- Highmark Health (Dover, DE)
- …SUMMARY** **Work from home/Hybrid** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- St. Catherine's Center for Children (Kingston, NY)
- …caregiving families. [ The PRC currently includes contracting for Columbia, Greene, Ulster, and Delaware Counties. ] The Case Manager , working in a team ... documentation, including various assessment forms and short, targeted service plans. The Case Manager provides 1:1 counseling sessions as needed, and… more
- CVS Health (Columbus, OH)
- …holidays, and flexibility as you coordinate the care of your members. + Nurse Case Manager is responsible for telephonically and/or face to face assessing, ... management in one of our counties we serve, Franklin, Delaware , Madison, Pickaway or Union county. We are seeking...case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- UPMC (Media, PA)
- …and policies and procedures, in regards to services. + Utilizes supervision with medical director and clinical manager regularly. + Participates in CQI ... Behavioral Health is seeking a full-time Licensed Professional Care Manager to support the Care Management team in the... to support the Care Management team in the Delaware County area! Community Care Behavioral Health (CCBH) is… more
- CSL Behring (King Of Prussia, PA)
- **Region location: Delaware Valley- DC/Baltimore** The Manager of Field Reimbursement will be responsible for managing the day-to-day tactical field-based ... such as account visits, presentations to healthcare providers and other medical staff. Conduct billing procedure review for home care companies, pharmacies,… more
- CVS Health (Dover, DE)
- …it is preferred that RN license is part of the compact. + Certified Case Manager is preferred. + Demonstrates proficiency with standard corporate software ... coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. **Fundamental… more
- Volunteers of America Delaware Valley (Camden, NJ)
- Program Assistant-HSS (CV39-2) - Homeless Services Division Volunteers of America Delaware Valley is looking to hire a Program Assistant-HSS to join our highly ... and growing team. They will report to a Program Manager and will be trained to become a vital...paperwork and documentation in compliance with Volunteers of America Delaware Valley procedures and funding source requirements. They will… more
- Catholic Charities of the Dioscese of Albany (Albany, NY)
- …offer an extensive benefit package. We are currently hiring a Code Blue Case Manager to work in our Delaware , Otsego & Schoharie Counties agency. As the Blue ... Case Manager , you would be responsible for:...Applicants have rights under Federal Employment Law: Family and Medical Leave Act (FMLA) (https://www.dol.gov/agencies/whd/fmla) Equal Employment Opportunity (EEO)… more
- The Cigna Group (Bloomfield, CT)
- …. Medicare and/or Medicaid experience with geriatric populations a plus . Certified Case Manager preferred . Experience with community resource organizations . ... order to facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of… more
- The Cigna Group (Bloomfield, CT)
- …experience in behavioral health and case management. **Preferred Requirements:** Certified Case Manager . If you will be working at home occasionally or ... general supervision, responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost-effective, quality-based… more
- The Cigna Group (Bloomfield, CT)
- …experience + Medicare and/or Medicaid experience with geriatric populations + Certified Case Manager preferred + Experience with community resource organizations ... order to facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of… more
- The Cigna Group (Bloomfield, CT)
- …an active and unencumbered RN License + Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management. + ... ** Case managers are healthcare professionals, who serve as...in creation of care plan and documents plan in medical management system. + Partners with each customer to… more
- The Cigna Group (El Paso, TX)
- …in a case -management or utilization management position . Certified Case Manager preferred Bi-lingual-Spanish preferred. Basic Mathematical and statistical ... in order to facilitate appropriate healthcare outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of… more
- National Youth Advocate Program (Baltimore, MD)
- …grant from the Office of Refugee Resettlement (ORR), the **Post Release Services (PRS) Case Manager Level 2** provides Level 2 post release services including ... visits across region 3. Travel may vary and the region covers Delaware , District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia. Applicants can… more
- BAYADA Home Health Care (Newark, DE)
- **We have a Full Time** **Registered Nurse Case Manager ** **opportunity available now doing visits with our** **Hospice Office in New Castle County** **.** ... the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …position is open to current permanent employees of the Syracuse VA Medical Center and associated community-based outpatient clinics only Responsible and accountable ... process and initiatives as well as customer service programs. The Nurse Case Management (CM) Registered Nurse (RN) is responsible for providing competent,… more
- The Cigna Group (Bloomfield, CT)
- …which is a Band 3 Senior Contributor Career Track Role.** For this position, Nurse Case Manager Senior Analyst, through the case management process, will ... members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate,...and resolve problems through effective decision making. Experience in medical management and case management in a… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and ... members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate,...resolve problems through effective decision making + Experience in medical management and case management in a… more
- The Cigna Group (Bloomfield, CT)
- …areas, customers, and providers **Summary description of position:** This position, the Nurse Case Manager Senior Analyst, through the case management ... members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate,...resolve problems through effective decision making + Experience in medical management and case management in a… more
- The Cigna Group (Bloomfield, CT)
- …in TruCare and ICMS systems** **Within four (4) years of hire as a case manager will possess a URAC-recognized certification in case management.** ... **Nurse Case Management Lead Analyst -Remote -Full-Time** **Bilingual in...(plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate… more