Registered Nurse Case Manager - Appeals

Join our dynamic team at Morgan & Morgan as a Lead Case Manager, where you will play a pivotal role in ensuring our clients receive the highest level of service and assistance. As a Lead Case Manager, you will oversee case management processes, mentor junior staff, and liaise with clients to coordinate their needs effectively. Your expertise will help shape …

Join Morgan & Morgan, a leading personal injury law firm, as a dedicated Case Manager. In this vital role, you will provide exceptional support to clients throughout their legal journey, ensuring their needs are met with empathy and professionalism. You will work closely with attorneys and clients, maintaining open communication and facilitating the flow of information.

Join Our Mission at Pair Team At Pair Team, we are an innovative, mission-driven organization dedicated to transforming the delivery of Medicaid and Medicare services to the most underserved communities. Our tech-enabled medical group provides holistic care—clinical, behavioral, and social—by collaborating with local organizations that have a deep understanding of the communities we serve. We aim to empower clinicians and care teams to excel at what they do best: delivering compassionate, impactful care. By leveraging artificial intelligence and automation, we minimize administrative burdens, enhance coordination, and ensure that patients receive timely, personalized support. Our team consists of dedicated nurses, social workers, community health workers, and medical professionals who work in tandem with product, technology, and operations teams to bridge care gaps and improve health outcomes for high-need patients. As one of California's largest Enhanced Care Management providers, we are on a path to establish the nation’s largest clinically integrated network supporting high-need patients. Our model has shown tangible benefits, including a 58% reduction in emergency department visits and a 29% decrease in hospital admissions. At Pair Team, we are not only providing care; we are shaping the future of equitable, community-driven healthcare.

Join our dedicated team as a Registered Nurse Case Manager in Sacramento, where your expertise will help transform patient care. You will be responsible for coordinating patient care, developing care plans, and ensuring that patients receive the appropriate services to enhance their health outcomes.In this role, you will collaborate with healthcare professionals, patients, and their families to navigate the healthcare system effectively. Your skills will be pivotal in managing complex cases, promoting wellness, and ensuring adherence to treatment plans.

Join 21st Century Home Health Services (21HHS), where we prioritize empathy, compassion, and understanding in every patient interaction, treating them as we would our own family. As the largest home health agency in San Francisco and the fastest-growing in the Bay Area, we are proud to care for over 4,000 patients across multiple counties, including our recent expansion into Marin and Sonoma counties.Our team of over 600 clinicians is committed not only to the health of their patients but also to supporting one another, leading to a remarkable hospital readmission rate at 21HHS of under 10%—significantly better than the industry average of over 15%.Recognized as a 2024 Top Workplace, 21HHS cultivates an environment fostering support, growth, and recognition through open communication and professional development opportunities.Key Achievements:San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among medium-sized companies and 1st among home health agencies.National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.We pride ourselves on the positive feedback from patients and employees on platforms such as Yelp, Google, Glassdoor, and Indeed, demonstrating our commitment to quality care and workplace excellence. By focusing on engagement and satisfaction, 21HHS attracts top clinical talent and consistently delivers outstanding patient outcomes.Please Note: All roles at 21HHS involve fieldwork, visiting patients in their homes.Position: Full-Time Physical Therapist Case ManagerTerritory: Sacramento County*In collaboration with other clinicians, you will provide skilled services to evaluate and address the needs of individuals in their home settings, enabling them to live safely and productively.Your objectives as a Physical Therapist will be to restore function, minimize disability following illness or injury, and assist clients in achieving their maximum performance within their capabilities. You will evaluate and treat patients utilizing medically prescribed physical therapy programs and may supervise Physical Therapy Assistants (PTAs) in accordance with agency and regulatory standards. Other responsibilities may apply.

Join 21st Century Home Health Services (21HHS), where we prioritize empathy, compassion, and understanding in our patient care approach, treating every individual as we would our own family. As the largest home health agency in San Francisco and the fastest-growing in the Bay Area, we support over 4,000 patients across multiple counties, including San Francisco, San Mateo, Santa Clara, and many more. We are thrilled to be expanding our services into Marin and Sonoma counties.Our team of dedicated clinicians not only focuses on providing top-notch care to our patients but also supports each other in delivering the best outcomes. The results are evident: our hospital readmission rates consistently remain below 10%, well below the industry average of over 15%.Recognized as a 2024 Top Workplace, 21HHS nurtures an environment where professional growth and open communication are at the forefront, leading to exceptional employee satisfaction.Key Achievements:- San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among medium-sized companies and 1st among home health agencies.- National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.Our commitment to quality care and workplace excellence is validated through positive feedback on platforms like Yelp, Google, Glassdoor, and Indeed. By placing a strong emphasis on engagement, we attract top clinical talent and deliver outstanding patient outcomes.Important Note: All positions at 21HHS require field visits to patients in their homes.Position: Part-Time Physical Therapist Case ManagerCoverage Area: Sacramento AreaAs a Physical Therapist Case Manager, you will collaborate with other clinicians to evaluate and address the needs of individuals in their homes, enabling them to live safely and productively. Your primary goal is to restore function, minimize disability following illness or injury, and assist clients in achieving their maximum potential. You will implement medically prescribed physical therapy programs and may supervise Physical Therapy Assistants (PTAs) in accordance with agency and regulatory standards. Additionally, you will take on various related responsibilities.

