- CVS Health (Phoenix, AZ)
- …role is Monday-Friday 8:30a-5p in time zone of residence. **Position Summary** This RN Case Manager position is 100% remote and candidates can apply from ... licensure state, however, that is not required. The RN Case Manager is responsible...license in state of residence. If located within the Nurse Licensure Compact jurisdiction, the ability to use their… more
- Sedgwick Government Solutions (Orlando, FL)
- Job Details Medical Case Manager Team Lead ( Remote ) 2024-1369 Orlando, FL, USA Medical Case Management Full Time Description ** Remote Medical Case ... in the lives of injured workers. As a Medical Case Manager Team Lead, you will work...Nursing Diploma + Unrestricted Current State Registered Nurse License + National certification in case … more
- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- Molina Healthcare (Omaha, NE)
- …position will be supporting our Nebraska State plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare ... of MS Suite, strong organizational, and time management skills is highly preferred. The Case Manager must have the ability to work in a high-volume environment… more
- Actalent (Atlanta, GA)
- …to think critically and problem-solve To be considered for this role you must possess a Registered Nurse ( RN ) license in the state of Georgia, a minimum of ... orders, care paths, etc. for patient care. Required Skills RN - State of GA or Compact required 4+...hospital setting Additional Skills & Qualifications The successful Inpatient Case Manager will have excellent interpersonal and… more
- Highmark Health (Harrisburg, PA)
- …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Austin, TX)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... desired outcomes through assessment and evaluation. **Requirements** + Active and unrestricted Registered Nurse with active licensure in state of residence. +… more
- Trinity Health (Ann Arbor, MI)
- …Trinity Health Senior Communities is hiring a dedicated ** Registered Nurse ( RN ) Clinical Case Manager ** for our Skilled and Sub-Acute Rehabilitation ... necessary services. Candidate must be Michigan based Position is remote however some travel may be required **Responsibilities:** +...to maintain patient care quality and continuity. **Qualifications:** + Registered Nurse ( RN ) with an… more
- Molina Healthcare (Macon, GA)
- …Suite, organized and analytical thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume environment. ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- McLaren Health Care (Flint, MI)
- We are looking for a Case Manager RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... in the medical management of members in assigned product lines, including case specific and disease management programs, including catastrophic cases. Works with the… more
- CVS Health (Albany, NY)
- …deliver solutions to make health care more personal, convenient and affordable. **This Case Manager RN position is 100% remote and the employee can live ... as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment… more
- CVS Health (Baton Rouge, LA)
- …make health care more personal, convenient and affordable. **Position Summary** This Case Manager RN position is 100% remote , and the employee can live ... as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment… more
- CVS Health (Harrisburg, PA)
- …make health care more personal, convenient and affordable. **Position Summary** **This Case Manager RN position is 100% remote and the employee can live ... as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment… more
- CVS Health (Columbus, OH)
- …deliver solutions to make health care more personal, convenient and affordable. This Case Manager RN position is 100% remote and the employee can live in ... as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment… more
- Molina Healthcare (Arlington, VA)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case ... and field setting supporting our Medicaid Population with. Case Manager will be required to physically...+ Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing… more
- CVS Health (Jersey City, NJ)
- …to make health care more personal, convenient and affordable. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in ... and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face...home health or ambulatory care + Active and Unrestricted RN license in NJ + Willing and able to… more
- Molina Healthcare (SC)
- **JOB DESCRIPTION** RN Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of ... South Carolina. Case Manager will be required to communicate...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- CVS Health (High Point, NC)
- …to make health care more personal, convenient and affordable. **Position Summary:** The Case Manager RN position is 100% remote and employees can live in ... on a volunteer basis. There is no travel expected with this position. This Case Manager RN position is part of Aetna's Commercial Care Management division… more
- Molina Healthcare (Alexandria, VA)
- … Manager who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our SMI ... (Severe Mental Illness) Medicaid Population with. Case Manager will be required to physically...assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required… more