• Complex Case Manager RN

    Highmark Health (Phoenix, AZ)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (11/20/24)
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  • Case Manager RN

    CVS Health (Phoenix, AZ)
    …make health care more personal, convenient and affordable. **Position Summary** This Case Manager RN position is 100% remote , no travel is expected with ... hour shift between 7am to 5pm Arizona time** The Nurse Case Manager is responsible...**Required Qualifications** + Must have active, current and unrestricted RN licensure in state of residence and have the… more
    CVS Health (01/10/25)
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  • Lead, Auditor ( RN ) Appeals & Grievances…

    Molina Healthcare (Chandler, AZ)
    …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... be discussed during our interview process. This is a remote position. Work hours: Monday- Friday: 8:00am -5:00pm. Michigan...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
    Molina Healthcare (01/13/25)
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  • Care Manager RN - Weekends…

    Highmark Health (Phoenix, AZ)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (01/07/25)
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  • Medical Case Manager

    The Hartford (Scottsdale, AZ)
    …settings, or current experience as a disability case manager . + Registered Nurse ( RN ) preferred, will consider candidates with LPN and disability/ ... Medical Case Manager - CT08GE We're determined...Medical Case Manager - CT08GE We're determined to make a...Information: + This role can have a Hybrid or Remote work arrangement. Candidates who live near one of… more
    The Hartford (01/07/25)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Phoenix, AZ)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
    Highmark Health (12/12/24)
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  • Care Manager - Remote

    Sharecare (Phoenix, AZ)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
    Sharecare (12/04/24)
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  • Health Partner Remote Hybrid

    Banner Health (Phoenix, AZ)
    …best evidence available and may participate in research activities within clinical / case manager practice. Participates in unit or facility- based workgroups. ... our team members many career and lifestyle choices including remote & hybrid work options. If you're looking to...(AHCCCS) adult population. You will be working with an RN to manage members in their home setting. This… more
    Banner Health (12/11/24)
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  • Senior Manager , PV Operations

    Takeda Pharmaceuticals (Phoenix, AZ)
    …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
    Takeda Pharmaceuticals (01/10/25)
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