- Optum (El Paso, TX)
- …licensure as a Licensed Social Worker * 2+ years of experience in community health, case management , or clinical care settings * Experience with STAR + PLUS ... performance, and member satisfaction. This role oversees the member's case within the scope of licensure, provides guidance to...care continuum. This position follows a hybrid work from home (WFH) model, with field visits as needed. The… more
- Belle (Atlanta, GA)
- … 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
- 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
- Humana (San Juan, PR)
- …overtime and/or weekends) **Preferred Qualifications** + Health Plan experience + Previous Case Management Experience + Call center or triage experience + ... and help us put health first** This is a Work-At- Home position located in Puerto Rico. You must live...this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' needs and… more
- Humana (Santa Fe, NM)
- …and Excel **Preferred Qualifications** + Bachelor's degree - BSN + Experience with case management , discharge planning, and patient education for adult acute ... and help us put health first** The Care Manager, Telephonic Nurse utilizes clinical nursing skills to support the...Work schedule can be between 8am-6:30pm EST. **Work At Home / Internet Statement:** To ensure Home … more
- UPMC (Pittsburgh, PA)
- …interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of care following ... you! UPMC Health Plan is hiring a full-time Pediatric Telephonic Care Manager to support the Medical Management...2 years of experience in a clinical setting and case management nursing required. + Pediatric nursing… 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
- Humana (Springfield, IL)
- …service-related field or LPN licensure in Illinois. + 2 or more years of case management experience. + Experience utilizing Microsoft Word, Excel and Outlook. + ... and social service agencies and additional community resources. + Experience with case management , discharge planning and patient education for adult acute… more
- Molina Healthcare (TX)
- …and/or Certified Case Manager (CCM). * Hospital discharge planning or home health experience. To all current Molina employees: If you are interested in ... this time, this position is fully remote, working from home , BUT there is a chance that, in the...field to complete assessments on those members on your case load. Preference will be given to candidates with… 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
- ChenMed (St. Louis, MO)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... policies and procedures. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in home and telephonic visits to patients at...may need and to oversee appropriate patient discharge from case management . + Performs clinical and Social… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... upon the department No weekends or holidays **Positon Summary:** Provides case management , care coordination and discharge/disposition planning for inpatient… more
- Highmark Health (Dover, DE)
- …disabilities, or HIV/AIDS population. **Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified ... involves working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will… more
- Axiom Medical (The Woodlands, TX)
- … or related fields. Previous nurse case management or telephonic case management is preferred. Physical Requirements: + Regularly required ... Department ("Nursing"). The NCM is primarily responsible for performing telephonic medical case management for...is the responsibility of the NCM to maintain their home state RN/BSN license and obtain/maintain additional licenses as… more
- Cedars-Sinai (Marina Del Rey, CA)
- …and continuing care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance ... experience in an acute care setting (required). + Minimum of 1year of Case Management experience (preferred). \#LI-On-site \#Jobs-Indeed **Req ID** : 14043… more
- Cedars-Sinai (Marina Del Rey, CA)
- …and continuing care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance ... in an acute care setting (required). + Minimum of 1year of Case Management experience (preferred). \#Jobs-Indeed \#LI-On-site **About Us** Cedars-Sinai is… more
- ChenMed (Houston, TX)
- …the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with ... into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1...to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,… more
- Fallon Health (New Bedford, MA)
- …Non-English speaking, required * Home Health Care experience preferred * Effective case management and care coordination skills and the ability to assess a ... case manages a member panel May conduct in home face to face visits for onboarding new enrollees...a Registered Nurse in Massachusetts **Certification** : Certification in Case Management strongly desired **Other** : Satisfactory… more
- Elevance Health (St. Louis, MO)
- …in an acute care hospital setting, ie ER, ICU, Critical Care preferred. + Prior " telephonic " Case Management experience with a Managed Care Company preferred ... ** Telephonic Nurse Case Manager II** **Sign...Case Manager II** is responsible for performing care management within the scope of licensure for members with… 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
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