- Conduent (CA)
- …una cultura donde la individualidad se nota y valora todos los dias. **Bilingual RN Telephonic Case Management Analyst** **About the role:** As a Clinical ... Services Manager - RN Telephonic Case Management , you will...+ Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the… more
- Fresenius Medical Center (Waltham, MA)
- PURPOSE AND SCOPE: Promotes quality patient care, ongoing patient support and case management for Fresenius Medical Care (FMCNA) renal patient population ... by providing guidance, support, care coordination, education and other case management functions as defined by the...including, but not limited to telephonic conversations. -Assures adherence with all work at home policies and… more
- Molina Healthcare (Gothenburg, NE)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... wellness, and triggers identified in the assessment. + Develops and implements a case management plan in collaboration with the member, caregiver, physician… more
- Evergreen Health (Jamestown, NY)
- …The Telephonic Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and ... evaluation with the core components (Comprehensive Case Management , Care Coordination & Health Promotion,...to patients within the Center for Care Coordination. The Telephonic Care Coordinator provides care coordination for patients with… more
- Molina Healthcare (NE)
- …health plan as a Case Manager. Preference is for candidates to have Case Management experience at a managed care organization. The position may require ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...the member needs and goals. + Conducts face-to-face or home visits as required. + Performs ongoing monitoring of… more
- Molina Healthcare (Dallas, TX)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... behavioral health care and long term services and supports, home and community to enhance the continuity of care...Long Term Services & Supports. + 1-3 years in case management , disease management , managed… more
- Molina Healthcare (Dallas, TX)
- …comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration ... including behavioral health care and long-term services and supports, home and community to enhance the continuity of care...Long Term Services & Supports. + 1-3 years in case management , disease management , managed… more
- CVS Health (Columbus, OH)
- …Manager is responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members across the continuum of ... no holidays As part of the care coordination team, the CVS Accountable Care RN Case Manager will be the primary care manager for a selected member population. The RN… more
- UPMC (Pittsburgh, PA)
- Are you an experienced nurse with a background in case management ? Are you interested in the opportunity to work from home ? UPMC Health Plan is looking for ... you! We are hiring a full-time Telephonic Care Manager to join the Home ...team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of… more
- The Cigna Group (Bloomfield, CT)
- **Evernorth Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** Licensed in multiple states strongly ... preferred **JOB TITLE:** Case Management Lead Analyst (Licensed Telephonic Counselor) **JOB BAND:** 3 **DEPARTMENT:** Clinical Operations-Clinical… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and ... telephonic environment. **Position Scope:** + Manages/coordinates an active caseload of case management cases for Cigna Medicare. + Uses clinical knowledge… more
- Commonwealth Care Alliance (Springfield, MA)
- …experience in primary care or care management including telephonic based setting, home health or acute care case management required. + BH: LCSW/ ... meaningful clinical experience in community case management , EAP, telephonic case management or primary care required. + Experience with a Medicare… more
- The Cigna Group (Bloomfield, CT)
- …Summary Delivers specific delegated tasks assigned by a supervisor in the Case Management job family. Handles moderately-complex cases. Performs prospective, ... inpatient acute care, rehabilitation, referrals, and select outpatient services. Ensures that case management program objectives are met by evaluating the… more
- Kepro (New Martinsville, WV)
- …states and telephonic care coordination across the United States. An integrated case management model (including care coordination/ case management ... join our growing team. Job Summary: The RN Complex Case Manager will: + Provide in- home , in-person...the Funds' "caring" philosophy in all aspects of the case management process and coordinates care with… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... upon the department No weekends or holidays **Positon Summary:** Provides case management , care coordination and discharge/disposition planning for inpatient… more
- ERP International (Camp Pendleton, CA)
- …but are not limited to** : **Core Duties** : * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support... CM * Develop and implement tools to support case management , such as those used for… more
- CVS Health (Raleigh, NC)
- …basis approximately 2-3 times per quarter. Preferred Qualifications: - 2+ years' experience with Telephonic Case Management - 1+ years' experience with all ... telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs… more
- CVS Health (Phoenix, AZ)
- …Manager (CCM) certification - Managed Care experience - Home Care experience - Telephonic case management and/or telephonic customer service center ... coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
- ChenMed (Philadelphia, PA)
- …the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with ... into acute and post-acute facilities, as well as, their home environments. The RN Case Manager role...to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,… more
- Molina Healthcare (Las Vegas, NV)
- … management , disease management , managed care settings. + Field-based case management or home health experience. **PREFERRED LICENSE, CERTIFICATION, ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required.… more