- Somatus (Mclean, VA)
- …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... a hospital, acute care, or direct care setting + Bilingual Languages in either Spanish, Cantonese, or Mandarin +...or Critical Care experience + Telephonic case management experience + Experience with… more
- Humana (San Juan, PR)
- …Puerto Rico. You must live in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' needs and ... resources appropriate for their care and wellbeing. The Care Manager , Telephonic Nurse's work assignments are varied...the appropriate courses of action. You must be fully bilingual in English/Spanish and will be required to pass… more
- Belle (Atlanta, GA)
- …cause inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered ... for both members and their caregivers. As a Nurse Case Manager , you will: + Review documentation...will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate… more
- Access Dubuque (Dubuque, IA)
- Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions ID: 4773630008 Posted On 07/28/2025 Refreshed On 12/12/2025 **Job Overview** ** ... Bilingual RN Case Manager ** **Location**...and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career ... care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and tools....in the US Preferred Skills and Experience * Fluent bilingual Spanish speaker * 1+ years of managed care… more
- Molina Healthcare (TX)
- …Preferred Qualifications * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). * Hospital discharge planning or home ... field to complete assessments on those members on your case load. Preference will be given to candidates with...- experience with the LTSS or Behavioral Health populations. Bilingual is also a plus. Solid experience with Microsoft… more
- Humana (Montgomery, AL)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Point32Health (MA)
- …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Care Manager - Nursing Field (RN CM) will ensure that all members receive ... including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition… more
- ChenMed (Houston, TX)
- …**all** the above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic or onsite visits to SNFs, ... need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for...the above "Core" duties/responsibilities plus the following: + Provides telephonic or outpatient visits to patients at high-risk for… more
- Elevance Health (FL)
- **Behavioral Health Case Manager II - Florida** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... care. **Location: Florida** **Position specific details:** The **Behavioral Health Case Manager II - Florida** will work...territory of the United States required. Previous experience in case management and telephonic and/or in person… more
- Elevance Health (Jacksonville, FL)
- **Field Behavioral Health Case Manager II - Jacksonville, Florida** **Location:** **Seeking candidates that reside in the Jacksonville area in Florida AND are ... weekend shift might be required. The **Field Behavioral Health Case Manager II** is responsible for performing...state of Florida** is required. + Previous experience in case management in person and telephonic in… more
- CVS Health (Midland Park, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Technical Skills** + Proficient in ... Qualifications** + Case Management experience in an integrated model + Bilingual preferred. + Working knowledge of medical terminology. + Ability to deal… more
- CVS Health (Trenton, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... **Preferred** + Case Management experience in an integrated model + Bilingual preferred. + Working knowledge of medical terminology. + Working knowledge of… more
- CVS Health (Topeka, KS)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Highmark Health (Dover, DE)
- …in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES ... working directly with members in their homes and also requires providing case management services within hospital settings.** This job assures that members with… more
- Elevance Health (Mendota Heights, MN)
- …employment, unless an accommodation is granted as required by law_ The **Behavioral Health Case Manager I** is responsible for performing case management ... United States required. **Preferred skills capabilities and experiences:** + Experience in case management and telephonic and/or in person coaching with members… more
- CVS Health (Lansing, MI)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... them with appropriate resources and support services. The Care Manager provides education and guidance to members and their...Responsibilities:** + 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their… more
- ChenMed (St. Petersburg, FL)
- …in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- Humana (Richmond, VA)
- …Healthy Horizons in Virginia is looking for RN, Field Care Managers (Field Care Manager Nurse 2) who performs primarily face to face and telephonic assessments ... to adult and pediatric members. The RN, Field Care Manager (Field Care Manager Nurse 2) will...approach/priorities and follows direction. + Responsible for managing a case load and completing assessments with members in their… more
- Humana (Fredericksburg, VA)
- …(Field Care Manager , Behavioral Health 2) performs primarily face to face and telephonic assessments with members. The BH Care Manager serves as the primary ... effective care. Through a holistic, person-centered approach, the BH Care Manager remains dedicated to enhancing behavioral health outcomes, reducing care gaps,… more
