- Humana (Oklahoma City, OK)
- …Reside in Oklahoma** + Candidates must have one of the following: + Active Registered Nurse ( RN ) license (without restrictions) + Licensed Clinical Social ... be screened for TB. Preferred Qualifications: + Proficiency in Spanish and English ( Bilingual ) + Case Management Certification (CCM) **Work at Home Criteria** To… more
- Somatus (Mclean, VA)
- …+ Diabetic educator experience + ICU, Cardiology or Critical Care experience + Telephonic case management experience + Experience with discharge planning + Solid ... Director (OMD) Quality Committee. Qualifications Required Qualifications: + Active RN license in current state of residence with the...a hospital, acute care, or direct care setting + Bilingual Languages in either Spanish, Cantonese, or Mandarin +… more
- Elevance Health (FL)
- … 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
- CVS Health (Miami, FL)
- …with field visits to members as needed and per contractual requirements. The RN Case Manager utilizes advanced clinical judgment and critical thinking skills ... as the flex day. **Position Responsibilities:** + Responsible for telephonic and face to face assessment, planning, implementing and...in Miami Dade, FL or a surrounding county + Bilingual in Spanish + Active current unrestricted RN… more
- ChenMed (St. Petersburg, FL)
- …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in...case management and community care highly preferred + Bilingual in English and Spanish proficiency preferred. + This… more
- CVS Health (Jefferson City, MO)
- …quality care for members. + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... medical necessity reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty +… more
- CVS Health (Little Rock, AR)
- …quality care for members. - 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 at least 1 year of experience in a hospital… more
- The Cigna Group (Bloomfield, CT)
- …requires working onsite at providers office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates ... in participating provider practices. + Identifies high-risk/high-cost patients for case management intervention. + Interfaces with providers of medical services… more
- Molina Healthcare (Worcester, MA)
- …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... Case Managers with a MA LICSW, LMFT, or RN (with Psych background) licensure** . **Candidates with a...to address the member needs and goals. * Conducts telephonic , one face-to-face or home visit per month as… more
- Actalent (Alvarado, TX)
- RN Case Managers Needed Near El Paso! (fully-remote, but must live in El Paso, TX) Openings : 5 total Location: Remote (Must live in/near El Paso, TX) Job ... case within the scope of licensure. Provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable… more
- Actalent (El Paso, TX)
- …Bachelor's Degree - CCM/RUG Certification - 1+ year experience in service coordination/ case management - Bilingual (Spanish/English) - Valid driver's license ... Job Description We're seeking a licensed RN to join our healthcare team as a...optimal outcomes. Key Responsibilities: - Conduct holistic member evaluations ( telephonic and face-to-face) - Develop and manage individualized care… more
- The Cigna Group (Bloomfield, CT)
- …Behavioral Telephonic Consultation + Confide Services Assessment + Brief Case Management + Utilization Management **Duties and Responsibilities:** + Assess the ... CN & S team works on a queue, taking telephonic calls in the moment, as well as scheduled...the state of employment (LADC, LPC, LMHC, LCSW, LMFT, RN or LP). + Bilingual in Spanish… more
- Travelers Insurance Company (Richardson, TX)
- …assigned. **What Will Our Ideal Candidate Have?** + Bilingual preferred. + RN preferred. + Disability case management experience preferred. + Prior clinical ... Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. **What is a Must Have?** +… more
- Humana (New Orleans, LA)
- …reports **Use your skills to make an impact** **Required Qualifications** + Unrestricted Licensed Registered Nurse in the State of Louisiana + 2 years of ... help us put health first** The Field Care Manager Nurse assesses and evaluates member's needs and requirements to...coaching and wellness + Previous managed care experience + Bilingual - English, Spanish + Certification in Case… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …part-time schedule possible NOW OFFERING A $4,000 SIGN ON BONUS We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to work on a ... team members, agencies, and healthcare facilities. Qualifications: + Licensed as a Registered Nurse in the Commonwealth of Massachusetts. + Bachelor's degree… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Summary: As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity to ... 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 (Columbus, OH)
- …skills to make an impact** **Required Qualifications** + **Must reside in Ohio** + Licensed Registered Nurse ( RN ) in the state of Ohio without restrictions + ... with a Fortune 500 Company! The Field Care Manager Nurse 2 (Care Manager Plus, Physical Health) work assignments...through recovery and health and wellness programs. + Performs telephonic and face to face assessments and evaluations of… more
- Humana (Richmond, IN)
- …make an impact** **Required Qualifications** + Perform job responsibility 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… more
- Highmark Health (Dover, DE)
- …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES… more
- Elevance Health (Corpus Christi, TX)
- …Service Coordinator- RN ** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non- RN ... you will make an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation,...level of care or other waiver programs. + The RN has overall responsibility to develop the care plan… more