18 remote care manager jobs at 14 companies in Davis, CA
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RN, Care Manager, Utilization Management (Full-time, Remote)
Roseville, California, United States
$59-$81/hrRemoteFull Time
Adventist Health: Faith-based healthcare provider offering hospital and clinical services.
5+ YOEAssociate degree in nursing required (BSN preferred), active RN license, 5 years acute hospital experience, 2 years recent utilization review with Optum/Inter Qual, must meet productivity and quality metrics.
Meadows Behavioral Healthcare: Provides specialized clinical treatment for trauma and addiction recovery.
5+ YOE5+ years sales/business development experience (healthcare preferred); ability to build and manage referral relationships; bachelor’s degree preferred; CRM documentation and territory management skills.
RN- Care Review Clinician- Utilization Review (Remote- CA License Req)
San Francisco or Los Angeles or San Jose or San Diego or Sacramento or Long Beach or California
$30-$59/hrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOEActive unrestricted RN license in state of practice (CA required for this posting), 2+ years clinical experience (acute care/prior authorization/managed care), UM/prior authorization experience preferred, Microsoft Office proficiency, strong communication and critical-thinking skills.
Home Helpers of Danville and Walnut Creek: In-home care provider delivering care to seniors in their own homes.
1+ YOEPart-time Marketing and Sales Manager with 1-3 years in sales/marketing; CA driver’s license; located in I-680 corridor; creative, self-motivated, and able to communicate value to referral partners.
Acute Wound Care Regional Sales Manager - Sacramento
Sacramento, California, United States
$205k-$282k/yrRemoteFull Time
SolventumNYSE: SOLV: Provides medical technology and health information software solutions.
7+ YOEBachelor's degree, seven years of combined medical sales and sales management experience, valid driver's license, leadership and customer relationship skills, and legal work authorization without sponsorship.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Center for Social Dynamics: Provides behavioral health and therapy services for individuals with autism.
Current BCBA certification, leadership and supervision experience preferred, passion for ethical outcome-driven ABA care, ability to manage a balanced caseload and collaborate with families.
Hill Physicians: Provides managed healthcare services through a large physician network.
5+ YOEAssociate degree in Nursing, unrestricted California RN license, 5 years of experience including clinical nursing and case management, managed care knowledge, strong communication, and proficiency with Microsoft Outlook, Teams, and electronic charting systems.
Microsoft Outlook, Microsoft Teams, electronic charting systems, ICD-10, CPT
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
Field Remote Nurse Practitioner/ Physician Assistant (hospice/palliative care experience preferred)
Sacramento, California, United States
$130k-$195k/yrFieldFull Time
Alignment HealthNASDAQ: ALHC: Provides Medicare Advantage plans and coordinated clinical services for seniors.
Master's from accredited NP or PA program, active NP or PA license, NPI and DEA, valid BLS, valid RN license/furnishing number (NP only), driver license and auto insurance; preferred 1 year clinical/home care and EMR experience.
CommonSpirit Health: Operates a national non-profit Catholic health system.
5+ YOE2+ MgmtBachelor's in business/finance/accounting/healthcare or equivalent; 5+ years financial/contract analysis experience; 2+ years supervisory experience; expertise in payer reimbursement, managed care, and negotiation.
Specialty Business Manager, Derm - Walnut Creek - San Jose, CA
Walnut Creek or San Jose or California
$64-$87/hrRemoteFull Time
TakedaTokyo Stock Exchange / New York Stock Exchange: 4502 / TAK: Researches, develops, and manufactures prescription pharmaceutical medicines.
3+ YOEBachelor's degree,3+ years successful pharma/biotech/device selling experience (or 2+ at Takeda),valid driver's license,reside near territory,managed care knowledge,strong communication and collaboration skills.
Hill Physicians: Provides managed healthcare services through a large physician network.
3+ YOEActive California RN or LVN license, 3+ years managed care/utilization management experience, proficiency with MCG and EMR (Epic Tapestry), Microsoft Office, strong communication and critical thinking.
MCG, Epic Tapestry, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access, Microsoft PowerPoint
Health Information Management Tech II Document Management (On-Site, Hybrid, Remote)
Fairfield or North America or United States or Washington or Ohio or Wyoming or North Dakota or Puerto Rico or U.S. Virgin Islands
$33-$41/hrHybridFull Time
NorthBay Health: Provides comprehensive hospital care and medical services in Northern California.
1+ YOEHigh school diploma or equivalent preferred; one year of HIM experience in acute care or physician office, or approved AHIMA HIM internship. Must obtain CRCR certification within 9 months.
Microsoft Office, Electronic Health Records (EHR), mcStrategies
TapestryHealth: Technology-enabled clinical care for post-acute and assisted living communities.
Licensed nurse practitioner with experience in chronic care management, remote patient monitoring, or behavioral health integration preferred; strong communication, clinical analysis, and ability to travel to multiple facilities.
Indianapolis or Atlanta or Costa Mesa or Hanover or Walnut Creek or Chicago or Las Vegas or Denver or Mendota Heights or New York City or Seattle
$90k-$161k/yrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
7+ YOEAS in nursing (or equivalent), current unrestricted RN license, 7+ years acute care clinical experience, prior managed care experience, RN-led clinical review and validation skills; preferred coding/documentation credentials.
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
6+ YOE6+ years configuration oversight/claims auditing in managed care (Medicaid/Medicare/Marketplace), advanced claims knowledge, strong analytical and communication skills, Excel (VLOOKUP/Pivot) proficiency, experience with high-dollar claims processing.