- Conduent (CA)
- …una cultura donde la individualidad se nota y valora todos los dias. **Bilingual RN Telephonic Case Management Analyst** **About the role:** As a Clinical ... Services Manager - RN Telephonic Case Management , you will ensure optimum recovery on every claim while establishing trust, providing education, delivering… more
- Elevance Health (Richmond, VA)
- …Minimum 2 years' experience in acute care setting preferred. + Minimum 2 years " telephonic " Case Management experience with a Managed Care Company preferred. ... **" Telephonic " Nurse Case Manager II** **Location:...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
- Commonwealth Care Alliance (Springfield, MA)
- …3-5 years meaningful clinical experience in community case management , EAP, telephonic case management or primary care. + Experience with a Medicare ... and appropriate scope of practice. + Provide regularly scheduled telephonic calls to support the management of...telephonic based setting, home health or acute care case management . + BH: LCSW/ /LMFT with… more
- CVS Health (Raleigh, NC)
- …basis approximately 2-3 times per quarter. Preferred Qualifications: - 2+ years' experience with Telephonic Case Management - 1+ years' experience with all ... telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs… more
- CVS Health (Phoenix, AZ)
- … Manager (CCM) certification - Managed Care experience - Home Care experience - Telephonic case management and/or telephonic customer service center ... coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
- CVS Health (Annapolis, MD)
- …Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Telephonic case management and/or telephonic experience - Med Surge ... coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
- Sedgwick Government Solutions (Orlando, FL)
- …a highly skilled team of home-based **Nurse Case Manager (NCM)s** providing telephonic case management , focused on supporting individuals in _maximizing ... Overview Are you looking to make a difference by providing high-quality case management with a personal touch that impacts the lives of members of… more
- Actalent (Ontario, CA)
- …and KP physicians. *Float department (if needed): Special Needs Department (SNP), provide telephonic case management *Certificates required: RN license The ... Description: *Responsibilities: Extended Care Coordinator, provide comprehensive case management for patient at skilled nursing facilities including coordination… more
- CVS Health (Lansing, MI)
- …travel up to 10% of the time for face to face visits.This role is a telephonic clinical case management position working with our Medicaid population. Use of ... and engaged in interventions that optimize member participation in case management programs.Behavioral Health Case ... telephonic outreach and documentation in a clinical case management platform. Required Qualifications * 3+… more
- Travelers Insurance Company (St. Paul, MN)
- …Openings** 3 **What Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early ... in established guidelines. + Customer Engagement. + Participate in Telephonic and/or onsite File Reviews. + Respond to inquiries...injured worker apprised of claim status. + In-person medical case management may be required to support… more
- CVS Health (Harrisburg, PA)
- …to 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
- CVS Health (Richmond, VA)
- …cases.- Participate in QI activities including data collection, tracking, and analysis. Telephonic clinical case management .- Uses Motivational Interviewing ... and engagement interventions to optimize member participation in case management programs.- Completes a Comprehensive Assessment and Plan of care.- Will document… more
- WellSpan Health (York, PA)
- …occupational action plans for injured/ill System employees. Provides internal workers' compensation telephonic case management and medical record review. ... Summary Performs a variety of administrative duties to support Workers' Compensation case management and program management . Provides administrative support… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …and directing team members to achieve desirable patient outcomes through day-to-day and/or telephonic case management . This position will also involve ... directing team members to achieve desirable patient outcomes through day-to-day and/or telephonic case management . The RN Care Coordinator assists with the… more
- Kepro (Chicago, IL)
- …Management (CCM). + Analytical, reporting, and data management skills. + Telephonic case management and/or triage experience. + Knowledge of ... + Supervising and managing the day-to-day activities of the assigned case management and utilization review teams. + Mentoring, coaching, and training team… more
- Marriott (Columbus, OH)
- …a foremost concern in this position. **SCOPE/EXPECTED CONTRIBUTIONS** **Scope** + Provides telephonic case management of associates with occupational ... Managers. **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization review issues. + Refer… more
- HCR Home Care (East Syracuse, NY)
- …staff, as directed . + Create Aide Care Plans, when needed . + Assist with Telephonic Case Management , as needed . + Perform chart audits, when requested ... + Act as liaison to assist in appropriate ongoing management of care; ensure appropriate plans and interventions are...or orders that do not seem appropriate . Conduct case conferences (informal or supervisory) to discuss patient issues… more
- Fresenius Medical Center (Waltham, MA)
- PURPOSE AND SCOPE: Promotes quality patient care, ongoing patient support and case management for Fresenius Medical Care (FMCNA) renal patient population ... and external) by providing guidance, support, care coordination, education and other case management functions as defined by the pertinent program. Manages… more
- Centene Corporation (Tallahassee, FL)
- …appeals function. + Assist Medical Services staff with computer systems issues related to case management . + Conduct telephonic review of cases with doctors, ... **Position Purpose:** Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to… more
- Elevance Health (Atlanta, GA)
- ** Telephonic Nurse Case Manager I - $3000...Nurse Case Manager I** is responsible for telephonic care management within the scope of licensure ... assessments to identify individual needs and a specific care management plan to address objectives and goals as identified...at the same time preferred. + Certification as a Case Manager is preferred. + Demonstrate critical thinking skills… more
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