- Commonwealth Care Alliance (Springfield, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits...Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +… more
- Rady Children's Hospital San Diego (San Diego, CA)
- POSITION DETAILS: Schedule: Days, 10-hour shifts in person (not remote ) FTE: Part-Time, 40 hours per 2 week pay period, as of now JOB SUMMARY: The Care ... specialty medical providers, performs case management and direct patient care to assigned patients. This includes point of ...Position (GI) - Two years of experience - California RN License - BLS for Healthcare Providers, issued by… more
- Somatus (Mclean, VA)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... This position is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing...telephonically as the need arises. **This is a fully remote role where compact licensure is strongly preferred.** **The… more
- Battelle Memorial Institute (Homestead AFB, FL)
- …planning to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
- Commonwealth Care Alliance (Boston, MA)
- …supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and ... a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager ...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and… more
- Commonwealth Care Alliance (Boston, MA)
- …to delegated providers, and supporting the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and ... and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …(MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ... Memorial Sloan Kettering (MSK), our commitment to excellence extends beyond patient care -we also strive to ensure that our clinical documentation reflects the… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …Strongly Preferred. + Minimum of 7 years of professional experience working as a Health Care Professional ( RN ). DNP, PA-C preferred. + Direct patient care ... True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can fulfill their desires, dreams, and lives. ? Our… more
- Magellan Health Services (Shreveport, LA)
- …- Care MgmtCare Mgmt, LSW - Licensed Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...quality of care . General Job Information Title Care Manager - Remote / Licensed… more
- Insight Global (Raleigh, NC)
- Job Description Insight Global is hiring for a Remote Care Manager to support our micro clinic operations in Raleigh, NC. You will work in a virtual setting ... with providers, paramedics, and patients to partner in the care continuum process. You will lead the clinical onboarding of new contracts, handle referrals &… more
- CareFirst (Baltimore, MD)
- …standards. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or ... & Qualifications** MD-DC-Northern VA **PURPOSE:** Under minimal supervision, the Care Manager researches and analyzes a member's...Compact State Licensure RN - Registered Nurse in MD, VA or Washington,… more
- CareFirst (Baltimore, MD)
- …**Education Level:** High School Diploma or GED. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... & Qualifications** **PURPOSE:** We are looking for an experienced Care Manager to support our Maryland Medicare...State Licensure RN - Registered Nurse in MD, VA or Washington,… more
- Molina Healthcare (Columbus, OH)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication regimens. * … more
- Molina Healthcare (WA)
- …**Required License, Certification, Association** Nevada licensure must be Active, unrestricted State Registered Nursing ( RN ) license in good standing. **NV is ... REMOTE , Nevada residents preferred. Candidates who do not...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Actalent (Manor, TX)
- …4+ years experience with in Home Health/managed care /hospital setting as an RN is Mandatory (Case Manager Expereince Mandatory) . Bachelor's degree in ... "Quick Hiring for RN Case Manager in Austin, Texas"...Job Description: . Complete medical necessity and level of care reviews for requested services using clinical judgment and… more
- CVS Health (Springfield, IL)
- …of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social ... regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the...+ Associate's degree and relevant experience in a health care -related field (REQUIRED) + Practical Nurse Degree/Certificate… more
- Sharecare (Tallahassee, FL)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
