- 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
- 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
- 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 (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
- CVS Health (Harrisburg, PA)
- …effective utilization of available resources and optimal, cost-effective outcomes. + The telephonic clinical case manager applies clinical judgment and ... weekends, no holidays and no on call. The Clinical Case Manager utilizes advanced clinical judgment and...program development. Innovative thinking expected. + This is a telephonic remote position, that is member-facing role with primary… more
- CVS Health (Raleigh, NC)
- …Word -Strong telephonic communication skills -Certified Case Manager (CCM) certification -Oncology Certification Nurse /ONC Education - Associates Degree ... care more personal, convenient and affordable. Position Summary The Case Manager RN position is...and Infusion nursing. Preferred Qualifications -2+ years' experience with Telephonic Case Management -1+ years' experience with… 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
- 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