- 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 ... outcomes, financial performance, and member satisfaction. This role oversees the member's case within the scope of licensure, provides guidance to non- RN … more
- Belle (Atlanta, GA)
- …cause inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered ... will: + Review documentation from in-home visits + Provide telephonic case management for members...the member experience Experience, Skills, & Personality + Active Registered Nurse ( RN ) license with… more
- Elevance Health (Cincinnati, OH)
- …48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure ... ** Telephonic Nurse Case Manager II**...in acute care setting preferred. + Minimum 2 years' " telephonic " Case Management experience with a… more
- Axiom Medical (The Woodlands, TX)
- …focus on ER, acute injury, triage management or related fields. Previous nurse case management or telephonic case management is preferred. ... Duties: The Intake Nurse Case Manager ("NCM") is an...Department ("Nursing"). The NCM is primarily responsible for performing telephonic medical case management for… 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 ... Job Summary: We are seeking a dedicated and detail-oriented Registered Nurse ( RN ) CaseManager to...enrolled in the CCS program. Key Responsibilities: + Conduct telephonic case management for children… 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 ... team supporting the membership of plan sponsor UPS. The RN Case Manager is responsible for telephonically...face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate… more
- Elevance Health (St. Louis, MO)
- ** Telephonic Nurse Case Manager II**...setting, ie ER, ICU, Critical Care preferred. + Prior " telephonic " Case Management experience with a ... different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II**...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
- Access Dubuque (Dubuque, IA)
- …Services as a Work Comp Nurse Case Manager, where you will provide telephonic case management services to injured employees. This role is ideal for ... Work Comp RN Case Manager **Cottingham & Butler/...cost-effective outcomes, helping individuals achieve maximum improvement. **Qualifications:** + Registered Nurse ( RN ) with a… more
- Access Dubuque (Dubuque, IA)
- …our Dubuque office and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned ... Bilingual RN Case Manager **Cottingham & Butler/...Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions...management services across the continuum of care. The RN Case Manager will assess, plan, implement,… 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 ... AM to 8:00 PM EST. The ** Nurse Case Manager II** is responsible for care management...which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. + Multi-state licensure… 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 (Renton, WA)
- …Manager (CCM) + Diabetic Educator experience + Field-based experience going into homes + Telephonic case management experience + Experience working within a ... + Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part...based safety trainings Qualifications Required Qualifications: + Current, unrestricted RN license in the state of Washington + Ability… more
- Sharecare (Tallahassee, FL)
- …motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management ...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… 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 ... Manages caseload of approximately 50-150 complex and/or rising risk case management patients. + Provide telephonic...and make recommendations for improvement. **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… more
- Elevance Health (Denver, CO)
- ** Telephonic RN Nurse Case Manager I**...of medical benefits, including medical management . The ** Telephonic Nurse Case Manager I** is ... needs. + Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. +… 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 ... Summary The Registered Nurse Care Manager (RNCM) is...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Ventura County (Ventura, CA)
- …and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management ... medical policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of… more
- Molina Healthcare (Louisville, KY)
- … Case Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent computer skills and attention to detail ... For this position we are seeking a ( RN ) Registered Nurse who...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Elevance Health (TX)
- …patients preferred. + Health plan, hospice or home health experience preferred. + Telephonic case management or care coordination experience preferred. ... as required by law_ The **Remote Care Manager - RN ** is responsible for providing telephonic support...care physician (PCP). + Contacts hospice agency to discuss case , verify receipt of order and date/time of visit.… more
- CVS Health (Harrisburg, PA)
- …and engagement skills. **Required Qualifications** + Candidate must have active and unrestricted Registered Nurse ( RN ) licensure in the state of Pennsylvania ... (PA) OR Compact Registered Nurse ( RN ) licensure in...3+ years of nursing experience + 2+ years of case management , discharge planning and/or home healthcare… more
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