• Case Manager RN - Bilingual

    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
    Somatus (10/26/24)
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  • Bilingual Nurse Clinic Medical…

    Travelers Insurance Company (Richardson, TX)
    …Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. **What is a Must Have?** + ... Is the Opportunity?** Under moderate supervision, provide office based telephonic and/or in-person medical case management supporting... Registered Nurse ; Licensed Practical Nurse more
    Travelers Insurance Company (11/19/24)
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  • Bilingual Care Manager - RN

    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
    Elevance Health (11/14/24)
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  • Bilingual Pediatric RN Care Manager

    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
    CVS Health (11/09/24)
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  • Bilingual - HIV/AIDS RN Care Manager

    CVS Health (Miami, FL)
    …care more personal, convenient and affordable. **Summary** : The HIV/AIDS Care Manager RN is responsible for managing care management needs of FL Medicaid members ... with a history of HIV/AIDS. The Case Manager will drive and support care management and...(assessing, planning, implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills… more
    CVS Health (11/16/24)
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  • Community Case Manager, Home Health…

    ChenMed (St. Petersburg, FL)
    …with bachelor's degree in home in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... need great people to join our team. The Register Nurse ( RN ) Community Care Nurse ...procedures **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in home and telephonic visits to patients at high-risk for hospital admission… more
    ChenMed (10/05/24)
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  • Case Manager RN

    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
    CVS Health (11/23/24)
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  • LPN or RN Nurse Case Manager…

    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
    The Cigna Group (10/10/24)
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  • Case Manager, BH (LICSW, LMFT, LMHC…

    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
    Molina Healthcare (11/13/24)
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  • Bilingual 24/7 Clinical Navigation…

    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
    The Cigna Group (10/19/24)
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  • Field Care Management Nurse ( RN

    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
    Humana (10/29/24)
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  • Nurse Case Manager

    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
    Boston Health Care for the Homeless Program (11/01/24)
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  • Field Care Manager, Behavioral Health ( RN

    Humana (Columbus, OH)
    …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ). + Minimum of 2 years of ... health issues. Identifies and resolves barriers that hinder effective care. + Performs telephonic and face to face assessments and evaluations of the member's needs… more
    Humana (11/19/24)
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  • RN Care Manager, Complex Care

    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
    East Boston Neighborhood Health Center (11/06/24)
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  • Care Manager RN , Physical Health

    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 (10/29/24)
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  • Care Coordinator, RN

    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
    Humana (10/29/24)
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  • Medical Case Manager Pediatrics - Licensed…

    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
    Highmark Health (11/02/24)
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  • LTSS Service Coordinator - RN

    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
    Elevance Health (11/05/24)
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  • LPN/LVN Case Management Analyst- Work…

    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
    The Cigna Group (10/07/24)
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  • Triage Nurse (LPN/ RN ) Part Time

    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
    Lancaster General Health (11/08/24)
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