- A-Line Staffing Solutions (Tampa, FL)
- … Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO, RN , HMO, Concurrent Review, ... Bilingual Long-Term Care Coordinator openings with a major...Hillsborough County, Florida conducting member-facing visits**Job Summary: Managing a case load for healthcare members with long term care… more
- Patient First (Glen Allen, VA)
- Patient First is accepting applications for an Care Manager - RN in the Glen Allen, Virginia area. Patient First provides a friendly work environment that promotes a ... philosophy. Sign-on Bonus! Patient First is seeking an experienced RN to join our team of healthcare professionals. We...are not limited to, the following: Serving as a telephonic care management resource to clinical teams, including: Developing… more
- Molina Healthcare (CA)
- **JOB DESCRIPTION** **Opportunity for a California licensed, Spanish bilingual RN to join our Marketplace Team performing telephonic Case Management. ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Humana (San Juan, PR)
- …languages - Speaking/Reading/Writing included. Please submit resume in English The Care Manager, Telephonic Nurse works in a telephonic environment. They ... appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse employs a variety of strategies,...RN license + Health Plan experience + Previous Case Management Experience + Call center or triage experience… more
- Belle (Nashville, TN)
- …if our cause inspires you! About this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to ensure high-quality care, clinical outcomes, ... and quality of care Experience, Skills, & Personality + Registered Nurse + Multi-State Compact Licensure +...health and working with the elderly + Preferred: + Case management certification + Bilingual Spanish-speaking +… more
- Humana (Columbus, OH)
- …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ) + Minimum of 2 years of ... health issues. Identifies and resolves barriers that hinder effective care. + Performs telephonic and face to face assessments and evaluations of the member's needs… more
- The Cigna Group (Bloomfield, CT)
- …to culturally diverse situations, clients and customers. **Minimum requirements:** + Active unrestricted Registered Nurse ( RN ) license in state or territory ... a health care related field with current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst, through the case management… more
- Actalent (Santa Barbara, CA)
- Non-profit healthcare network is looking for a registered nurse case manager to join their team on a contract basis! Opportunity to gain experience with ... Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one...HPNC may perform utilization management activities, which may include telephonic or onsite clinical review; case or… more
- ChenMed (Philadelphia, PA)
- …with bachelor's degree in home in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... we need great people to join our team. The RN Case Manager is responsible for achieving...of communication. + Introduces self to patient/family and explains Nurse Case Manager's role and processes to… more
- CVS Health (Phoenix, AZ)
- …pm in your time zone. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... Perform medical necessity reviews Required Qualifications - 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty - A… more
- The Cigna Group (Harlingen, TX)
- …Duties as assigned. Supervisory Responsibilities: * None **Experience:** * Current Licensure as a Registered Nurse , in the state of Texas in good standing. * ... participating provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical services… more
- CareFirst (Baltimore, MD)
- …+ Ability to provide excellent internal and external customer service. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact ... + Bachelors degree in nursing + CCM/ACM or other RN Board Certified certification in case management....State Licensure RN - Registered Nurse in MD, VA or Washington,… more
- The Cigna Group (Hattiesburg, MS)
- …participating provider practices + Identifies high-risk/high-cost patients for possible case management intervention. + Interfaces with providers of medical services ... participate in weekly Complete Health Team rounds -market dependent. + Perform telephonic outreach + Communicates with all departments to resolve issues or document… more
- ChenMed (Tampa, FL)
- …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... procedures **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in home and telephonic visits to patients at high-risk for hospital admission...a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in… more
- Travelers Insurance Company (Richardson, TX)
- …Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. **What is a Must Have?** + ... Is the Opportunity?** Under moderate supervision, provide office based telephonic and/or in-person medical case management supporting... Registered Nurse ; Licensed Practical Nurse … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Description: As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity ... on the needs of the organization and may include telephonic or in person in a variety of potential...with patients. + Demonstrate knowledge and implementation of HIV nurse -on-call procedures, including functioning as the liaison to inpatient… more
- Humana (Indianapolis, IN)
- …to make an impact** **Required Qualifications** + **Must reside in Indiana.** + Licensed Registered Nurse ( RN ) in the state of Indiana without restrictions ... + At least one (1) year of experience in providing case management or similar health care services + Intermediate to advanced computer skills and experience with… more
- Highmark Health (Harrisburg, PA)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES… more
- Elevance Health (New York, NY)
- … case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Telehealth** _Location:_ While this position is remote,...you will make an impact:** + Responsible for performing telephonic clinical assessments for the identification, evaluation, coordination and… more
- Lancaster General Health (Lancaster, PA)
- …The triage nurse will assist with triage in the EMR inbasket and nurse telephone line, nurse case management, collaboration with clinical teams, ... JOB REQUIREMENTS **MINIMUM REQUIRED QUALIFICATIONS:** + Current licensure as a Licensed Practical Nurse , or Registered Nurse , issued by the PA State… more
