- Humana (Annapolis, MD)
- …for beneficiaries receiving services under the TRICARE program. The Care Manager, Telephonic Behavioral Health 2 (Focus on Retirees) serves as a primary advocate ... measure data to respective providers; serve as POC for MTF CMs. + Perform telephonic care management with beneficiaries throughout the East region with a focus of… more
- CenterWell (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Telephonic Care Coach 1, in a telephonic environment, evaluates member's needs and ... appropriate for the care and wellbeing of members. The Telephonic Care Coach 1 work assignments are often straightforward...coverage in the future based on business needs.** The ** Telephonic Care Coach** : + Employs a variety of… more
- Elevance Health (Columbus, GA)
- ** Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care...in acute care setting preferred. + Minimum 2 years' " telephonic " Case Management experience with a Managed Care Company… more
- Elevance Health (Denver, CO)
- ** Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy** **Location Hybrid** : This role requires associates to be in-office **1 - 2** days per week, ... and personalized support throughout the consumer's treatment journey. The ** Telephonic Clinical Nurse Coordinator - BioPlus Specialty Pharmacy** is responsible… more
- Elevance Health (GA)
- ** Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager I** is responsible for ...Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of licensure for… more
- Humana (San Juan, PR)
- …in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' needs and requirements to achieve and ... with resources appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse's work assignments are varied and frequently require interpretation and… more
- Elevance Health (Columbus, GA)
- ** Telephonic Nurse Case Manager I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required. The ** Telephonic Nurse Case Manager I** is responsible for performing care management… more
- Belle (Atlanta, GA)
- …inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care. In this ... Case Manager, you will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate and track referrals to appropriate… more
- Actalent (Atlanta, GA)
- Actively Screening for Contract - Telephonic Pharmacist to join growing healthcare system based out of Atlanta, GA! Description Under supervision of a Clinical ... Pharmacy Assistant Manager as designated, supports Formulary adherence by providing consistent medication review and benefit coverage determination. Assist new members with the transition of chronic medications into Kaiser Permanente, facilitating appropriate… more
- Sedgwick (Carson City, NV)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy, communication and coordination of medical services. **ARE YOU AN IDEAL CANDIDATE?** We are… more
- Actalent (Atlanta, GA)
- …Overview: Under supervision of a Clinical Pharmacy Assistant Manager as designated, supports Formulary adherence by providing consistent medication review and benefit ... coverage determination. Assist new members with the transition of chronic medications, facilitating appropriate medication conversions. Partner with practitioners to optimize medication regimens. Review acceptance of conversion recommendations associated with… more
- The Cigna Group (Bloomfield, CT)
- …+ Provide participants with confidential, non-medical counseling services + Assess the participant's immediate risk and biopsychosocial needs + Provide appropriate ... referrals for resources and treatment + Use clinical expertise, professional judgment and best practices + Execute duty to warn/mandated reporting processes + Partner with peers and leaders promoting and embracing a culture of change; supporting all parties… more
- Molina Healthcare (TX)
- …Opportunity for TX licensed RN to join our DSNIP team to work with our members who are hospitalized and ready to be discharged. The RN hired for this position will ... work with the hospital discharge team to make sure that all the appropriate resources, doctor appointments, etc. are ready so that the transition out of the facility occurs smoothly, At this time, this position is fully remote, working from home, BUT there is… more
- Humana (Olympia, WA)
- …of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and...of the appropriate courses of action. The Care Manager, Telephonic Behavioral Health 2 is a **Licensed, Masters level,… more
- Humana (Montgomery, AL)
- …of our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a ... them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering...program at Humana. The nature of the work requires telephonic interaction with members during the majority of the… more
- Fallon Health (Milford, MA)
- …occurring with the member and their status. The Navigator seeks to establish telephonic and face to face (depending upon product and circumstance) relationships with ... of first call resolution with each interaction + Conducting telephonic and may conduct face-to-face member visits to assess...providers - this includes conducting face to face or telephonic health risk assessments in a culturally sensitive way,… more
- Hospice of Michigan (Southfield, MI)
- …available patient records and Triage Protocols and Process Flows. + Completes on-going telephonic assessment of the impact of the terminal diagnosis on the patient's ... party payers and calls clinical reports to case managers. + Provides nursing telephonic interventions using Triage Protocols and Process Flows in order to expedite… more
- CenterWell (Frankfort, KY)
- …with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager, Telephonic Nurse 2. In this pivotal role, you will play a crucial part in our Patient ... infectious diseases, cancer(s), and other rare ailments. As a Care Manager, Telephonic Nurse your primary responsibility will be to assess and evaluate the… more
- Somatus (Charlotte, NC)
- …an essential role on the interdisciplinary care team and are responsible for telephonic outreach to members to inquire about current state health condition. Health ... healthcare insurance, ER, EMT, long - term care or telephonic healthcare consulting + Ability to create, edit, copy,...fluency in English and Spanish + 1+ years of telephonic customer service experience + Previous CKD (Chronic Kidney… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Nutrition Educator will provide telephonic nutrition education to members/patients with chronic conditions as they learn to select, prepare and ... Position Responsibilities may include, but not limited to + Provide telephonic nutrition education sessions per member/patient; number of sessions offered varies,… more