- A-Line Staffing Solutions (Tampa, FL)
- …Manager , Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO, RN , HMO, Concurrent Review, ... travel in Hillsborough County, Florida conducting member-facing visits**Job Summary: Managing a case load for healthcare members with long term care needs. Monthly… more
- Integrated Resources, Inc (Detroit, MI)
- …the organization and Performs other duties as assigned. Education: Certifications/licensures required: . Registered Nurse ( RN ) or a Licensed Social Worker ... Job Title: Integrated Case Manager Job Location: Detroit, MI.... Full Time Day Shift Position Utilization Management or Telephonic Case management experience are not appropriate… more
- Patient First (Glen Allen, VA)
- …in medical/surgical, ER, critical care, and ambulatory care preferred; Certification as a Case Manager or experience in Case Management and Primary ... Patient First is accepting applications for an Care Manager - RN in the Glen...handling emergent or urgent calls that are within the Nurse Care Manager 's scope of professional practice;… more
- Marion County (Salem, OR)
- …by Marion County. SPECIAL REQUIREMENTSPossession of a current license to practice as a registered nurse in the State of Oregon at the time of appointment.Must ... County Health and Human services is seeking a qualified RN to provide TB case management and...include, but are not limited to the following The nurse in this position provides Tuberculosis Case … more
- Elevance Health (Richmond, VA)
- **" Telephonic " Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... 48 hours of receipt and meet the criteria._** The **" Telephonic " Nurse Case Manager...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Elevance Health (Atlanta, GA)
- ** Telephonic Nurse Case Manager II** **- $3000 Sign-On Bonus Offered** **Location: This is a virtual position, but you must reside in the State of ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager...which would provide an equivalent background. + Current, unrestricted RN license in GA required. + Multi-state licensure is… more
- Belle (Nashville, TN)
- …us 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 member and caregiver satisfaction. Our Case Managers advocate for the well-being of our members....and quality of care Experience, Skills, & Personality + Registered Nurse + Multi-State Compact Licensure +… more
- Molina Healthcare (Richmond, VA)
- …of VIRGINIA. We are looking for candidates who live in the state of Virginia.** ** Case Manager will work in remote and field setting supporting our Medicaid ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Fresenius Medical Center (Waltham, MA)
- …AND REQUIRED CREDENTIALS: + Bachelor's Degree preferred + Active, unrestricted, compact-state RN license required Certified Case Manager (CCM), preferred. ... referred to the appropriate sources for attention. + Certified Case Manager (CCM), preferred. Must be able...high quality outcomes for assigned patients. + Utilizes effective telephonic case management skills to maximize patient… more
- Molina Healthcare (Gothenburg, NE)
- **JOB DESCRIPTION** **We are seeking a ( RN ) Registered Nurse who lives in Nebraska and is licensed there.** ** Case Manager will work in remote ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Molina Healthcare (CA)
- …licensed, Spanish bilingual RN to join our Marketplace Team performing telephonic Case Management. Opportunity is open to either qualified California ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- CVS Health (Columbus, OH)
- …no weekends and 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 Case Manager is responsible for telephonically assessing,...following areas: critical care, ICU, CCU, Emergency + A Registered Nurse that must hold an unrestricted… more
- Molina Healthcare (Dallas, TX)
- …health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- CVS Health (Raleigh, NC)
- … case as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound ... make health care more personal, convenient and affordable. This Case Manager RN position is...RN License or Multi state licensure - Certified Case Manager (CCM) - Telephonic … more
- Crawford & Company (Miami, FL)
- …case manager from the URAC-approved list of certifications (preferred); + A registered nurse ( RN ) license. + Must be compliant with state requirements ... certification reimbursement + This is a work from home telephonic case management position! + No Travel... degree required. + Compact licensure and an advanced Nurse Case Management certification (ex: CCM, COHN,… more
- CVS Health (Topeka, KS)
- …and programs are comprised of network management, clinical coverage, and policies. Nurse Case Manager is responsible for telephonic and/or face to face ... care more personal, convenient and affordable. A Brief Overview Coordinates all case management activities with members to evaluate medical needs and to facilitate… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it ... determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress toward recovery for early… more
- CVS Health (Phoenix, AZ)
- …to 5 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 ... Perform medical necessity reviews Required Qualifications - 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty - A… more
- CVS Health (San Antonio, TX)
- …other days are work at home. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... Perform medical necessity reviewsRequired Qualifications- 5+ years experience as a Registered Nurse with hospital experience; preferably in the specialty.-… more
- CVS Health (Oklahoma City, OK)
- …- Monday - Friday 8:30-5:00pm - This position consists of working intensely as a telephonic case manager with patients and their care team for fully ... a multi state license upon hire. Required Qualifications- 5+ years experience as a Registered Nurse with hospital experience; preferably in the specialty. - Must… more
