JR136704 CareMore Care Manager
Responsible for managing quality, cost effective care using selective benefits and alternative services best suited for the member.
Location: In This position will work a hybrid model (remote and office) and must live within 50 miles of our Cerritos, CA Pulse Point office location.
How will you make an impact:
Collaborates in a patient care process to assess, plan, facilita...
Location: CA-W COVINA, 301 N AZUSA AVE
Shift: 8:00am-5:00pm
Responsible for assisting clinicians in the examination and treatment of patients under the direction of the physician.
Primary duties may include, but are not limited to:
JR136704 CareMore Care Manager
Responsible for managing quality, cost effective care using selective benefits and alternative services best suited for the member.
Location: This position will work a hybrid model (remote and office) and must live within 50 miles of our Cerritos, CA Pulse Point office location.
How will you make an impact:
Collaborates in a patient care process to assess, plan, facilitate,...
Work Location: 10000 Lakewood Blvd., Downey, CA
Work Shift: Monday – Friday: 8:00 am - 5:00 pm
Responsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Position will be conducting primarily back office functions.
How will you make an impact:
Provides back-office support and may occasionally provide front office support.
Greets patie...
Field Nurse Practitioner
The Field Nurse Practitioner is responsible for managing patient care and treatment (in person, telephonically and/or video).
How you will make an impact:
Provides a range of primary, acute and/or specialty healthcare services for patients in clinics, virtually or in home settings.
In states that do not require collaborative agreements, functions as the primary care provider.
Location: CA-MONTEBELLO, 2444 W BEVERLY BLVD
Shift: Monday-Friday,8:00am-5:00pm PST
Responsible for assisting clinicians in the examination and treatment of patients under the direction of the physician.
Primary duties may include, but are not limited to:
Location: The ideal candidate for this role lives in California near one of the Elevance Health PulsePoints. We will consider all candidates located in California that are qualified for the position.
The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to determine whether to approve requested service(s) as medically neces...
Medical Management Nurse
Location: Woodland Hills, CA; Seattle, WA and Las Vegas, NV.
Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Medical Management Nurse will be responsible for review of the most complex or challenging cases that require nursing judgment, critical t...
Manager II Grievance/Appeals (RN)-California
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our California Elevance Health PulsePoint locations.
Expected Work Hours: Monday-Friday; 8am-5pm PST
The Manager II Grievance/Appeals is responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and re...
Location: This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of California within 50 miles of one of our PulsePoint locations.
Shift: Monday to Friday from 8:00am-5:00pm PST
The Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers.
How you will ...