- 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
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for ... diagnosis of ASD, as defined by the ACD. The ** Telephonic Care Manager (Autism Care Navigator)** serves...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- UPMC (Pittsburgh, PA)
- …be a perfect fit for you! UPMC Health Plan is hiring a full-time Pediatric Telephonic Care Manager to support the Medical Management Medicaid team. This position ... of downtown Pittsburgh, but team members may reside anywhere in Pennsylvania. The Telephonic Care Manager is responsible for care coordination and health… 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
- Humana (Springfield, IL)
- …+ Experience with electronic information applications/software programs. **Preferred Qualifications** + Bilingual English/Spanish. + Certified Case Manager ... social service-related field or LPN licensure in Illinois. + 2 or more years of case management experience. + Experience utilizing Microsoft Word, Excel and Outlook.… more
- Molina Healthcare (Meridian, ID)
- …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
- 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
- CVS Health (Salt Lake City, UT)
- …promote effective utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses ... Motivational Interviewing and engagement interventions to optimize member participation in case management programs. + Completes a Comprehensive Assessment and Plan… more
- Elevance Health (San Francisco, CA)
- **Behavioral Health Case Manager II** **Location:** _Hybrid1:_ This role requires associates be in the office 1 days per week, fostering collaboration and ... is granted as required by law. The **Behavioral Health Case Manager II** is responsible for performing...of the United States required. + Previous experience in case management and telephonic and/or in person… more
- Elevance Health (FL)
- **Behavioral Health Case Manager II** **Location** **- Virtual:** This role enables associates to work virtually full-time, with the exception of required ... **Hours** : 8:00AM -5:00PM (local time) The **Behavioral Health Case Manager II** is responsible for performing...territory of the United States required. Previous experience in case management and telephonic and/or in person… 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
- Boston Health Care for the Homeless Program (Boston, MA)
- …possible Union: No Union Name: Non-union Patient Facing: Yes We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to work on a ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
- CVS Health (Columbus, OH)
- …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
- Humana (Oklahoma City, OK)
- …health. The individual in this role will work as an Oklahoma-based, primarily telephonic care manager , assessing and evaluating enrollees' needs and requirements ... support specialists, SDOH coordinators, and care management support assistants. The Care Manager , Telephonic Physical Health Nurse, work assignments are varied… more
- Humana (Little Rock, AR)
- …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 ... them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- ChenMed (Cincinnati, OH)
- …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 (Springfield, IL)
- …Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments with members. The Field Care Manager serves as the primary ... effective care. Through a holistic, person-centered approach, the Field Care Manager BH remains dedicated to enhancing behavioral health outcomes, reducing care… more