- Highmark Health (Harrisburg, PA)
- …PA/Dauphin County area members. 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
- Sedgwick Government Solutions (Dallas, TX)
- Job Details RN Telephonic Triage Nurse Case Manager ( Remote ) 2025-1395 Dallas, TX, USA Medical Case Management Full Time Description **RN Telephonic ... Triage Nurse Case Manager ** - ** Remote Nation...Nursing preferred. + 5 years related clinical experience in medical case management, workers' compensation, occupational health,… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- Summary This Remote Patient Monitoring - Home Telehealth Case Manager is in the Connected Care service at the Togus VA Medical Center, located at the ... Patient Monitoring (RPM) Home Telehealth (HT) Registered Nurse (RN) Case Manager executes position responsibilities that demonstrate beginning leadership… more
- Molina Healthcare (Syracuse, NY)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... have active behavioral health license * 2+ years in case management, disease management, or medical or...case management or home health experience. * Certified Case Manager (CCM) To all current Molina… more
- Mindoula Health (Slidell, LA)
- Our team is seeking a Case Manager to work with us in New Orleans, Louisiana and surrounding areas. Locations: New Orleans, Metairie, Gretna, Harvey, and Slidell ... front-line roles in delivering our Population Health Program. Our Case Manager works closely with Mindoula's members...members in the community to understand their behavioral and medical health conditions, as well as their social determinants… more
- Molina Healthcare (Midvale, 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
- Sharp HealthCare (San Diego, CA)
- …Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Professional (AHA BLS Healthcare) - American Heart Association; Certified Case Manager (CCM) - Commission for ...other clinical staff members and the review of the medical record.All notes are dated, time and if a… more
- TORKLAW (CA)
- …TorkLaw personal Injury law firm is looking for a motivated, self-starter to fill a Case Manager position. Our Case Managers are responsible for handling the ... commitment with opportunities to grow. Key Responsibilities As a Case Manager , you will be involved in... Treatment Coordination: Facilitate and oversee the coordination of medical treatments, ensuring client welfare. + Case … more
- Molina Healthcare (Queens, 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
- National Health Care Associates (Wethersfield, CT)
- …9-5 job PCC and NetHealth experience preferred **What You'll Do:** As a Regional Case Manager , you will play a vital role in advocating for short-term ... passion for ensuring positive patient outcomes, consider joining our team as a Regional Case Manager ! Make a real difference in people's lives in an organization… more
- Actalent (Mcallen, TX)
- Job Title: RN Case ManagerJob Description As an RN Case Manager , you will provide support to medical , behavioral, and social support staff to determine ... modification and management of care plans in collaboration with medical consenter or caregiver, family, and managing physician, if...degree in nursing + 1-2 years of experience in Case Management or Home Health + Proficient computer skills… more
- Health Plans, Inc. (Manchester, NH)
- …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 of ... 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 (Yonkers, NY)
- …environment. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical... case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + 3-5… more
- Ochsner Health (New Orleans, LA)
- …Registered Nurse license in state of practice. Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified ... specific care setting order by the physician and applies hospital approved medical necessity criteria to review appropriate admissions and levels of care. Documents… more
- CVS Health (Columbus, OH)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for… more
- Amergis (Gulfport, MS)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in...in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable… more
- Molina Healthcare (San Jose, CA)
- …needed. + Processes requests within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. + ... School of Nursing. **Required Experience** 3+ years hospital acute care/ medical experience. **Required License, Certification, Association** Active, unrestricted State… more
- Molina Healthcare (Bothell, WA)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... as needed. + Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services. +… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the interdisciplinary team to plan, ... evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care… more
- CVS Health (Union, NJ)
- …50 to 75% travel in Union County and surrounding counties. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more