RN, Health Plan Care Manager
Adventist Health · Roseville, California, US
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years....
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. 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: Manages the development, implementation and evaluation of the cavitation care management service lines. Enhances the quality of member management by promoting continuity of care and cost effectiveness through whole person in-patient and out-patient management, care integration, case management, utilization review and care planning. Job Requirements: Licenses/Certifications: - Bachelor's Degree in Nursing (BSN): Preferred - Nursing experience: Preferred - Certified Case Manager (CCM): Preferred - Registered Nurse (RN) licensure in the state of practice: Required Essential Functions: - Partners with internal and external physician advisors, as well as claims department and data management and analytics department to provide safeguards, p...