- AmeriHealth Caritas (Dover, DE)
- …other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are ... when evaluating the need for a member to remain in the program. The Clinical Case Manager will also provide clinical support to his/her non-licensed… more
- Highmark Health (Dover, DE)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Highmark Health (Dover, DE)
- …year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... community based position requiring frequent travel within the assigned territory in DE . The incumbent will travel to members' homes, nursing facilities, and other… more
- Highmark Health (Dover, DE)
- …community based position requiring frequent travel within the assigned territory in DE . The incumbent will travel to members' homes, nursing facilities, and other ... services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal and/or external customers… more
- Cardinal Health (Dover, DE)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... **_What Clinical Operations and Individualized Care contributes to Cardinal...for complex payer/pharmacy issues toward a positive outcome to de -escalate + Proactive follow-up with various contacts to ensure… more