Join a leading personal injury law firm in Sacramento as a Paralegal or Case Manager. In this role, you will assist attorneys in managing cases, performing legal research, and ensuring that all documentation is completed accurately and efficiently. This is an exciting opportunity for a motivated individual who is passionate about helping clients navigate legal challenges.

Join AECOM as the Performance Management Lead, where you will spearhead initiatives to optimize and enhance performance metrics across various projects. In this pivotal role, you will collaborate with cross-functional teams, providing insights and strategic recommendations that drive operational excellence. If you are passionate about data-driven decision-making and have a proven track record in performance management, we want to hear from you!

Turner Townsend seeks a Performance Management Lead - Infrastructure based in Sacramento. This position centers on guiding performance management for infrastructure projects. Role overview The Performance Management Lead will help improve efficiency, support project delivery, and ensure work stays aligned with company goals. The focus is on using performance management practices to keep projects on track and meet organizational objectives. Key responsibilities Drive performance management initiatives for infrastructure projects Support teams to deliver projects efficiently Monitor progress to ensure alignment with company objectives Location This role is based in Sacramento.

Join Comoto as a Zone Receiving Lead, where you'll play a pivotal role in overseeing the receiving operations within our facility. Your leadership will ensure that our inventory is efficiently managed, and our team is motivated to excel in a fast-paced environment. This position offers the opportunity to influence our operations positively while working alongside a dedicated team.

Join our dynamic team at Hollister, where you will play a pivotal role as a Key Lead at our Arden Fair location. In this exciting position, you will be responsible for driving sales, enhancing customer experiences, and leading a passionate team. Your leadership will inspire associates to achieve their best, creating a welcoming environment for our customers.

Join Turner Townsend as a Lead Scheduler specializing in Life Sciences Construction. In this pivotal role, you will manage project schedules, ensuring timely execution and adherence to quality standards. Collaborate with cross-functional teams to optimize project timelines and drive efficiency. Your expertise will play a crucial role in delivering complex projects within the life sciences sector.

Join our dynamic team at Turner Townsend as an MEP Estimating Lead specializing in Data Center Construction. In this role, you will leverage your expertise in mechanical, electrical, and plumbing (MEP) systems to lead estimating efforts on cutting-edge projects. You will be responsible for developing accurate cost estimates, collaborating closely with project managers, and ensuring that all estimates align with client specifications and industry standards.

Join 360itprofessionals1 as a MicroStrategy Lead, where you will play a pivotal role in driving data-driven insights and decision-making for our clients. You will leverage your expertise in MicroStrategy to lead projects, mentor team members, and ensure the successful implementation of analytics solutions.Your work will impact various industries as you create and optimize dashboards, reports, and analytical applications that empower organizations to harness the power of their data. We are looking for a strategic thinker with a passion for technology and a commitment to excellence.

About the PositionWe are looking for an experienced Performance Management Lead to oversee and enhance the performance of large-scale rail and transit capital programs, along with other significant civil infrastructure projects such as highways, bridges, and airport developments. This pivotal role involves managing the program's capital baseline and synthesizing cost, schedule, and risk data to evaluate performance, detect trends, and offer strategic insights to facilitate informed decision-making in major capital initiatives.This is a long-term, full-time position, available as either on-site or hybrid, based in Sacramento, CA.

Role Overview Syska Hennessy Group is hiring a Lead Electrical Engineer to design electrical systems across diverse projects. This position involves hands-on technical work and close collaboration with a skilled team focused on high-quality engineering outcomes. Location San Francisco, CA or Sacramento, CA

Role overview Speechify seeks a Tech Lead for its Android Core Product team based in Sacramento, CA. This role takes responsibility for Android app development and partners with teams throughout the company to ensure users have a seamless, dependable experience. What you will do Set the technical direction for Android projects, overseeing work from initial concept through to release Work closely with designers, product managers, and fellow engineers to deliver polished features Support junior developers by providing mentorship and helping them build their skills Encourage and implement best practices in both code and development workflows

Join Jetson Home Inc. as a Lead HVAC Installer!Location: Sacramento, CAAs a Lead Installer at Jetson, you will be the cornerstone of our installation team, setting the bar for quality and ensuring that each installation meets our high standards. You will mentor newer technicians and lead them through the installation process, making a lasting impression on homeowners.With extensive experience in residential installations and a passion for heat pump systems, you will be instrumental in shaping our operations in this new market. If you thrive in a dynamic environment and are eager to implement innovative solutions, we want to hear from you!What You'll DoLead full heat pump system installations from start to finish, ensuring each job site is left clean and ready for the homeowner.Perform refrigerant recovery, system evacuation, and precise charging to industry standards.

Join Abercrombie & Fitch as a Key Lead in our Sacramento location, where you will play a pivotal role in driving sales and enhancing the customer experience. As a leader in our brand, you will be responsible for overseeing daily operations, managing team performance, and ensuring that our customers receive the highest level of service.