- CVS Health (Newark, DE)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... if needed, company will provide. + Bachelor's degree preferred. + Certified Case Manager is preferred. + Additional national professional certification (CRC,… more
- AmeriHealth Caritas (Dover, DE)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS ... a member to remain in the program. The Clinical Case Manager will also provide clinical support...Physical health Care Coordination program **Education/Experience:** + Delaware licensed RN or LCSW required. + Valid driver's license required… more
- Highmark Health (Dover, DE)
- …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
- Gilead Sciences, Inc. (Wilmington, DE)
- …will improve the lives of patients with life-threatening illnesses worldwide. The **Sr.** ** Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a ... patients receive the necessary treatments without unnecessary delays. This is a field -based role supporting the Philadelphia South area; candidates must be able to… more
- Highmark Health (Dover, DE)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Takeda Pharmaceuticals (Dover, DE)
- …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