- UPMC (Pittsburgh, PA)
- … Care Management Team. The team is looking to hire either an RN (as a Telephonic Care Manager ) or a social worker (as a Health Care Manager ). ... with an occasional evening shift as required. The Health Manager ensures continuity and coordination of care ...from a designated UPMC office location daily. + For Telephonic Care Managers + Minimum of 2… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 1, in a telephonic environment, assesses and ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Nurse 1 work assignments are often straightforward and of… more
- 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
- University of Virginia (Charlottesville, VA)
- …base to support the optimal health and wellness of the pediatric patient. Through telephonic outreach, the Licensed Care Manager will communicate with ... The Fortify Cares Licensed Care Manager has the opportunity to leverage clinical expertise in caring for Virginia's most vulnerable children and their families.… more
- Fresenius Medical Center (Irving, TX)
- …team, and knowledge of clinical processes to develop and facilitate coordination of care for value-based program patients via telephonic support. + Leads the ... **PURPOSE AND SCOPE:** Promotes quality patient care , ongoing patient support and case management for...level problems that may arise. + Escalates issues to supervisor/ manager for resolution, as deemed necessary. + Performs other… more
- Elevance Health (Norfolk, 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 . + Ability to talk and type at the...timely fashion. + Minimum 2 years' experience in acute care setting. + Minimum 2 years " telephonic "… more
- Molina Healthcare (Salt Lake City, UT)
- **Job Description** Licensed Social Worker Case Manager residing in the state of UT, will work in remote setting supporting our Medicaid SMI (Severe Mental Illness) ... the state of Utah. You will participate in interdisciplinary care team meetings for our members and ensure they...to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs… more
- Molina Healthcare (IL)
- **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a telephonic Case Manager working with our Medicaid members with complex care ... assist is heart failure; experience working as a case manager for complex cases or with cardiac experiences is...of services we need to provide and managing their care until they are discharged from your service. Preference… more
- Molina Healthcare (IL)
- …in good standing and has experience doing case management/discharge planning in a managed care organization (MCO) like Molina. Hours are Monday - Friday, 8AM - 5PM ... 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
- ICW Group (Woodland Hills, CA)
- …assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical ... procedures set by the Company. + Negotiates appropriate level and intensity of care and disability duration with providers through use of medical and disability… more
- Crawford & Company (FL)
- …* License and national certification reimbursement + This is a work from home telephonic case management position! + No Travel involved! + RN is required! + Compact ... but not limited to Workers' Compensation, Group Health, Liability, Disability, and Care Management. Responsibilities + Reviews case records and reports, collects and… more
- RELX INC (Dayton, OH)
- …in the Miamisburg, Ohio office weekly on Monday & Tuesday. As a Telephonic Account Executive, you will generate new business revenue by selling LexisNexis products ... within the overall sales plan developed by the team manager + Liaising with other departments within LN to...Hospital Indemnity + Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits + Health Savings,… more
- RELX INC (Boca Raton, FL)
- …the top global law and accounting firms. About the role The Account Manager will strategically manage and nurture key client accounts within the Account Management ... Illness, and Hospital Indemnity + Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits + Health Savings, Health Care… more
- Elevance Health (Altamonte Springs, FL)
- …collaborating with healthcare providers and/or pharmacists, as part of the health care team, to drive personalized health management and improve health outcomes for ... medication delivery, claims, co-payments. + Collects co-payments telephonically. + Performs care management activities within the scope of licensure for members with… 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
- 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
- Sharecare (Columbus, OH)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... manner by providing high-quality telephonic Case or Care Management with CareFirst...or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,… more
- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Social Work Care Manager (SWCM) works very closely with Fallon Health Care ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...Health in a positive way. SWCM seeks to establish telephonic and/or face to face relationships with the member/caregiver(s)… 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
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