• Complex Case Manager

    Highmark Health (Phoenix, AZ)
    …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
    Highmark Health (11/20/24)
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  • Case Manager RN

    CVS Health (Phoenix, AZ)
    …deliver solutions to make health care more personal, convenient and affordable. **Position Summary:** This RN Case Manager role is part of Aetna One Advocacy ... is delivered today. We are health care innovators. The RN Case Manager is responsible...based on key questions and conversation. **Required:** - A Registered Nurse that must hold an unrestricted… more
    CVS Health (12/08/24)
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  • Case Manager RN

    CVS Health (Phoenix, AZ)
    …solutions to make health care more personal, convenient and affordable. **Position Summary:** **The Case Manager RN role is 100% remote work from home ... team.** **No travel is expected with this position.** The RN Case Manager is responsible...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
    CVS Health (01/16/25)
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  • RN Transition of Care Coach - OH Licensure

    Molina Healthcare (Phoenix, AZ)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/19/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Phoenix, AZ)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/18/25)
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  • Care Manager - Remote

    Sharecare (Phoenix, AZ)
    …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
    Sharecare (01/17/25)
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  • Health Partner Licensed Master Social Worker…

    Banner Health (Phoenix, AZ)
    …Services (AHCCCS) adult population. You will be working in a partnership with a Registered Nurse to support in their homes. This member population does have ... be responsible to manage members with high risk, chronic complex conditions, rising risk, and acute conditions in the...available and may participate in research activities within clinical / case manager practice. Participates in unit or… more
    Banner Health (12/11/24)
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  • Sr Field Reimbursement Manager - HIV…

    Gilead Sciences, Inc. (Phoenix, AZ)
    …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
    Gilead Sciences, Inc. (01/11/25)
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