- Highmark Health (St. Paul, MN)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- Summary The Assistant Nurse Manager collaborates with the ...level degree in Nursing may have opportunity to become registered as a nurse with a state ... evaluation of care delivered by nursing staff. The Assistant Nurse Manager is also responsible for contributing...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Humana (St. Paul, MN)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for assigned beneficiaries… more
- Sharecare (St. Paul, MN)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Highmark Health (St. Paul, MN)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Gilead Sciences, Inc. (St. Paul, MN)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- CVS Health (St. Paul, MN)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution… more