- Crawford & Company (Miami, FL)
- …and certificates * License and national certification reimbursement + This is a work from home telephonic case management position! + No Travel involved! ... Job LocationsUS-FL-Miami | US | US-TN-Remote/ home -based | US-FL-Miami Position TypeRegular Full-Time CategoryMedical Case Management Business UnitBUS_TPA US more
- 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
- 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 ... 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 (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
- Belle (Nashville, TN)
- …+ Minimum 4 years of nursing experience including + 2+ years experience with clinical case management + 2+ years experience working with the elderly + Strong ... About this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to ensure high-quality...health and working with the elderly + Preferred: + Case management certification + Bilingual Spanish-speaking +… 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 (Richmond, VA)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... productivity is important.** **This is a remote role - Home office with internet connectivity of high speed required.**...identified in the assessment. + Develops and implements a case management plan in collaboration with the… 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
- Humana (Oklahoma City, OK)
- …Minimum 1-year Behavioral Health clinical experience + 2 or more years of experience of in- home case or care management + Experience working with Medicaid ... Oklahoma City office for meetings and training **Preferred Qualifications:** + Case Management Certification (CCM) **Additional Information** **Travel ** Must… more
- Humana (San Juan, PR)
- …**Preferred Qualifications** + Active FL RN license + Health Plan experience + Previous Case Management Experience + Call center or triage experience + Previous ... and help us put health first** This is a Work-At- Home position, but you MUST live in Puerto Rico....included. Please submit resume in English The Care Manager, Telephonic Nurse works in a telephonic environment.… 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
- Humana (Austin, TX)
- …health care team to maximize the member's benefits and resources. This includes case management referrals and any other specific market initiatives. + Performing ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support...information for the appropriateness as compared to MCG; Communicating case status to the facility as needed. + Facilitating… more
- Axiom Medical (The Woodlands, TX)
- … or related fields. Previous nurse case management or telephonic case management experience is preferred. Physical Requirements: + Regularly ... Department ("Nursing"). The NCM is primarily responsible for performing telephonic medical case management for...is the responsibility of the NCM to maintain their home state RN/BSN license and obtain/maintain additional licenses as… 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)
- …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
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