- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital ( Remote In Wisconsin) **Cost Center:** 301351004 MfdHos- ... (United States of America) **Job Description:** **JOB SUMMARY** The RN Case Manager serves as...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- University of Miami (Miami, FL)
- …Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote . The incumbent conducts initial, ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- Molina Healthcare (Spokane, WA)
- …will be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare ... Proficient knowledge of MS Suite is very helpful. The Case Manager must be able to work...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Waltham, MA)
- …funded health plans for members who reside in Massachusetts. We are looking for Registered Nurse Case Managers with strong organizational and time management ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Molina Healthcare (Bellevue, WA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Behavioral Health experience** **SUD… more
- Kepro (WV)
- …dedicated to being a vital partner for health solutions in the public sector. Acentra seeks an RN Case Manager to join our growing team. Job Summary: The ... Case Manager , RN , will contribute...duties as assigned. Requirements Required Qualifications/Experience: + Current, unrestricted Registered Nurse licensure for the State of… 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 ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
- Actalent (Mcallen, TX)
- Urgent Hiring for RN Case Manager in Mc Allen, Texas *Must be located in Mc Allen, Texas* Job Description: + Provide support to medical, behavioral, and ... clinical nursing experience in home health, hospice, managed care or case management is Mandatory + Active RN license in the state of Texas is Mandatory +… more
- Highmark Health (Harrisburg, PA)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Health Plans, Inc. (Portland, ME)
- …years' clinical experience in behavioral health + Active, current and unrestricted professional licensure Registered Nurse ( RN ) in MA, ME, NH, or state of ... Not just a job-a mission. What you'll do The Case Manager is responsible for the coordination...+ We offer our employees flexible work arrangements including remote and hybrid options (depending on the position) +… 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 expand DSNP into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and… more
- Molina Healthcare (Bronx, NY)
- …supporting our Complex Adult Case Management program . We are seeking a Registered Nurse with previous Case /Care Management and managed care experience. ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- CVS Health (Austin, TX)
- …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... outcomes. **Required Qualifications** + Must possess active and unrestricted compact RN licensure in state of residence. California licensure preferred + Minimum… more
- Molina Healthcare (Chicago, IL)
- **_REGISTERES NURSE CASE MANAGER REMOTE / FIELD_** **_Candidates must reside and must be willing to travel by car within COOK COUNTY, ILLINOIS._** ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Molina Healthcare (Belvidere, IL)
- ** CASE MANAGER REMOTE / FIELD** **We...the state of ILLINOIS for consideration.** **We can consider a RN ( Registered Nurse ), or Social Worker ... are seeking a CASE MANAGER , Long Term Supports and Services for ILLINOIS....+ Required License, Certification, Association + Active, unrestricted State Registered Nursing license ( RN ) in good standing… 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 ... 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
- Highmark Health (Columbus, OH)
- …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
- Henry Ford Health System (Detroit, MI)
- …working in a fun and dynamic environment? Join our team as a Registered Nurse ( RN ) Case Manager ! Who We're Looking For: Passionate, compassionate, ... + Innovative Team Structure: Benefit from our new dyad Social Work/ RN Case Manager model and remote utilization review setup, allowing you to excel in… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. **Position Summary:** This RN Case Manager role is 100% remote and the employee can live in ... less than 5% may be required in the event of clinical audits. The RN Case Manager is responsible for telephonically and/or face to face assessing, planning,… 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...as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST… more