• Blue Shield of California (Rancho Cordova, CA)
    …in California. The Medical Director, Operations (Behavioral Health) will report to the Senior Medical Director, Behavioral Health. In this role you will have core ... inpatient concurrent review, pre- and post-service utilization review, and collaboration with Nurse Care Managers.Your WorkIn this role, you will: Review pre- and… more
    JobGet (09/10/24)
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  • RN Transplant Case Manager II…

    Elevance Health (Indianapolis, IN)
    **Anticipated End Date:** 2024-09-19 **Position Title:** RN Transplant Case Manager II ( Telephonic ) **Job Description:** **LOCATION** **: This is a remote ... business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case ...on the team in preparation for advancement to the senior level. Primary duties may include, but are not… more
    Elevance Health (09/06/24)
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  • LVN/LPN or RN Nurse Case Management…

    The Cigna Group (Harlingen, TX)
    …participating provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical services ... * Attend and participate in weekly Complete Health Team rounds * Perform telephonic outreach or home visits, as needed * Communicates with all departments to… more
    The Cigna Group (08/29/24)
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  • Registered Nurse Case Manager

    The Arora Group (Coronado, CA)
    Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager in Coronado, California, to work at Coronado Naval ... Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): + Perform a...Participate in medical provider meetings as dictated by the senior medical officer to provide accurate and up-to-date information… more
    The Arora Group (06/24/24)
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  • Nurse Case Management Sr. Analyst

    The Cigna Group (Bloomfield, CT)
    **The job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.** **For this ... position, Nurse Case Manager Senior Analyst, through the ...effectively communicate to internal and external customers in a telephonic environment.** **Responsibilities** **:** **Establishes a collaborative relationship with… more
    The Cigna Group (09/07/24)
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  • RN SNP Nurse Case Management Sr.…

    The Cigna Group (Bloomfield, CT)
    This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and ... assist those members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and… more
    The Cigna Group (09/07/24)
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  • Senior Medical Management Nurse

    Ventura County (Ventura, CA)
    Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4591361) Apply  Senior Medical Management ... health care services to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing… more
    Ventura County (08/07/24)
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  • Master Profile - Registered Nurse / RN

    Always Best Care Senior Services (Hobe Sound, FL)
    POSITION: Managing Registered Nurse SUPERVISOR: Administrator STATUS: Exempt POSITION REQUIREMENTS: The Registered Nurse (MRN) is responsible for the service ... provided to the clients of Always Best Care Senior Services, (the Agency), and for supervising the delivery...for each client admitted to the Agency. * Provide case management of specifically assigned clients as per Agency… more
    Always Best Care Senior Services (09/01/24)
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  • Senior Claim Representative, Workers…

    Travelers Insurance Company (Independence, OH)
    …to achieve resolution through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery ... claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where… more
    Travelers Insurance Company (09/10/24)
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  • Senior Care Manager (RN)

    Centene Corporation (Tallahassee, FL)
    …reside in Florida to be considered for the role. Hospital and Case Management experiences strongly preferred. Home health experience and utilization management a ... and intake assessments to develop appropriate care plans/service plans + May perform telephonic , digital, home and/or other site outreach to assess member needs and… more
    Centene Corporation (09/07/24)
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  • RN Care Manager

    Boston Health Care for the Homeless Program (Boston, MA)
    …is looking for a Registered Nurse Care Manager (RN) to join a new Senior Care Team aimed at bridging the gap in services for the growing aging homeless ... population. This is an exciting opportunity for a nurse who would like to have a lasting impact... Care Team, working alongside a gerontologist and a case manager to provide specialized care to senior more
    Boston Health Care for the Homeless Program (08/04/24)
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  • Transitional Care Associate

    Banner Health (Tucson, AZ)
    …security officers. As a Transitional Care Associate, you will assist with case management and executing successful discharge planning. This includes coordination of ... Receiving Center and a Nurses Improving Care for Health system Elders-designated senior -friendly hospital. The hospital is staffed by physicians who are full-time… more
    Banner Health (08/08/24)
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