- Crawford & Company (Albuquerque, NM)
- … case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and ... medical status, identifies needs and obstacles to medical case resolution and RTW by providing...and one of the below: + Certification as a case manager from the URAC-approved list of… more
- Alight (NJ)
- …integrity and if you embody the meaning of Be Alight. Learn more at careers.alight.com. **Clinical Case Manager ** The Clinical Case Manager will be a ... standard in clinical guidelines in this industry, the Clinical Case Manager will facilitate medically sound decisions,...to demonstrate excellent problem-solving skills when questioned on your case management plans. + Consult on medical ,… more
- Kepro (New Martinsville, WV)
- …a vital partner for health solutions in the public sector. Acentra seeks an RN Complex Case Manager in West Virginia da to join our growing team. Job Summary: ... The RN Complex Case Manager will: + Provide in-home, in-person...NOTE: ** This is a full-time, direct hire, exempt, Hybrid opportunity with Benefits. ** The selected candidate is… more
- Atrius Health (Chelmsford, MA)
- …**Nursing* **Organization:** ** Case Management* **Title:** *CMRN-Ambulatory Nurse Case Manager (MNA) - Chelmsford - Pediatrics - Hybrid FT* **Location:** ... system in the country. *SUMMARY* Under general supervision, this Ambulatory Nurse Case Manager for pediatric departments, coordinates and manages all aspects… more
- Commonwealth Care Alliance (Worcester, MA)
- …the Contact Center/Member Services team + Help members schedule transportation to medical and social appointments. Maintain proper documentation in member's chart. + ... as requested by supervisor **Working Conditions:** Standard office conditions. Eligible to hybrid remote work, with time spent in community, member-facing + Must be… more
- Rising Medical Solutions (Chicago, IL)
- …Together! PDM and Rising Medical Solutions have partnered to deliver top-tier medical case management for workplace injuries. The successful PDM case ... in at least one of the following specialties: industrial rehabilitation nursing, medical case management, occupational health, orthopedics, home health care,… more
- Commonwealth Care Alliance (Springfield, MA)
- …to members, as needed, per CCA standard operating procedures, commonly accepted medical guidelines, and appropriate scope of practice. + Provide regularly scheduled ... the plan as evidenced in the documentation. + Perform episodic urgent medical / behavioral health telephone calls and facilitates such visits are conducted in-person… more
- The Cigna Group (Mesa, AZ)
- **Summary** The Nurse Case Management Lead Analyst is an integral member of the Care Management department as part of Evernorth Care Group (ENCG) primary care team. ... the management of high- and rising-risk, disease burdened members. The Nurse Case Management Lead Analyst utilizes clinical skills to assess, plan, implement,… more
- Exelon (Newark, DE)
- …the Company on injury and property damage losses. Prepare written reports and case analysis as required. Partner with the Legal and Litigation Departments to ... 24-hour basis. Meet with customers/claimants, witnesses, etc. to obtain facts of case . Adjust claims, evaluate damages, determine liability, analyze losses and where… more
- Sedgwick (Bedford, TX)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Case Coordinator - Hybrid Potential **This is not a Call Center ... We offer benefits on day one: + 401K + Medical , Dental, Vision + Generous PTO package + Business...Generous PTO package + Business Casual Dress Code + Hybrid potential after training If you have experience in… more
- Molina Healthcare (Long Beach, CA)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... as needed. + Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services. +… more
- American Medical Association (Chicago, IL)
- HS Product Manager II ( Hybrid ) Chicago, IL ( Hybrid ) The American Medical Association (AMA) is the nation's largest professional Association of physicians ... our corporate offices in Chicago for a HS Product Manager II ( Hybrid ) on our Health Solution...and align price with customer value, budget, and use case + Review existing CPT Content product line to… more
- International Rescue Committee (New York, NY)
- Requisition ID: req52284 Job Title: Bilingual Crisis Case Manager (HSPRS) Sector: Social Work Employment Category: Fixed Term Employment Type: Full-Time ... 38.29 Hourly Location: New York, NY RAI USA Work Arrangement: Hybrid Job Description SCOPE OF WORK: The IRC's Home...resources in the community (Post Release Services). The Crisis Case Manager (Level 3) conducts Home Studies… more
- International Rescue Committee (Atlanta, GA)
- Requisition ID: req49555 Job Title: Bilingual Crisis Case Manager (HSPRS) Sector: Social Work Employment Category: Fixed Term Employment Type: Full-Time ... 27.81 - 35.54 Hourly Location: Atlanta, GA USA Work Arrangement: Hybrid Job Description Job Overview:The IRC's Home Study and...resources in the community (Post Release Services). The Bilingual Case Manager (HSPRS) conducts Home Studies to… more
- International Medical Group (Indianapolis, IN)
- …high utilization of medical services and refer those identified for large case management. + Document information and status in case management systems and ... RN license in good standing in Indiana. + Location: Hybrid or Remote working options. + Corporate office is...medical necessity as it relates to precertifications and case management. + Flexibility - must be willing to… more
- Kepro (Chicago, IL)
- …vital partner for health solutions in the public sector. Acentra seeks a Clinical Operations Manager - RN ( Hybrid within Illinois) to join our growing team. Job ... Summary: The Clinical Operations Manager - RN: + Manages the day-to-day operations for...reports operational status to leadership. ** This role is Hybrid within the State of Illinois, where you would… more
- State of Indiana (Jeffersonville, IN)
- Foster Care Case Manager Supervisor Date Posted: May 23, 2024 Requisition ID: 444126 Location: Jeffersonville, IN, US, 47130 Work for Indiana Begin a fulfilling ... commitment to continuous improvement Role Overview: The Foster Care Case Manager Supervisor works in a County...package for full-time employees which includes: + Three (3) medical plan options (including RX coverage) as well as… more
- HCA Healthcare (Round Rock, TX)
- …invested over 156,000 hours volunteering in our communities. As a Registered Nurse Case Manager with St. David's Round Rock Medical Center you can be a part ... organization. We are looking for an enthusiastic Registered Nurse Case Manager to help us reach our...acute-care facility located north of Austin, Texas. This comprehensive medical center features the **only hybrid operating… more
- HCA Healthcare (Round Rock, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager PRN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) Case Manager PRN where your passion for...acute-care facility located north of Austin, Texas. This comprehensive medical center features the **only hybrid operating… more
- Northern Rivers Family Services (Albany, NY)
- …and supports that best meet their needs. You will report to the Case Manager Supervisor. You will work in a hybrid environment with some travel to client's ... Case Manager , PRC Job Details Job...educational advocacy services; and facilitating appointments with social services, medical health providers, and mental health services. + Respond… more