- 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
- The Cigna Group (Bloomfield, CT)
- …to culturally diverse situations, clients and customers.** **Minimum requirements:** **Active unrestricted Registered Nurse ( RN ) license in state or ... **The job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.** **For this position, … 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
- The Cigna Group (Bloomfield, CT)
- …history of effective case load management.** **Minimum Requirements:** **Active** **Unrestricted Registered ** ** Nurse ( RN ) license in state or territory ... ** Nurse Case Management Lead Analyst -Remote -Full-Time** ** Bilingual...two years** **full-time direct** **patient care experience as an RN required.** **Must be bilingual in Dari… more
- Actalent (Santa Barbara, CA)
- … Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! Opportunity ... Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one...HPNC may perform utilization management activities, which may include telephonic or onsite clinical review; case or… more
- CVS Health (Helena, MT)
- …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
- 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
- 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
- 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
- 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
- The Cigna Group (Birmingham, AL)
- …in Jefferson, Tuscalossa, Walker or Fayette County **Experience:** * Current Licensure as a Registered Nurse or LVN/LPN, in the state of Alabama in good ... participating provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical services… more
- Lancaster General Health (Lancaster, PA)
- …The triage nurse will assist with triage in the EMR inbasket and nurse telephone line, nurse case management, collaboration with clinical teams, ... JOB REQUIREMENTS **MINIMUM REQUIRED QUALIFICATIONS:** + Current licensure as a Licensed Practical Nurse , or Registered Nurse , issued by the PA State… more
- Elevance Health (Fort Myers, FL)
- …Miami-Dade counties, FL. The **LTSS Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification,… more
- CVS Health (Jeffersontown, KY)
- …health care more personal, convenient and affordable. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members through regular ... and consistent in person or telephonic contact to assess, plan, implement...Case Management experience in an integrated model + Bilingual + Computer literacy and demonstrated proficiency to navigate… more
- Molina Healthcare (Richmond, KY)
- **_We are seeking LICENSED VOCATIONAL NURSES (LVN /LPN) NURSE CASE MANAGER. (2 positions available). Bilingual Spanish preferred but not required._** ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program 1-3 years in case … more