- Sedgwick (Hartford, CT)
- …place to 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… more
- The Cigna Group (Bloomfield, CT)
- … case manager will possess a URAC-recognized certification in case management. + Excellent communication skills including telephonic (verbal) and digital ... **Position Scope** ** Case managers are healthcare professionals, who serve as...partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with… 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, monitor and evaluate options and services to meet an individual's… more
- The Cigna Group (Bloomfield, CT)
- …in participating provider practices. + Identifies high-risk/high-cost patients for case management intervention. + Interfaces with providers of medical services ... participate in weekly Complete Health Team rounds -market dependent. + Perform telephonic outreach. + Communicates with all departments to resolve issues or document… more
- The Cigna Group (Bloomfield, CT)
- …Behavioral Telephonic Consultation + Confide Services Assessment + Brief Case Management + Utilization Management **Duties and Responsibilities:** + Assess the ... As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and...CN & S team works on a queue, taking telephonic calls in the moment, as well as scheduled… more
- Evolent Health (Hartford, CT)
- …active duties as part of daily responsibilities. - **Required** + Certification In Case Management - **Preferred** + Prior Telephonic Experience - **Preferred** ... **What You Will Be Doing:** + This RN Care Manager The RN CM will be providingremote and in...nursing OR 3-5 years of nursing experience, preferably in case management, discharge planning, home health , ambulatory care,chronic… more
- The Cigna Group (Bloomfield, CT)
- …after hour on-call coverage with other providers on the team; + Working with telephonic /office nurse care coordinators and case managers; + Working with ... admissions + Leverage the support of care team such as: nurse care manager , behavioral health, social work, and pharmacy to meet patients' medical, biopsychosocial,… more
- The Cigna Group (Bloomfield, CT)
- …and financial outcomes and support trend management. + Collaborates with case management, behavioral clinician, Medical Director, and member's provider to provide ... rates versus 30-day, driving utilization of home delivery through pharmacy benefits manager (PBM). + Provides clinical consultation and drug information to matrix… more
- CVS Health (Hartford, CT)
- …Primary Care/Geriatric, Oncology -Managed Care and Medicare experience -Previous telephonic coaching, education or case management experience -Excellent ... into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting… more