- Actalent (Los Angeles, CA)
- CALIFORNIA BASED REMOTE RN CASE MANAGER HIRING NOW!! A large nation wide healthcare network is looking for a REMOTE RN case manager to join their team on ... + Clinical experience WHAT'S IN IT FOR YOU: + Remote opportunity + Opportunity for flexible hours + Gain...this role, you will perform accurate and timely clinical review of Member-initiated appeals. + The RNs perform first… more
- CVS Health (Tallahassee, FL)
- …information/data review , conducts comprehensive assessments of referred member's needs/ eligibility and determines approach to case resolution and/or meeting ... policy **Preferred Qualifications** + Crisis intervention skills + Managed care/utilization review experience + Case management and discharge planning experience… more
- CareFirst (Baltimore, MD)
- …Diploma or GED **Experience:** 3 years acute clinical experience, previous case management, discharge planning or utilization review experience. ... and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Medical Review **Equal Employment… more
- Molina Healthcare (Bothell, WA)
- …are seeking a candidate with a WA state LPN licensure. Candidates with case management, Utilization Management (UM), and direct managed care experience are highly ... Monday- Friday 8:00am- 5:00pm PST including rotational Sunday/Holiday coverage. Remote position in Washington State KNOWLEDGE/SKILLS/ABILITIES + Assesses services… more
- Little City Foundation (Palatine, IL)
- Case Manager | Adult Residential Services Job Details Level Experienced Job Location Main Campus - Palatine, IL Remote Type N/A Position Type Full Time Education ... which encompasses all aspects of the participant's life. The Case Manager is responsible for ensuring residents receive direct...Person Centered Plan (PCP) for new admissions, annual PCP review , any subsequent IDT meeting needed prior to annual… more
- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote and employees can live ... - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...Reviews prior claims to address potential impact on current case management and eligibility . - Assessments include… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Quality Review Nurse (RN) is to evaluate clinical quality and procedures within the Clinical Appeals & ... department training. Collaborates with other business units: Utilization Management, Case Management, Claims, Quality Management and Compliance. The Nurse, Quality… more
- CVS Health (Austin, TX)
- …impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility . - Assessments include the member's level of ... care more personal, convenient and affordable. **Position Summary** This Case Manager RN role is with the Costco Team...role is with the Costco Team and is fully remote ; however, candidates must reside within 45 minutes (reasonable… more
- CVS Health (Harrisburg, PA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary:** **The Case Manager RN role is 100% remote work from home and ... + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...Reviews prior claims to address potential impact on current case management and eligibility . + Assessments include… more
- Lowe's (Charlotte, NC)
- …5 years of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a ... **Your Impact** The Care Manager is a telephonic medical case management position with emphasis on early intervention, return to work planning, coordination of… more
- Alight (NJ)
- …5+ years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review . + 2+ years as a ... style. Additionally, demonstrate excellent problem-solving skills when questioned on your case management plans. + Consulting on medical, behavioral health, and… more
- CVS Health (Richmond, VA)
- …impact functionality. * Reviews prior claims to address potential impact on current case management and eligibility . * Assessments include the member's level of ... reimbursed per our company expense reimbursement policy. This is a full-time remote teleworker position in Northern Virginia supporting the Private Duty Nursing/Vent… more
- Veterans Affairs, Veterans Health Administration (White River Junction, VT)
- …a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP ... four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan… more
- US Tech Solutions (Columbia, SC)
- …and have an active and unrestricted SC RN license. + Must have certified case management certification. + Hours/Schedule: 8-430PM M-F. + On Call in weekends every ... less than 6 hours during the weekend assigned. + Remote /Hybrid (depends on the pace of the employee and...to assist other depts. + Strong analytical stills, Each case is a puzzle that needs to be put… more
- CAMBA (Brooklyn, NY)
- …2244 Church Ave, Brooklyn, NY 11226 What The Case Manager Does: + Review all documentation establishing clients' eligibility for program and make file copies ... of clients and clients' families and/or periodic reassessments. + Conduct case conferences prior to finalizing all assessments / reassessments. + Follow-up… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …(EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four ... months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …(EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four ... months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …then consider joining our Devereux Advanced Behavioral Health team! **Being a Blended Case Manager I has its Advantages!** You will be offered: + Interaction with ... ability to work independently and also part of a case management team + Flexible Schedule(mostly during the hours...phone and laptop. Use of company car + Benefit eligibility after 30 days of employment (1st day of… more
- AC Disaster Consulting (Tallahassee, FL)
- …given to candidates local to the worksites. Position Summary: + Job Title: Case Manager + Full Time or Part Time: Full time + Temporary/Seasonal/Regular: Temporary ... + Compensation: $25-30/hour + Travel/Location: Local onsite/ remote hybrid - no travel expenses paid + Temporary positions are not benefits eligible except where… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP ... four months of appointment. Program Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan… more