- Fresenius Medical Center (Waltham, MA)
- …team members to assure high quality outcomes for assigned patients. + Utilizes effective telephonic case management skills to maximize patient engagement and ... clinical judgment, independent analysis, critical thinking skills, and time management skills. + Utilizes telephonic and other...direct patient care staff and physicians. + Collaborates with case management and Quality teams to develop,… more
- Elevance Health (Richmond, VA)
- …Minimum 2 years' experience in acute care setting preferred. + Minimum 2 years " telephonic " Case Management experience with a Managed Care Company preferred. ... **" Telephonic " Nurse Case Manager II** **Location:...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
- Crawford & Company (Miami, FL)
- …certificates * License and national certification reimbursement + This is a work from home telephonic case management position! + No Travel involved! + RN ... degree required. + Compact licensure and an advanced Nurse Case Management certification (ex: CCM, COHN, CRN) are preferred. To provide effective case … more
- Molina Healthcare (CA)
- …for a California licensed, Spanish bilingual RN to join our Marketplace Team performing telephonic Case Management . Opportunity is open to either qualified ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Axiom Medical (The Woodlands, TX)
- … or related fields. Previous nurse case management or telephonic case management experience is preferred. Physical Requirements: + Regularly ... Axiom's Nursing Department ("Nursing"). The NCM is primarily responsible for performing telephonic medical case management for work-related and… more
- CVS Health (Raleigh, NC)
- …Long Term Care, and Infusion nursing. Preferred Qualifications -2+ years' experience with Telephonic Case Management -1+ years' experience with all types ... 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
- CVS Health (Raleigh, NC)
- …RN License or Multi state licensure - Certified Case Manager (CCM) - Telephonic case management and/or telephonic experience Education: Associate ... coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
- CVS Health (Columbus, OH)
- …of clinical experience -RN in OH Preferred Qualifications -Home Health preferred or telephonic case management experience -Computer Skills (Microsoft office ... Better Health of Ohio Outreach Care Manager to complete telephonic assessments, care planning, member follow up, and member...oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This opportunity offers a… more
- Actalent (Rancho Mirage, CA)
- …and KP physicians. *Float department (if needed): Special Needs Department (SNP), provide telephonic case management *Certificates required: RN license The ... Description: *Responsibilities: Extended Care Coordinator, provide comprehensive case management for patient at skilled nursing facilities including coordination… more
- CVS Health (Lansing, MI)
- …travel up to 10% of the time for face to face visits.This role is a telephonic clinical case management position working with our Medicaid population. Use of ... and engaged in interventions that optimize member participation in case management programs.Behavioral Health Case ... telephonic outreach and documentation in a clinical case management platform. Required Qualifications * 3+… more
- Travelers Insurance Company (Tampa, FL)
- …Openings** 2 **What Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early ... in established guidelines. + Customer Engagement. + Participate in Telephonic and/or onsite File Reviews. + Respond to inquiries...injured worker apprised of claim status. + In-person medical case management may be required to support… more
- CVS Health (Harrisburg, PA)
- …to promote effective utilization of available resources and optimal, cost-effective outcomes.* Telephonic clinical case management with Medicare population.* ... Motivational Interviewing and engagement interventions to optimize member participation in case management programs.* Completes a Comprehensive Assessment and… more
- CVS Health (Virginia Beach, VA)
- …cases.- Participate in QI activities including data collection, tracking, and analysis. Telephonic clinical case management .- Uses Motivational Interviewing ... and engagement interventions to optimize member participation in case management programs.- Completes a Comprehensive Assessment and Plan of care.- Will document… more
- Kepro (Chicago, IL)
- …Management (CCM). + Analytical, reporting, and data management skills. + Telephonic case management and/or triage experience. + Knowledge of ... + Supervising and managing the day-to-day activities of the assigned case management and utilization review teams. + Mentoring, coaching, and training team… more
- Marriott (Columbus, OH)
- …a foremost concern in this position. **SCOPE/EXPECTED CONTRIBUTIONS** Scope + Provides telephonic case management of associates with occupational ... Case Managers. Claims Services + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization review issues. + Refer… more
- AmeriHealth Caritas (Manchester, NH)
- …+ Minimum of 3 years experience as a case manager, preferably providing telephonic case management . + Strong understanding of clinical practices and ... The Care Manager II assists members appropriate for care coordination and case management services in achieving their optimal level of health. The Care Manager… more
- HCR Home Care (East Syracuse, NY)
- …staff, as directed . + Create Aide Care Plans, when needed . + Assist with Telephonic Case Management , as needed . + Perform chart audits, when requested ... + Act as liaison to assist in appropriate ongoing management of care; ensure appropriate plans and interventions are...or orders that do not seem appropriate . Conduct case conferences (informal or supervisory) to discuss patient issues… more
- Centene Corporation (Tallahassee, FL)
- …appeals function. + Assist Medical Services staff with computer systems issues related to case management . + Conduct telephonic review of cases with doctors, ... **Position Purpose:** Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to… more
- Penn Medicine (Princeton, NJ)
- …to Workplace Options Care Coordinators as detailed in Warm Transfer Protocol + Provides telephonic case management and utilization review services to company ... high quality clinical care and customer service for EAP clients. Provides utilization management reviews for all levels of care for TPA accounts. Represents EAP at… more