- Crawford & Company (FL)
- … case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and ... medical status, identifies needs and obstacles to medical case resolution and RTW by providing...and one of the below: + Certification as a case manager from the URAC-approved list of… more
- Molina Healthcare (OH)
- …into the program. We are looking for Registered Nurses who have experience doing telephonic case management. Working with manage care population and/or case ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Sedgwick (Columbus, OH)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **Must hold an active OH RN license ... THE ROLE:** While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a… more
- Molina Healthcare (Salt Lake City, UT)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
- Humana (Tampa, FL)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments...of utilization, conduct outreaches based on acuity to assess medical /social/BH needs and address gaps in case ;… more
- CenterWell (Atlanta, GA)
- …and complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to a ... (no hotspot, DSL or satellite)** **Preferred Qualifications** + **Experience with case management, discharge planning and patient education for adult acute care**… more
- Molina Healthcare (Lansing, MI)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- Travelers Insurance Company (St. Paul, MN)
- …loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided ... Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with...be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face… more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director, Case Manager , Preventive Services, Subrogation, Quality ... + A typical day would like in this role: Employee will be providing telephonic case management for our members. + Past job instability. Registered nurses… more
- CVS Health (Harrisburg, PA)
- …EST **Preferred Qualifications:** + Compact RN License or Multi state licensure + Certified Case Manager (CCM) + Telephonic case management and/or ... care more personal, convenient and affordable. **Position Summary** **This Case Manager RN position is 100% remote...plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case… more
- CVS Health (Harrisburg, PA)
- …EST or CST **Preferred Qualifications** - Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Telephonic case management and/or ... care more personal, convenient and affordable. **Position Summary** This Case Manager RN position is 100% remote,...plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case… more
- National Youth Advocate Program (Bolingbrook, IL)
- …trainings/education + Why Work with Us? Exciting Benefits and Opportunities at NYAP The Case Manager is responsible for the completion and submission of timely ... compliant with ORR Policy and NYAP's CQI Team. The Case Manager I is required to maintain...pre staffing process with multidisciplinary team of professionals including case managers, clinical counselors, medical coordinators and… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... (EFMP) families. + Plan for professional growth and development as related to the case manager position and maintenance of CM certification. + Establish cost… more
- Kepro (Oakland City, IN)
- …for health solutions in the public sector. Acentra is looking for an RN Complex Case Manager - Hybrid (Southwest Indiana Counties: Gibson, Pike, Warrick) to join ... our growing team. Job Summary: The RN Complex Case Manager will: + Provide in-home, in-person...coordination in defined areas of coal mine states and telephonic care coordination across the United States. An integrated… more
- CVS Health (Tallahassee, FL)
- … Management - Strong telephonic communication skills - Certified Case Manager (CCM) certification **Education:** Associates Degree required BSN preferred ... more personal, convenient and affordable. **Position Summary** The RN Case Manager is responsible for telephonically and/or...case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Blue KC (Workman, MN)
- …Certification within 3 years of hire date or within 3 years of transferring into the Case Manager role + Membership of local Case Management Society of ... medical /surgical; transitions of care; discharge planning, home health, case management + Comfortable case managing members...Determinants of Health needs. + Current certification as Certified Case Manager **Blue Cross and Blue Shield… more
- 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 ... care more personal, convenient and affordable. **Position Summary** The Case Manager RN position is 100% remote...per Quarter) **Preferred Qualifications** - 2 years experience with Telephonic Case Management - Multiple State RN… more
- Elevance Health (Clinton, MD)
- Behavioral Health Case Manager ll - Clinical License (JR132209) **Location:** This position requires work in our Washington, DC, 609 H Street NE office up to 4 ... commute of our DC office. **Washington, DC residents preferred.** The **Behavioral Health Case Manager ll** is responsible for performing case management… more
- Sedgwick Government Solutions (Orlando, FL)
- …Program? Would you like to be part of a highly skilled team of home-based **Nurse Case Manager (NCM)s** providing telephonic case management, focused on ... Job Details Nurse Case Manager (Remote - Strong Internal) 2024-1374 Orlando, FL, USA Medical Case Management Full Time Description Nurse Case … more
- Highmark Health (Dover, DE)
- …other community based settings.** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health ... members. **ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic interviewing and communication with external contacts. + Communicate… more