• Field Case Manager

    Sedgwick (Kalamazoo, MI)
    …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager ... the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or graduate degree in health or...nurse #fieldcasemanager **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face… more
    Sedgwick (03/15/25)
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  • Vocational Field Case Manager

    Sedgwick (Cincinnati, OH)
    …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Vocational Field Case Manager **This Field Case ... + Reviews all medical records, clarifies medical issues with field case management or medical providers and...and/or Certified Disability Management Specialist (CDMS), COHN, CCM , Registered Nurse ( RN ), CRRN or… more
    Sedgwick (01/31/25)
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  • Field Case Manager , Ltss…

    Molina Healthcare (Fort Worth, TX)
    **JOB DESCRIPTION** Opportunity for Texas licensed RN to join Molina as a Case Manager working with our Medicaid members in the Central Fort Worth (Tarrant ... + Active, unrestricted State Registered Nursing license ( RN ) in good standing + If field ...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
    Molina Healthcare (03/22/25)
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  • Field Case Manager RN

    CVS Health (Pittsburgh, PA)
    …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... computer skills including navigating multiple systems and keyboarding + Certified Case Manager is preferred. + Additional national professional certification… more
    CVS Health (03/07/25)
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  • Field Case Manager RN

    CVS Health (Bloomington, IL)
    …make health care more personal, convenient and affordable. **Position Summary** **This is a field based position with 50-75% of travel to meet members face to face ... evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and… more
    CVS Health (03/12/25)
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  • Complex Nurse Field Case

    CVS Health (Jeffersontown, KY)
    …make health care more personal, convenient and affordable. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members through ... to facilitate and support the member's improved health. The Case Manager develops a proactive course of...network management and clinical coverage policies. This is a field -based position that requires routine regional in-state travel 80-90%… more
    CVS Health (03/08/25)
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  • SRS - Case Manager - San Diego…

    Sharp HealthCare (San Diego, CA)
    …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... experience, preferably in a Managed Care setting. + California Registered Nurse ( RN ) - CA...+ Bachelor's Degree in Nursing or in health related field . + Certified Case Manager more
    Sharp HealthCare (03/20/25)
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  • Manager II Hcms (Utilization…

    Elevance Health (Washington, DC)
    …of Columbia is required. **Preferred Qualifications:** + Masters in related Health/Nursing field preferred. + Certified Case Manager Certification preferred. ... Manager ll HCMS - Utilization and Case...CM direct reports. **Minimum Requirements:** + BA/BS in Nursing field and minimum of 6 years of experience as… more
    Elevance Health (02/15/25)
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  • Case Manager ( Field Travel…

    Molina Healthcare (Milwaukee, WI)
    …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
    Molina Healthcare (03/15/25)
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  • Bilingual Case Manager

    CVS Health (Tallahassee, FL)
    …we do it all with heart, each and every day. **Position Summary** Bilingual English/Spanish Nurse Case Manager is responsible for face to face and/or ... Degree ( RN ) (REQUIRED) + Bachelor's Degree (BSN) (PREFERRED) + Registered Nurse with current unrestricted Florida compact state licensure **Anticipated… more
    CVS Health (03/19/25)
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  • Case Manager Registered

    CVS Health (Springfield, IL)
    …proprietary applications** **Preferred Qualifications** + Managed care experience **Education** + Registered Nurse with active state license in good standing ... + Candidate must have an active and unrestricted Illinois RN license + 3-5 years clinical practical experience +...region where job duties are performed (REQUIRED) + Certified Case Manager (PREFERRED) **Anticipated Weekly Hours** 40… more
    CVS Health (03/15/25)
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  • RN Ambulatory Care Manager

    Corewell Health (Ada, MI)
    …patient data, plan, interventions and outcomes according to department guidelines. Qualifications + Registered Nurse ( RN ) - State of Michigan Upon Hire ... within 7 years for those who start in this RN role on or after January 1, 2017 (Spectrum...and or case management/managed care or related field Preferred + Case Manager ,… more
    Corewell Health (01/27/25)
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  • RN Care Manager

    Corewell Health (Niles, MI)
    …years of relevant experience clinical nursing and or case management/managed care or related field + LIC- Registered Nurse ( RN ) - STATE_MI State of ... experience clinical nursing and or case management/managed care or related field + CRT- Case Manager , Certified (CCM) - CCMC Commission for Case more
    Corewell Health (03/04/25)
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  • Case Manager RN

    CVS Health (Perrysburg, OH)
    …schedule, paid holidays, and flexibility as you coordinate the care of your members. Nurse Case Manager is responsible for telephonically and/or face to ... office such as: Word, Excel, and outlook) **Education** Associate's Degree or higher Registered Nurse **Anticipated Weekly Hours** 40 **Time Type** Full time… more
    CVS Health (03/04/25)
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  • Case Manager RN

    CVS Health (Sarasota, FL)
    …care coordination experience + Ability to occasionally travel 25% within Sarasota, FL + Registered Nurse with active state license in good standing within the ... where job duties are performed is required. **Preferred Qualifications** + Certified Case Manager is preferred. + Excellent analytical and problem-solving skills… more
    CVS Health (03/19/25)
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  • Case Manager RN

    Somatus (Rochester, NY)
    …supporting teammates physical and mental well-being + Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of ... based safety trainings Qualifications Required Qualifications: + Current, unrestricted RN license in the state of New York +...higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience + Field more
    Somatus (03/12/25)
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  • Case Manager RN

    CVS Health (Hamilton, OH)
    …schedule, paid holidays, and flexibility as you coordinate the care of your members. + Nurse Case Manager is responsible for telephonically and/or face to ... EST. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This opportunity… more
    CVS Health (03/21/25)
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  • Case Manager RN

    CVS Health (Trenton, NJ)
    …radius from applicants' home). Standard Working hours Monday - Friday 8-5 pm **ICM Case Manager RN ** **WFH Flexible** **Position Summary:** Help us elevate ... clinical practice experience + Must have active and unrestricted RN licensure in the state of NJ + Willing...within 50 miles of Essex. **Preferred Qualifications:** + Certified Case Manager is preferred. + Minimum 2+… more
    CVS Health (03/08/25)
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  • Clinical Case Manager , RN

    CVS Health (Miami, FL)
    …to promote effective utilization of available resources and optimal, cost-effective outcomes. The Case Manager RN is responsible for driving and supporting ... more personal, convenient and affordable. **Position Summary** The Care Manager RN is responsible for driving and...of prior claims to address potential impact on current case management and eligibility. . Creates a holistic approach… more
    CVS Health (03/08/25)
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  • Registered Nurse ( RN

    Prime Healthcare (Gadsden, AL)
    …for a per diem, day shift Registered Nurse ( RN ) Case Manager ...higher in a related field + Alabama Registered Nurse ( RN ) License + at ... Regional Medical Center (RRMC) is hiring for a per diem, day shift Registered Nurse ( RN ) Case Manager role! The RN Case Manager assists… more
    Prime Healthcare (02/03/25)
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