- Sedgwick (Providence, RI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- CVS Health (Providence, RI)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Humana (Providence, RI)
- …every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent ... and receives guidance where needed. Follows established guidelines/procedures The Care Manager Telephonic Nurse employs a variety of strategies, approaches… more
- Humana (Providence, RI)
- …MSN degree + Case Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... and help us put health first** The Compact licensed telephonic Care Manager works from home in...homes. Our nurses are called Care Managers, because our case management services are centered on the person rather… more
- Fallon Health (New Bedford, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... plan Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric Support Service… more
- Fallon Health (Worcester, MA)
- …quality. **Brief Summary of Purpose:** The Accountable Care Organization (ACO) Behavioral Health Case Manager (BHCM) is an integral part on an interdisciplinary ... Partner sites managing member care. BHCM seeks to establish telephonic and/or face to face relationships with the member/caregiver(s)...+ Manages ACO members in conjunction with the Nurse Case Manager , Navigator, Social Care Managers, ACO… more
- Sharecare (Providence, RI)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Elevance Health (Boston, MA)
- ** Manager , Behavioral Health Services, Massachusetts Behavioral Health Help Line** **Hours:** Sun - Thurs 4pm - 12:30am **Location:** 200 State St. Boston, ... employment, unless an accommodation is granted as required by law. The ** Manager , Behavioral Health Services** is responsible for supporting and mentoring the… more
- Fallon Health (Milford, MA)
- …to coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note: ... member and their status. The Navigator seeks to establish telephonic and face to face (depending upon product and...other data which may indicate a need for Nurse Case Manager involvement and assessment + Assists… more