- CenterWell (Atlanta, GA)
- …acute care ** + **Managed care experience** + **Home Health Care experience** + ** Telephonic triage experience** + **Bachelor's degree** + **HCHB ... those who may need post-acute services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as… more
- AmeriHealth Caritas (Greenville, SC)
- …SC Primary Job Function: Medical Management ID**: 37923 **Job Brief** This position is a telephonic Care Manager , open to candidates in the SC Upstate ... ** Care Manager II Registered Nurse (BSN)...** Care Manager II Registered Nurse (BSN) - Foster ...more about us at www.amerihealthcaritas.com . **Responsibilities:** As a Care Manager II, you'll be empowered to… more
- AmeriHealth Caritas (Florence, SC)
- …SC Primary Job Function: Medical Management ID**: 34390 **Job Brief** This position is a telephonic Care Manager that is required to reside in the state ... **REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence,… more
- AmeriHealth Caritas (Greenville, SC)
- …SC Primary Job Function: Behavioral Health ID**: 37969 **Job Brief** This position is a telephonic Behavioral Health Care Manager , open to candidates in the ... administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager is responsible for acting as a liaison… more
- Elevance Health (Atlanta, GA)
- …criteria._** The ** Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of licensure for members with complex ... ** Telephonic Nurse Case Manager I -...** Telephonic Nurse Case Manager I - $3000 Sign-On Bonus Offered** **Location:...and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and… more
- Elevance Health (Richmond, VA)
- ** Telephonic Nurse Case Manager II** **Location:...meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for performing care ... Capabilities, Skills and Experiences:** + Certification as a Case Manager is preferred. + Ability to talk and type...timely fashion. + Minimum 2 years' experience in acute care setting preferred. + Minimum 2 years " telephonic… more
- Elevance Health (St. Louis, MO)
- …therefore, Multi-State Licensure will be required.** The ** Telephonic ** **Nurse Case Manager I** is responsible for performing care management within the ... ** Telephonic Nurse Case Manager I** **Location:**...scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and… more
- Molina Healthcare (IL)
- **JOB DESCRIPTION** **Exciting remote, telephonic opening for a Social Worker residing in Illinois who is looking for a new and different challenge. If you would ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Molina Healthcare (TX)
- …with a strong background in Behavior Health to work with our Medicaid members as a telephonic Case Manager in Texas. Candidates must reside in the state of TX to ... to RNs who have been employed by another managed care organization as a case manager .** **Solid experience with Microsoft Office Suite is necessary, especially… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our… more
- Molina Healthcare (WA)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Lowe's (Charlotte, NC)
- **Your Impact** The Care Manager is a telephonic medical case management position with emphasis on early intervention, return to work planning, coordination ... with a high volume of claims per year for its US operations. The Care Manager will be responsible for medically managing a minimum caseload of 65 including… more
- The Cigna Group (Bloomfield, CT)
- …shifts, weekends and holiday time.** As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined ... care experience for customers. The CN&S team is the...CN & S team works on a queue, taking telephonic calls in the moment, as well as scheduled… more
- Always Best Care Senior Services (Hobe Sound, FL)
- POSITION: Per Diem Registered Nurse Case Manager / Supervisor SUPERVISOR: Administrator STATUS: Non-Exempt POSITION REQUIREMENTS: This position is primarily per diem ... the service provided to the clients of Always Best Care Senior Services, (the Agency), and for supervising the...or as vacancies occur, assist the Administrator and Operations Manager in recruiting personnel, as needed. * Participate and… more
- Spectrum Health Services (Philadelphia, PA)
- …hospital, specialty care practices, health plan staff, and others, the Nurse Care Manager identifies and proactively manages the needs of patients with high ... and/or psychosocial problems through practice and home-based visits and telephonic support on a care management or...basis appropriate to the needs of the individual. The care manager develops and implements a person-centered… more
- VNS Health (Manhattan, NY)
- …+ Completes care management and disease specific assessments. + Makes timely telephonic care management calls based on risk level. + Resolves and coordinates ... OverviewProvides telephonic clinical care management services using...current registration in Occupational Therapy required + Certified Case Manager - Commission for Case Manager Certification… more
- Elevance Health (Overland Park, KS)
- **JR129983 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for ... mental health and substance use disorder inpatient and outpatient benefits through telephonic and written processes. Also provides telephonic support for crisis… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons in Ohio is seeking a Field Care Manager to assess and evaluate member's needs and requirements to achieve ... your future with a Fortune 500 Company! The Field Care Manager Nurse 2 ( Care ...through recovery and health and wellness programs. + Performs telephonic and face to face assessments and evaluations of… more
- Elevance Health (Atlanta, GA)
- …Point location **Shift:** Monday - Friday; 8:00am - 5:00pm ET The ** Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization ... + Supports quality improvement activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM and/or CM process and… more
- CVS Health (Miami, FL)
- … care more personal, convenient and affordable. **Position Summary** The Pediatric Care Manager RN will support a population of primarily medically complex ... Experience managing pediatric behavioral health conditions + Case management experience + Certified Care Manager (CCM) Certification + Managed care or… more