- Staffing Now (Carson City, NV)
- …expertise to ensure our members are directed to the appropriate level of care . Will be Responsible for managing psychiatric and substance abuse or substance abuse ... disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Will use appropriate screening criteria knowledge… more
- Accounting Now (Carson City, NV)
- …disorder facility-based and outpatient professional treatment health benefits through telephonic or written review Will use appropriate screening criteria knowledge ... of experience with complex psychiatric/substance abuse cases requiredPrior managed care experience requiredFor URAC accredited areas, the following professional… more
- Careers Integrated Resources Inc (Summit, NJ)
- …health disparities. . Conduct Assessments and Develop Plans: Perform screenings, create care plans, and offer telephonic /virtual support. . Ensure Effective ... Summary: . Collaborate with a multidisciplinary team to deliver high-quality, patient-centered care . . Address social determinants of health to support safe care… more
- ICONMA (Los Angeles, CA)
- Provide nursing care for occupational and non-occupational injuries and illnesses via the following methods: symptomatic treatment, medical assessment, first aid, ... services to plasma center locations throughout the US. Perform telephonic triage of injury events to determine the level...triage of injury events to determine the level of care needed for the injured worker. Responsible in conjuction… more
- Humana (Columbus, OH)
- …require interpretation and independent determination of the appropriate courses of action. + The Care Manager , Telephonic Nurse 2 employs a variety of ... SkillBridge Internship or Hiring our Heroes Military Spouse Fellowship. The Care Manager , Registered Nurse, RN, Intern will utilize Humana's Medicaid training… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... resources appropriate for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social… more
- AmeriHealth Caritas (Detroit, MI)
- …to a single point of contact for member questions or inquiries in coordination with telephonic care manager and other members of CCMT; + Conducts in-home ... **Community Care Manager Senior, BSN** Location: Detroit, MI Primary Job Function: Medical Management ID**: 34507 **Job Brief** Visits members in Wayne county to… more
- Elevance Health (Houston, TX)
- …48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of licensure ... ** Telephonic Nurse Case Manager Senior** **Location:...timely fashion. + Minimum 2 years' experience in acute care setting preferred. + Minimum 2 years " telephonic… more
- Elevance Health (GA)
- …criteria._** The ** Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of licensure for members with complex ... ** Telephonic Nurse Case Manager I -...** Telephonic Nurse Case Manager I - $3000 Sign-On Bonus Offered** **Location:...and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and… more
- Elevance Health (Indianapolis, IN)
- ** Telephonic Nurse Case Manager II** **Location:...will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management ... within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating … more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our… more
- RELX INC (Dayton, OH)
- …model creators for each individual legal use case.About the Role As an Associate Telephonic Client Manager , you will manage revenue growth by selling LexisNexis ... offer:- Comprehensive, multi-carrier health plan benefits- Disability insurance- Dependent care and commuter spending accounts- Life and accident insurance-… more
- CenterWell (Carson City, NV)
- …understanding of how organization capabilities interrelate across department(s). Humana's Primary Care Organization is one of the largest and fastest growing ... value-based care , senior-focused primary care providers in the...seeking an dynamic, experienced Nurse Practitioner to lead our Telephonic Nurse Triage program. The Associate Director, Advanced Practice… more
- The Cigna Group (Bloomfield, CT)
- …Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **JOB TITLE:** Case Management Lead Analyst (Licensed ... Telephonic Counselor) **JOB BAND:** 3 **DEPARTMENT:** Clinical Operations-Clinical **UNIT/SECTION:** 24/7 Military OneSource, Non-medical Counseling **REPORTS TO:**… more
- Elevance Health (Mason, OH)
- …benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is very beneficial for ... of licensure assess, develop, implement coordinate, monitor, and evaluate care plans designed to optimize member health care...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Salt Lake City, UT)
- …We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… 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
- 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
- Centene Corporation (Oklahoma City, OK)
- …MUST RESIDE IN THE STATE OF OKLAHOMA.** **POSITIONS ARE REMOTE/WORK FROM HOME TELEPHONIC CARE MANAGEMENT FOR TANIF AND MEDICAID EXPANSION MEMBERS.** **WORK ... OR WEEKEND WORK.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
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