- Elevance Health (Cincinnati, OH)
- …Minimum 2 years' experience in acute care setting preferred. + Minimum 2 years' " telephonic " Case Management experience with a Managed Care Company ... ** Telephonic Nurse Case Manager II** **Location:**...and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
- Belle (Atlanta, GA)
- … Case Manager, you will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate and track referrals to ... of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver...Compact Licensure + 2 years of experience in clinical case management + Experience working with older… more
- Axiom Medical (The Woodlands, TX)
- … or related fields. Previous nurse case management or telephonic case management is preferred. Physical Requirements: + Regularly required ... Axiom's Nursing Department ("Nursing"). The NCM is primarily responsible for performing telephonic medical case management for work-related and… more
- CVS Health (Montgomery, AL)
- …(CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service center experience ... coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
- CVS Health (High Point, NC)
- …Long Term Care, and Infusion nursing. **Preferred Qualifications** -2+ years' experience with Telephonic Case Management -1+ years' experience with all types ... telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs… more
- Amergis (Oxnard, CA)
- …(CCS) team in Oxnard,CA. This is a fully office-based role focused on telephonic case management andmedical eligibility review for pediatric patients ... enrolled in the CCS program. Key Responsibilities: + Conduct telephonic case management for children enrolled in the CCS program. + Perform medical… more
- Elevance Health (Atlanta, GA)
- …+ BS in a health or human services related field preferred. + Experience in telephonic case management , especially for complex and chronic care needs is ... from 11:30 AM to 8:00 PM EST. The **Nurse Case Manager II** is responsible for care management...strongly preferred. + Preferred proficiency with telephonic systems and health information technology. For candidates working… more
- Access Dubuque (Dubuque, IA)
- …Claims Services as a Work Comp Nurse Case Manager, where you will provide telephonic case management services to injured employees. This role is ideal ... Work Comp RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions...outside of a clinical setting. This position is 100% telephonic and requires residency in IA, IL, or WI.… more
- Access Dubuque (Dubuque, IA)
- …our Dubuque office and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned ... Manager** to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager… more
- Somatus (Tucson, AZ)
- …* Diabetic educator experience * ICU, Cardiology or Critical Care experience * Telephonic case management experience * Experience with discharge planning ... ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. **This is… more
- Somatus (Miami, FL)
- …Manager (CCM) + Diabetic Educator experience + Field-based experience going into homes + Telephonic case management experience + Experience working within a ... mental well-being + Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of the interdisciplinary care team. They are… more
- CVS Health (Salt Lake City, UT)
- …promote effective utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + ... Motivational Interviewing and engagement interventions to optimize member participation in case management programs. + Completes a Comprehensive Assessment and… more
- The Cigna Group (Bloomfield, CT)
- **LPN Telephonic Care Coordinator - Bilingual Spanish ( Case Management Analyst) - Evernorth Workplace Care** **Evernorth Workplace Care** offers health care ... Care - Personalized Care Where You Are_** **Licensed Practical Nurse - Bilingual Telephonic Care Coordinator - Evernorth** The program mission is to improve the… more
- Stanford Health Care (Palo Alto, CA)
- …including related bedside visits, post-discharge calls and/or visits to members. Referral to telephonic case management , if appropriate. + High Risk Member ... and procedures Manages caseload of approximately 50-150 complex and/or rising risk case management patients. + Provide telephonic and/or onsite case … more
- Elevance Health (Denver, CO)
- …companies. We are a third-party administrator (TPA) of medical benefits, including medical management . The ** Telephonic Nurse Case Manager I** is responsible ... ** Telephonic RN Nurse Case Manager I**...assessments to identify individual needs and a specific care management plan to address objectives and goals as identified… more
- Ventura County (Ventura, CA)
- …medical policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of ... Senior Medical Management Nurse is responsible for performing utilization review, case management , and quality improvement functions to ensure that members… more
- Sharecare (Tallahassee, FL)
- …motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + ... program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager… more
- Molina Healthcare (Louisville, KY)
- …Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent computer skills and attention to ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …and directing team members to achieve desirable patient outcomes through day-to-day and/ or telephonic case management . The RNCM functions in the Primary ... actively pursuing licensure (may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA… more
- Trinity Health (Troy, NY)
- …outpatient is responsible for the tracking and review of those cases requiring telephonic case management . Tracking is accomplished via computer. ... Pre-authorization and case management is done with reviewers at the Managed Care Organization that is responsible for approving a client's treatment. The… more
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