• Remote Telephonic Case

    Molina Healthcare (WA)
    …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... OH, KY, and SC. This position will have a case load and manage members enrolled in this program....fast-paced position and productivity is important. This is a Remote position, home office with internet connectivity of high… more
    Molina Healthcare (11/07/24)
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  • Telephonic Case Manager

    Molina Healthcare (IL)
    …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... **JOB DESCRIPTION** **Exciting remote , telephonic opening for a Social...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
    Molina Healthcare (11/02/24)
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  • Telephonic Case Manager

    Sedgwick (Columbus, OH)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
    Sedgwick (10/18/24)
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  • Opioid and Pain Management Case

    The Cigna Group (Bloomfield, CT)
    …services available allowing them to identify and service each individual's needs. The case manager offers Specialty Care Management services that utilize a ... use issues or chronic pain management issues_** . The case manager will utilize a coaching approach...+ Performs care management for specialty programs in a telephonic customer- facing environment which involves utilizing a coaching… more
    The Cigna Group (10/15/24)
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  • RN- Nurse Case Manager -Chronic…

    The Cigna Group (Bloomfield, CT)
    case manager will possess a URAC-recognized certification in case management. + Excellent communication skills including telephonic (verbal) and digital ... **Position Scope** ** Case managers are healthcare professionals, who serve as...partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with… more
    The Cigna Group (11/07/24)
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  • RN Case Manager (El Paso/…

    Actalent (Alvarado, TX)
    …experience working with individuals with chronic illnesses, comorbidities, and/or disabilities as a case manager . + 1+ year experience working in a community ... RN Case Managers Needed Near El Paso! (fully- remote...care continuum. Key Responsibilities: + Conduct holistic member evaluations ( telephonic and face-to-face) + Develop and manage individualized care… more
    Actalent (11/05/24)
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  • Case Manager RN - Remote

    Actalent (Santa Barbara, CA)
    …unit assignment, the HPNC may perform utilization management activities, which may include telephonic or onsite clinical review; case or disease management, care ... + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote opportunity + Gain experience with a leading healthcare organization Description: The… more
    Actalent (11/06/24)
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  • Medical Case Manager - Pennsylvania…

    Highmark Health (Harrisburg, PA)
    …**ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic interviewing and communication with external contacts. + Communicate ... effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other...departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists,… more
    Highmark Health (10/05/24)
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  • Nurse (RN) Case Management Lead Analyst…

    The Cigna Group (Austin, TX)
    case manager will possess a URAC-recognized certification in case management.** **Excellent communication skills including telephonic (verbal) and digital ... **Nurse Case Management Lead Analyst - Remote -Full-Time** **Required Work Hours: Must be flexible to work an 8-hour shift between the business operating hours of… more
    The Cigna Group (08/30/24)
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  • (RN) Nurse Case Management Lead Analyst…

    The Cigna Group (Pittsburgh, PA)
    case manager will possess a URAC-recognized certification in case management.** **Excellent communication skills including telephonic (verbal) and digital ... required to meet business needs. Must be open to work evenings.** **Nurse Case managers are healthcare professionals, who serve as customer advocates to coordinate,… more
    The Cigna Group (11/07/24)
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  • Registered Nurse Case Manager

    US Tech Solutions (Columbia, SC)
    …+ A typical day would like in this role: Employee will be providing telephonic case management for our members. + Past job instability. Registered nurses ... more of RECENT clinical experience. + Strong communication skills required to provide telephonic case management to patients and to coordinate with team,… more
    US Tech Solutions (10/18/24)
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  • Case Manager RN

    CVS Health (Raleigh, NC)
    …goals? We are looking for full-time RN's to join our team, in the role of Telephonic Case Manager . RN Case Managers will guide members telephonically ... convenient and affordable. **Position Summary** The Case Manager RN position is 100% remote and...per Quarter) **Preferred Qualifications** - 2 years experience with Telephonic Case Management - Multiple State RN… more
    CVS Health (11/07/24)
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  • Clinical Case Manager Behavioral…

    CVS Health (Lansing, MI)
    …: Monday - Friday, 8:00 am - 5:00 pm EST. This role is a telephonic clinical case management position working with our Medicaid population. Use of Motivational ... and affordable. **Position Summary** : This is a fulltime remote position with requirement to reside in Michigan. Potential...and procedures. + Majority of time is spent on telephonic outreach and documentation in a clinical case more
    CVS Health (11/01/24)
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  • Behavioral Health Case Manager

    Molina Healthcare (Richmond, VA)
    Manager who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our SMI ... (Severe Mental Illness) Medicaid Population. Case Manager will be required to physically...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
    Molina Healthcare (11/07/24)
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  • Licensed Social Worker - Behavioral Health…

    Molina Healthcare (Scranton, SC)
    **JOB DESCRIPTION** Licensed Social Worker Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population ... in the state of South Carolina. Case Manager will be required to communicate...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
    Molina Healthcare (11/02/24)
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  • BH Case Manager Lead

    Elevance Health (FL)
    **BH Case Manager Lead** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. The **BH Case Manager Lead** is responsible for coordinating...schools and adolescents strongly preferred. + Extensive experience in case management and telephonic and/or in person… more
    Elevance Health (11/02/24)
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  • Clinical Case Manager DE Long Term…

    AmeriHealth Caritas (Wilmington, DE)
    **Clinical Case Manager DE Long Term Services...Castle county. He or she contributes to the LTSS case management process by performing telephonic and/or ... DE Primary Job Function: Medical Management ID**: 37947 **Job Brief** The Clinical Case Manager will support LTSS member for the DSHP (Delaware) Candidates… more
    AmeriHealth Caritas (10/18/24)
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  • Clinical Case Manager Behavioral…

    CVS Health (Phoenix, AZ)
    …promote effective utilization of available resources and optimal, cost-effective outcomes. * Telephonic clinical case management with Medicare population. * Uses ... make health care more personal, convenient and affordable. **Position Summary** **Fully remote role in USA.** **Standard business hours Monday-Friday. No nights, no… more
    CVS Health (11/07/24)
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  • Lowes Care Nurse - Case Manager

    Lowe's (Charlotte, NC)
    **Your Impact** The Care Manager is a telephonic medical case management position with emphasis on early intervention, return to work planning, coordination ... 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 clinical… more
    Lowe's (10/30/24)
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  • Case Manager RN

    CVS Health (Little Rock, AR)
    …cost-effective quality care for members. + This position consists of working intensely as a telephonic case manager with patients and their care team for ... personal, convenient and affordable. **Position Summary** **This is a remote work from home role anywhere in the US...Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… more
    CVS Health (11/05/24)
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