- 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. ... or home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Case Manager (CCM), **PHYSICAL DEMANDS:** Working environment is… more
- Molina Healthcare (IL)
- **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a telephonic Case Manager working with our Medicaid members with complex care ... members you will assist is heart failure; experience working as a case manager for complex cases or with cardiac experiences is our preference. Telephonically,… more
- Molina Healthcare (Salt Lake City, UT)
- **Job Description** Licensed Social Worker Case Manager residing in the state of UT, will work in remote setting supporting our Medicaid SMI (Severe Mental ... to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- ICW Group (Woodland Hills, CA)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... + Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life,… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 1, in a telephonic environment, assesses and evaluates ... for the care and wellbeing of members. The Care Manager , Telephonic Nurse 1 work assignments are...bilingual (English/Spanish)** + 2+ years of relevant experience + Licensed Practical Nurse (LPN) in Puerto Rico or equivalent… more
- UPMC (Pittsburgh, PA)
- …Allegheny County Care Management Team. The team is looking to hire either an RN (as a Telephonic Care Manager ) or a social worker (as a Health Care Manager ). ... with an occasional evening shift as required. The Health Manager ensures continuity and coordination of care for Health...provider issues and recommendations for improvement. + Contact potential case management members to determine if there is a… more
- CenterWell (Atlanta, GA)
- …as assigned. **Use your skills to make an impact** **Required Qualifications** + ** Licensed Registered Nurse (RN) with compact state licensure in state of residence ... (no hotspot, DSL or satellite)** **Preferred Qualifications** + **Experience with case management, discharge planning and patient education for adult acute care**… more
- Molina Healthcare (Lancaster, 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 (KY)
- …will be given to those applicants who have previous experience working as a case manager /discharge planner within a managed care organization (MCO) like Molina. ... **Job Description** Opportunity open for a KY licensed Social Worker (LCSW, LPC, LPCC, LMFT) to...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Elevance Health (Washington, DC)
- Social Work Case Manager ( licensed clinician) JR130923 **Location** : Must reside within 50 miles (and 1 hour commute) of our Washington DC office, located ... work up to 4 days in our local DC office. The **Social Work Case Manager ** is responsible for ensuring effective psychosocial intervention, positively impacting… more
- Geisinger (Danville, PA)
- Job Summary An Enhanced Member Supports Unit (EMSU) LPN Case Manager is a healthcare professional who is responsible for providing support and patient-centered ... complex pediatric and pregnant members. Job Duties + Performs onsite and telephonic review to evaluate needs and determine appropriate management. + Meets regulatory… more
- Molina Healthcare (Woodbridge, VA)
- … 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 with. 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
- Travelers Insurance Company (Phoenix, AZ)
- …what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this ... Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on...be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face… more
- Molina Healthcare (Nampa, ID)
- …Suite, organized and analytical thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume environment. ... to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Molina Healthcare (West Roxbury, MA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... or home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Case Manager (CCM), **PHYSICAL DEMANDS:** Working environment is… more
- Molina Healthcare (Biloxi, MS)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs...**O** **C** **I** **A** **TI** **O** **N** **:** Certified Case Manager (CCM), **PHY** **S** **I** **C**… more
- ChenMed (Maple Heights, OH)
- …in community case management experience highly desired. + Certified Case Manager certification is preferred. Certification through the Commission for ... multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community Care nurses, Community Social... Case Manager Certification (CCMC) or the American… more
- AmeriHealth Caritas (Dover, DE)
- …clinical support to his/her non- licensed counterparts and may act as a secondary case manager when a member is experiencing an acute episode. + Conducts ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS… more
- Highmark Health (Dover, DE)
- …**Preferred** + One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + ... settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines,… more
- CVS Health (Springfield, IL)
- …for quarterly meetings in Chicago/Downer's Grove area.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving and ... cost-effective outcomes. **Position Responsibilities:** ** ** + Responsible for telephonic and/or face to face assessment, planning, implementing and coordinating… more