• Medical Case Manager

    Highmark Health (Harrisburg, PA)
    …Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
    Highmark Health (10/05/24)
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  • Case Manager , BH (LICSW, LMFT, LMHC…

    Molina Healthcare (Worcester, MA)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... or home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** + Certified Case Manager (CCM), **PHYSICAL DEMANDS:** Working environment is… more
    Molina Healthcare (11/13/24)
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  • Registered Nurse Case Manager

    Molina Healthcare (Grand Island, NE)
    …of MS Suite, strong organizational, and time management skills is highly preferred. The Case Manager must have the ability to work in a high-volume environment ... to better serve our members. The Case Manager will conduct outreach calls to...Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical more
    Molina Healthcare (11/17/24)
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  • Registered Nurse / Case Manager

    aptihealth (Clifton Park, NY)
    …working hours and lots of freedom in your work habits Your Role The Registered Nurse Case Manager team at AptiHealth is pivotal to the success of our Case ... aptihealth is a digital technology platform with an affiliated medical group that makes it easier for people to...support to our patients and our providers. The RN Case Manager will assist with assessing patient… more
    aptihealth (11/13/24)
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  • Registered Nurse Case Manager

    Molina Healthcare (Wilmington, MA)
    …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Home Care experience** **Bilingual ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
    Molina Healthcare (11/14/24)
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  • Registered Nurse Case Manager , LTSS…

    Molina Healthcare (Nampa, ID)
    …of MS Suite, strong organizational, and time management skills is highly preferred. The Case Manager must have the ability to work in a high-volume environment ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (11/03/24)
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  • Registered Nurse Case Manager

    Molina Healthcare (MI)
    …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
    Molina Healthcare (11/17/24)
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  • Remote Telephonic Case

    Molina Healthcare (Salt Lake City, UT)
    …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
    Molina Healthcare (09/01/24)
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  • Registered Nurse Case Manager

    Molina Healthcare (Tacoma, WA)
    …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Behavioral Health experience** To all ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
    Molina Healthcare (10/16/24)
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  • Bilingual PRS Intensive Case Manager

    National Youth Advocate Program (Columbus, OH)
    …the Office of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on ... This position is remote but requires in home visits across region...and intensive case management. The PRS Intensive Case Manager Level 3 will additionally connect… more
    National Youth Advocate Program (10/24/24)
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  • Case Manager , BH ( Remote

    Molina Healthcare (Biloxi, MS)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
    Molina Healthcare (10/12/24)
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  • Case Manager RN ( Remote )

    CVS Health (Harrisburg, PA)
    …computer skills including navigating multiple systems and keyboarding + Certified Case Manager + Demonstrates proficiency with standard corporate software ... more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States...case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
    CVS Health (11/16/24)
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  • Bilingual PRS Level 2 Case Manager

    National Youth Advocate Program (Columbus, OH)
    …grant from the Office of Refugee Resettlement (ORR), the **Post Release Services (PRS) Case Manager Level 2** provides Level 2 post release services including ... This position is remote but requires in home visits across region...Competitive salaries and full benefits package including a 401(k), Medical , Dental, and Vision. + Pet insurance that provides… more
    National Youth Advocate Program (10/17/24)
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  • Case Manager I ( Remote )

    Fresenius Medical Center (Casa Grande, AZ)
    …procedures to ensure timely resolution + Works with the applicable clinical manager (s) to accommodate shift requests post first treatment, when available + Serve ... EDUCATION: + BA or BS degree required (Extensive healthcare experience in case management or nephrology/dialysis/patient care may be considered in lieu of Bachelor… more
    Fresenius Medical Center (11/02/24)
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  • RN-Oncology Nurse Case Manager

    The Cigna Group (Bloomfield, CT)
    **(RN) Non-Premium Oncology Nurse Case Manager ** ** Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and ... in creation of care plan and documents plan in medical management system. + Partners with each customer to...+ Within four (4) years of hire as a case manager will possess a URAC-recognized certification… more
    The Cigna Group (11/19/24)
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  • Case Manager RN, IN - Remote

    McLaren Health Care (Indianapolis, IN)
    We are looking for a Case Manager RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... This includes but is not limited to the following: participates in the medical management of members in assigned product lines, including case specific… more
    McLaren Health Care (11/16/24)
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  • Case Manager RN ( Remote )

    CVS Health (Columbia, SC)
    …Planning and/or Home Healthcare Coordination experience **Preferred Experience** + Certified Case Manager + Excellent analytical and problem-solving skills. + ... and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. + Develops… more
    CVS Health (11/01/24)
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  • RN Case Manager - NICU-…

    The Cigna Group (Bloomfield, CT)
    …an active and unencumbered RN License + Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management. + ... **Position Scope** ** Case managers are healthcare professionals, who serve as...in creation of care plan and documents plan in medical management system. + Partners with each customer to… more
    The Cigna Group (11/05/24)
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  • Supervisor of Behavioral Health Case

    AmeriHealth Caritas (Greenville, SC)
    **Supervisor of Behavioral Health Case Workers - RN / BSN ( REMOTE / SC UPSTATE)** Location: Greenville, SC Primary Job Function: Medical Management ID**: ... of quality and compliance. Under the guidance of the Manager , Integrated Care Management, you'll oversee the daily operations...management programs. As the direct Supervisor of a skilled, remote / field based Team of Case more
    AmeriHealth Caritas (10/26/24)
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  • Case Management Processor ( Remote

    Molina Healthcare (TX)
    …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... as needed. + Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services. +… more
    Molina Healthcare (11/16/24)
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