- Trillium Community Health Plan (Portland, OR)
- …a Bachelor's degree in Nursing and 2 - 4 years of related experience. License/Certification: RN - Registered Nurse - State Licensure and/or Compact State ... specialists to ensure member has timely access to needed care or services May perform telephonic , digital,...For YouthCare Illinois plan only: Bachelor's Degree and IL RN licensure required. Must reside in IL For Sunshine… more
- Aveanna Healthcare (Oshkosh, WI)
- Position Overview : The Registered Nurse Home Health is responsible for providing and documenting skilled nursing care in accordance with the developed ... automobile insurnace Preferred: Medicare Skilled Nursing experience Basic understanding of Oasis 1-year RN experience in a health care setting HHH As an employer… more
- Delaware First Health (Seaford, DE)
- …state of Delaware. Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members ... to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health… more
- Aveanna Healthcare (Bradenton, FL)
- …because Inclusion is an Aveanna Core Value Tuition discounts and reimbursement Requirements: Registered Nurse licensure in the state of practice or Physical ... Real DifferenceOne Patient at a Time Now HIring: Clinical Manager , Home Health Similar experience is needed. This role...the oversight of the agencys growth related to home care . Serves as the clinical expert and assists with… more
- UPMC (Pittsburgh, PA)
- …work from home? UPMC Health Plan is looking for you! We are hiring a full-time Telephonic Care Manager to join the Home and Community-Based Services (HCBS) ... work remotely, standard daylight hours, Monday through Friday The Telephonic Care Manager is responsible...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… 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 ... diagnosis of ASD, as defined by the ACD. The ** Telephonic Care Manager (Autism ...A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; +… more
- Molina Healthcare (Austin, TX)
- …and supports (LTSS), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Opportunity for a TX licensed RN with experience working in women's health; specifically,...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Humana (San Juan, PR)
- …in 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' ... appropriate for their care and wellbeing. The Care Manager , Telephonic Nurse...pass language proficiency tests in both languages) + Active RN license without restrictions in Puerto Rico + Active… more
- Humana (Oklahoma City, OK)
- …SDOH coordinators, and care management support assistants. The Care Manager , Telephonic Physical Health Nurse , work assignments are varied but ... with primarily physical health needs. The Care Manager , Telephonic Physical Health Nurse ,...**Required Qualifications** + Must reside in Oklahoma. + Active Registered Nurse ( RN ) license, Licensed… more
- CVS Health (Columbus, OH)
- …of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social ... Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS)...regulatory requirements within specified timelines. . Consults with the Care Manager RN within the… more
- CVS Health (Jackson, MS)
- …of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social ... Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS)...regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the… more
- Humana (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …base to support the optimal health and wellness of the pediatric patient. Through telephonic outreach, the Licensed Care Manager will communicate with ... + GENERAL SUMMARY + The Fortify Licensed Care Manager has the opportunity to...regulatory and accreditation requirements. + LICENSES AND/OR CERTIFICATIONS + Registered Nurse with current, unrestricted Virginia license… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +...Facing:** ☒ YES: The job has in-person contact (not telephonic /virtual) with CCA members or patients as part of… more
- Belle (Atlanta, GA)
- …Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care . In this role, you will play ... satisfaction for both members and their caregivers. As a Nurse Case Manager , you will: + Review...the member experience Experience, Skills, & Personality + Active Registered Nurse ( RN ) license with… more
- Ochsner Health (New Orleans, LA)
- …case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... the healthcare needs of the enrollee, identify barriers to care , develop a comprehensive treatment plan complete with specific...Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency… more
- Banner Health (Phoenix, AZ)
- …of a bachelor's degree in case management or health care . Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... Our Care Management staff is seeking an RN Case Manager to work closely with...is a full-time position, Monday-Friday 8a-5p.** **This role requires telephonic , home visits, and televisit platforms. It is fully… more
- CVS Health (Raleigh, NC)
- …more compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special ... + Meets regulatory requirements within specified timelines. + The Care Manager RN supports other...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- Commonwealth Care Alliance (Springfield, MA)
- …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately… more
- Molina Healthcare (TX)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Opportunity for TX licensed RN to join our DSNIP team to work...applicable software program(s) proficiency. Preferred Qualifications * Transitions of care sub-specialty certification and/or Certified Case Manager … more
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