- Highmark Health (Hartford, CT)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Somatus (Hartford, CT)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...and physicians. This position will be working closely with complex renal patients in their home, dialysis center, by… more
- The Cigna Group (Bloomfield, CT)
- …maintain clinical expertise and certification as appropriate. **Minimum requirements:** Active unrestricted Registered Nurse ( RN ) license in state or ... of two years full-time direct patient care as an RN required. **Preferred requirements:** + Experience working with NICU...+ Within four (4) years of hire as a case manager will possess a URAC-recognized certification… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Manager , through the case management process, will promote the improvement of health outcomes to members. Also assist those members ... experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate,...situations, clients and customers. **Minimum requirements:** + Active unrestricted Registered Nurse ( RN ) license in… more
- Evolent Health (Hartford, CT)
- …care across multiple settings and with multiple providers - Required + Current Registered Nurse license - Maryland or Compact License - **Required** + ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...this population. **What You Will Be Doing:** + This RN Care Manager The RN … more
- Sedgwick (Hartford, CT)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer 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
- Hartford HealthCare (Hartford, CT)
- …providing high quality safe care. Under the direction and general supervision of the Nurse Manager , the Case Coordinator utilizes evidence based practices in ... of APC patients and subsequent discharges, assist with transitioning complex case /high risk patients in collaboration with...guidelines . Partner with PCP and care team (clinic nurse , social work, psych, etc.) for high risk/ complex… more
- Evolent Health (Hartford, CT)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- The Cigna Group (Bloomfield, CT)
- …duties as assigned. Qualifications + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/ Manager of Appeals… more
- CVS Health (Hartford, CT)
- …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