- Highmark Health (Harrisburg, PA)
- …Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Molina Healthcare (Bothell, WA)
- …**This position will be supporting our Washington State program. We are seeking a Case Manager with one of the following licensures: BCBA (preferred) LCSW, LMHC, ... 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 (Vancouver, WA)
- …social service needs, possess community resources, and health promotion experience. The Case Manager must be comfortable with outreach initiatives to educate ... 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 (Spokane, WA)
- …knowledge/experience is highly preferred. Proficient knowledge of MS Suite is very helpful. The Case Manager must be able to work in a high-volume environment.** ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Waltham, MA)
- …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Home Care experience** **Bilingual: Spanish, ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
- Molina Healthcare (Bronx, NY)
- …Supports (** **LTSS) is highly preferred. Strong organizational and time management skills. The Case Manager must have the ability to work in a high-volume ... + **Bilingual** **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Bronx, NY)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
- Molina Healthcare (Salt Lake City, UT)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital ( Remote In Wisconsin) **Cost Center:** 301351004 ... Mon-Fri; day shifts (United States of America) **Job Description:** **JOB SUMMARY** The RN Case Manager serves as part of the collaborative care team, addressing… more
- Molina Healthcare (Bronx, NY)
- …and Supports (LTSS) is highly preferred. Strong organizational and time management skills. The Case Manager must have the ability and be comfortable to working ... **Bilingual** **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
- Molina Healthcare (Seattle, WA)
- …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Behavioral Health experience** To all ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
- National Youth Advocate Program (Fresno, CA)
- …the Office of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on ... This position is remote but requires in home visits across region...and intensive case management. The PRS Intensive Case Manager Level 3 will additionally connect… more
- National Health Care Associates (Wethersfield, CT)
- …We invite you to join our team! **-** **What You'll Do:** As a Regional Case Manager , you are responsible for conducting concurrent chart review of medications ... + Collaborate with treatment team to create a patient-centered case of medical necessity and rationale for...patient outcomes, consider joining our team as a Regional Case Manager ! Make a real difference in… more
- National Youth Advocate Program (Jacksonville, FL)
- …grant from the Office of Refugee Resettlement (ORR), the **Post Release Services (PRS) Case Manager Level 2** provides Level 2 post release services including ... This position is remote but requires in home visits across region...Competitive salaries and full benefits package including a 401(k), Medical , Dental, and Vision. + Pet insurance that provides… more
- Health Plans, Inc. (Portland, ME)
- …a passion to take it on. Not just a job-a mission. What you'll do The Case Manager is responsible for the coordination of services and cost effective management ... including information about the role of HPI and the Case Management program + Telephonically assess members referred for...+ We offer our employees flexible work arrangements including remote and hybrid options (depending on the position) +… more
- Molina Healthcare (Seattle, WA)
- …Clinical Social Worker (LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education and Promotion (CHEP) ... **_Further details to be discussed during our interview process._** ** Remote position with field travel in Seattle, Tacoma or...or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical… 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
- CVS Health (Carson City, NV)
- …Planning and/or Home Healthcare Coordination experience **Preferred Experience** + Certified Case Manager + Excellent analytical and problem-solving skills. + ... and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. + Develops… more
- CVS Health (Albany, NY)
- …it is preferred that RN license is part of the compact. + Certified Case Manager + Bilingual desired (English/Spanish or English/Russian) + Confidence working at ... coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. **Fundamental… more
- Healthfirst (NY)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which...concurrent, and retrospective reviews to evaluate the appropriateness and medical necessity of treatments and service utilizations based on… more