Time
Vibra Healthcare —Folsom, CA
- $60.00 - $84.60 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Continuing education credits
- Health savings account
Registered Nurse Case Manager
Snowline Health —Rancho Cordova, CA
- $48 - $61 an hour
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Registered Nurse Case Manager, Level 2
21st Century Home Health Services Inc. —Citrus Heights, CA
- $140,000 - $160,000 a year
- Choose your own hours
- CPR Certification
- Blood sampling
- RN License
- Health insurance
- Dental insurance
Quick Apply
RN Case Manager, Home Health, Amador County
Sutter Health —Sacramento, CA
- $71.18 - $99.65 an hour
- 8 hour shift
- Nursing
- RN License
- Writing skills
Home Health CM RN (Case Manager Registered Nurse)
Lorian Health —Elk Grove, CA
- Part-time
- Nursing
- RN License
- Mid-level
- Mileage reimbursement
- 401(k) 4% Match
Quick Apply
RN Worker's Compensation Field Case Manager
Gateway Health Management —Sacramento, CA
- $95,000 - $105,000 a year
- Full-time
- RN License
- Mid-level
- Driver's License
- Profit sharing
- Wellness program
Quick Apply
Travel RN Case Manager/Care Coordinator $3000/Week
MTK Healthcare —California
- $72 - $75 an hour
- 8 hour shift
- RN License
- Hospital
- BLS Certification
Quick Apply
3d
Nurse Case Manager (HIV/AIDS) - Not Remote
Rx HealthCare Services —Sacramento, CA
- $31 - $33 an hour
- Full-time
- RN License
- Mid-level
- Office
- Free parking
- Continuing education credits
Quick Apply
5d
Registered Nurse Case Manager
Home & Health Care Management —Sacramento, CA
- $43 - $53 an hour
- Online Application
- Clean driving record
- Microsoft Excel
- RN License
- Mileage reimbursement
- Disability insurance
Quick Apply
CA Telephonic Case Manager I
CorVel Corporation —Folsom, CA
- $30.64 - $45.80 an hour
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply

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RN, Care Manager, Utilization Management (Full-time, Remote)

Adventist Health -
Roseville, CA

Apply Now

Job Details

Full-time
$59.23 - $81.24 an hour
14 days ago

Qualifications

RN License
Acute care facility experience
InterQual
Utilization management
Resource utilization in healthcare

Full Job Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Reviews patient medical records, assessing the appropriateness and necessity of proposed treatments, and collaborating with healthcare providers and insurance companies to ensure a seamless care experience and the practicing of financial stewardship and denial prevention. Focuses on maximizing patient outcomes and optimizing resource allocation. Utilizes exceptional clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced and ever-changing healthcare environment.

Job Requirements:

Education and Work Experience:

Associate’s Degree in nursing or equivalent combination of education/related experience: Required
Bachelor's Degree in Nursing (BSN): Preferred
Five years' acute hospital experience required with preferred experience in critical care areas: Required
Two years' utilization review experience using the Optum/Inter Qual product within the last 12 months: Required

Licenses/Certifications:

Registered Nurse (RN) licensure in the state of practice: Required

Essential Functions:

Completes clinical reviews of acute medical patients using the Optum/Inter Qual tool to determine if the patient is in the right acute setting, receiving the right acute services, during the appropriate length of stay.
Participates in annual Optum/Inter Qual training required. Takes the required annual Optum/Inter Qual Interrater Reliability (IRR) test with a minimum passing score as defined in the yearly departmental goals.
Meets weekly productivity metrics within 90 days of completing orientation and maintains on a weekly basis as defined in the yearly departmental goals. Meets quality audit metrics within 90 days of completing orientation and maintained on the audit cadence set within the department as defined in the yearly departmental goals.
Completes all required departmental education assigned with timeliness and accuracy. Follows all departmental workflows in communication variances to the on-site care management teams when appropriate. Reviews and analyzes medical records to assess the necessity and appropriateness of treatments and interventions.
Collaborates with healthcare professionals to develop and implement comprehensive patient care plans. Facilitates communication between the patient, healthcare team, insurance providers, and other stakeholders to ensure a coordinated and efficient care process. Stays up to date with the latest healthcare regulations, insurance guidelines, and evidence-based practices to ensure the delivery of optimal healthcare services.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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Refine Your Search

rn case manager jobs in roseville ca

RN, Care Manager, Utilization Management (Full-time, Remote)

Care Manager, Registered Nurse

Care Coordinator RN

RN Case Manager, Home Health

Care Manager, Registered Nurse, Emergency Department

Ambulatory Case Manager RN (CASE MGR NEX)

Nurse Case Manager - Sacramento, CA

Nurse Case Manager Trainee

Case Manager (LPN/LVN License Required)

Clinical Case Manager (CASE MGR NEX)

RN Case Manager Full Time

Registered Nurse Case Manager

Registered Nurse Case Manager, Level 2

RN Case Manager, Home Health, Amador County

Home Health CM RN (Case Manager Registered Nurse)

RN Worker's Compensation Field Case Manager

Travel RN Case Manager/Care Coordinator $3000/Week

Nurse Case Manager (HIV/AIDS) - Not Remote

Registered Nurse Case Manager

CA Telephonic Case Manager I

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