131 nurse case manager jobs at 60 companies in Fallbrook, CA
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Nurse Case Manager
San Diego, California, United States
$82k-$110k/yrOnsiteFull Time
Mainstay Medical: Restorative neurostimulation therapy for mechanical chronic low back pain.
3+ YOEBSN/RN required, 3+ years with cloud/web documentation, experience in care coordination/case management and insurance/prior authorization, strong documentation, communication, and Microsoft Office skills; travel up to 10%.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
DAP Health: Provides primary medical care and community health services.
2+ YOERegistered nurse with case management experience, 2+ years in case management, strong communication, documentation, assessment, coordination, and advocacy skills; English proficiency; Spanish preferred.
Rady Children's Hospital-San Diego: Non-profit pediatric hospital providing specialized medical and surgical care.
2+ YOEActive California RN license, BLS (AHA), Bachelor's in Nursing, 4 years acute nursing or 2 years case management/utilization review, planning experience, familiarity with Interqual/Milliman and Epic.
Anaheim or Orange County or Santa Ana or Irvine or Fullerton
$93k-$120k/yrFieldFull Time
Paradigm: Specialty care management for complex and catastrophic injuries.
Active CA RN license, case management skills for work-related injuries, recommended certifications (CCM/CRRN/CDMS/CRC within two years), valid driver's license, strong organization and communication, ability to work autonomously.
Choices Case Management: Provides professional medical case management for workers' compensation claims.
California-licensed RN with clinical experience, strong communication and documentation skills, willingness to travel locally (~60%), able to work Monday–Friday from a home office; workers' comp experience not required.
Totally Kids Rehabilitation Hospital: Specialized healthcare and rehabilitation services for medically fragile children.
2+ YOECurrent California RN license, BCLS certification, BSN required (MS preferred), 2+ years acute/subacute nursing experience, case management certification preferred, strong communication and computer skills.
HCA HealthcareNYSE: HCA: Provides hospital and healthcare services through owned facilities.
5+ YOEBachelors in Nursing OR Masters in Social Work required; 5 years case management in acute hospital required; knowledge of payer reimbursement and case management regulations.
San Gorgonio Memorial Hospital: Provides acute hospital care and outpatient medical services.
3+ YOE3+ MgmtBachelor\u0002s degree in nursing/social work/healthcare administration, CA RN and BLS, 3+ years acute care case management or utilization management, leadership experience, EHR and case management software experience.
Electronic health records, case management software, Microsoft Office
BrightSpring Health Services: Providing home and community-based health and pharmacy services.
1+ YOECurrent state RN licensure, 1+ year nursing experience (3+ preferred), hospice experience preferred, commitment to clinical and documentation excellence, and insured automobile with valid driver license.
Spring View Hospital: Community hospital providing acute care and specialty medical services.
2+ YOELicensed clinician required (RN, Social Worker, RT, PT, OT, or SLP); 2+ years inpatient case management/social work experience preferred; case management or rehab nursing certification preferred; Microsoft Office proficiency and strong communication skills.
Manager, Case Management Nurse Management- Population Health Management
Rancho Cordova or California or Long Beach or El Dorado Hills or Lodi or Oakland or Redding or San Diego or Woodland Hills
$112k-$167k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
7+ YOE3+ MgmtCurrent CA RN license, CCM or equivalent case management/quality certification, 7+ years relevant experience including 3+ years management, BSN preferred, proficiency with Microsoft Word and Excel, strong leadership and case management knowledge.
Enlyte: Provides technology and clinical services for insurance claims management.
2+ YOEActive RN license, case management certification (URAC-recognized), associate's or bachelor's in nursing/related, 2+ years clinical practice preferred, reliable transportation, Excel/Word/Outlook skills.
Microsoft Excel, Microsoft Word, Microsoft Outlook
SRS – Case Manager – RN – Per Diem – Variable Shift
San Diego, California, United States
$68-$99/hrOnsiteFull Time
Sharp HealthCare: Integrated health system providing medical care and health insurance.
3+ YOERN with 3+ years acute care or case management; California RN license; CCM preferred; Bachelor's in Nursing required; 3 years in case management/utilization review.
Scripps Health: Integrated nonprofit healthcare system providing comprehensive medical services.
2+ YOECalifornia RN license; 2 years inpatient case management; BLS required; EPIC and CM certification preferred; BSN preferred; inpatient acute hospital case management experience preferred.
Enlyte: Providing technology and clinical services for insurance claims management.
2+ YOEActive RN license required, Associates or Bachelor's in nursing or related field, 2+ years clinical practice preferred, URAC case management certification preferred, proficient with Excel/Word/Outlook, reliable transportation and internet.
Microsoft Excel, Microsoft Word, Microsoft Outlook
Optima Medical Management Group: Provides managed healthcare and behavioral health services for patients.
1+ YOERN with CA license; 1-2 years case management; experience with chronic conditions, mental health, homelessness; associate degree required; bachelor's preferred.
WelbeHealth: Provides all-inclusive medical and social care for elderly seniors.
Unencumbered California RN license and BLS/First Aid required; BSN preferred. Two years nursing experience with frail/elderly population preferred. Conduct assessments, develop care plans, administer nursing interventions, and document care.