- Somatus (Mclean, VA)
- …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... telephonically as the need arises. **This is a fully remote role where compact licensure is strongly preferred.** **The...or Critical Care experience + Telephonic case management experience + Experience with… more
- Belle (Atlanta, GA)
- …inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care. ... 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
- Sedgwick (Carson City, NV)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… 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 ... interaction with resources appropriate for their care and wellbeing. The Care Manager , Telephonic Nurse's work assignments are varied and frequently require… more
- Molina Healthcare (TX)
- …Preferred Qualifications * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). * Hospital discharge planning or home ... occurs smoothly, At this time, this position is fully remote , working from home, BUT there is a chance...field to complete assessments on those members on your case load. Preference will be given to candidates with… more
- CVS Health (Jefferson City, MO)
- …the medical needs of the member to facilitate the member's overall wellness. This Case Manager RN role is 100% remote , and the employee can live in any state ... weekends or holiday shifts required at this time. The Case Manager RN is responsible for telephonically...and health needs based on key questions and conversation. ** Remote Work Expectations** + This is a 100% … more
- CVS Health (Jefferson City, MO)
- …communication and available resources to promote optimal, cost-effective outcomes. This Case Manager RN role is 100% remote , and the employee can live in ... or holiday shifts required at this time. The Care Manager utilizes a collaborative process of assessment, planning, facilitation...involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge… 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 ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… 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
- 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** : Onsite in Dubuque,...and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for… more
- PruittHealth (Albany, GA)
- …with current, unrestricted license in state of practice (Georgia) required. * Certified Case Manager preferred - Mandatory to apply for CCM certification when ... to the following: Following Implementation: * Conduct in-home and telephonic assessment and data collection with patients and caregivers...Ability to work independently and be self-motivated in a remote environment * Manage assigned case load… more
- CVS Health (Columbus, OH)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** This RN Case Manager role is 100% remote and the employee can live in ... less than 5% may be required in the event of clinical audits. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning,… more
- CVS Health (Midland Park, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Technical Skills** + ... Sussex, Union and/or Warren County New Jersey** **Position Summary** The care manager is responsible for assessing and evaluating members with potential care… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career Area: Health Services About Blue ... If you are ready to make a difference, join us. The Impact You Will Have The Case Manager is a critical component of BCBSMN Care Management team as the primary… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About ... and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will...3 years of starting in the position * Excellent telephonic skills * Keen business skills * Excellent communication… more
- CVS Health (Trenton, NJ)
- …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... to residents of Essex and Mercer Counties._** **Position Summary** The care manager is responsible for assessing and evaluating members with potential care… more
- Ochsner Health (New Orleans, LA)
- …Nurse (RN) License in the state of practice. Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency in using ... attributed to the organization and its Network of partner providers. Uses the case management process to assess the healthcare needs of the enrollee, identify… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About ... of care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and tools. Care Advocacy… 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
- Sharecare (Jackson, MS)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
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