- Highmark Health (Annapolis, MD)
- …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
- AmeriHealth Caritas (Washington, DC)
- …is eligible for a $4,000.00 sign on bonus.;** **Responsibilities:** The Care Manager II ( Registered Nurse /Licensed Independent Clinical Social Worker) ... complex medical needs appropriate for care coordination and case management services in achieving their optimal level of...Required for RN candidates: Current and unrestricted Registered Nurse licensure in the District of… more
- AmeriHealth Caritas (Washington, DC)
- …DC 20024.;** + Bachelor's degree required. BSN preferred. + Current and unrestricted Registered Nurse license in the District of Columbia is required in ... us at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the Manager , Integrated Care Management (ICM), the Supervisor, ICM is responsible… more
- Humana (Annapolis, MD)
- …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 (Annapolis, MD)
- …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
- Elevance Health (Hanover, MD)
- ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… more
- Gilead Sciences, Inc. (Washington, DC)
- …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 (Annapolis, MD)
- …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