- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... BlueCross BlueShield of Tennessee seeks an experienced RN to provide compassionate, member\-centered care for women...Community is required _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain… more
- CVS Health (Midland Park, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Technical Skills** + ... and/or Warren County New Jersey** **Position Summary** The care manager is responsible for assessing and evaluating members with...State of New Jersey - **Would be assigned a case load based on your location.** + 3+ years'… more
- CVS Health (Trenton, NJ)
- …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... all with heart, each and every day. **_Field Based RN role in Northern New Jersey-Preference to residents of...of Essex and Mercer Counties._** **Position Summary** The care manager is responsible for assessing and evaluating members with… more
- CVS Health (Jefferson City, MO)
- …**Education** * Associates degree minimum required * BSN preferred * Certified Case Manager is preferred. * Additional national professional certification (CRC, ... as business needs arise. **Required Qualifications** * Active and good standing ** RN Compact License** * Minimum 3+ years clinical practical experience required with… more
- CVS Health (Harrisburg, PA)
- …every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse ( RN ). Case Managers serve as ... nights, weekends, or holidays required. **Key Responsibilities of the Case Manager RN ** (Includes but...or business needs. **Required Qualifications** + Must be a Registered Nurse with an active state license… more
- Maxim Healthcare (Indianapolis, IN)
- RN Home Health Case Manager ( Remote residing in Indianapolis) Location: Indianapolis, Indiana Salary Range: $70,000 - $80,000 + $5,000 Annual Bonus ... Bedside? Maxim Healthcare is seeking an experienced and passionate Registered Nurse to join our team as... to join our team as a Home Health Case Manager . This unique role blends clinical… more
- CVS Health (Columbus, OH)
- …And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special Needs Plan (SNP) ... Meets regulatory requirements within specified timelines. + The Care Manager RN supports other members of the...skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About Blue Cross ... and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will...and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and… more
- CVS Health (Austin, TX)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career Area: Health Services About Blue Cross ... difference, join us. The Impact You Will Have The Case Manager is a critical component of...of care between settings. Required Skills and Experience * Registered Nurse licensure in the state of… more
- CVS Health (High Point, NC)
- …And we do it all with heart, each and every day. **Position Summary** The Case Manager RN position is 100% remote and employees can live in any state. ... on a volunteer basis. There is no travel expected with this position. This Case Manager RN position is part of Aetna's Commercial Care Management division… more
- Henry Ford Health System (Detroit, MI)
- …Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote , allowing staff to excel in their chosen ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- Insight Global (San Francisco, CA)
- …Description A startup healthcare client in the San Francisco area is looking to hire an RN Case Manager . In this role, you will supervise Licensed Practical ... receive consistent, proactive, and coordinated support between visits. This is a fully remote role. We are a company committed to creating diverse and inclusive… more
- CVS Health (Harrisburg, PA)
- …with heart, each and every day. **Position Summary** This Case Manager RN position is a fully remote position. Candidates from any state are welcome to ... There is no travel expected with this position. The RN Case Manager is responsible...**Required Qualifications** * Must be a Registered Nurse with active current and unrestricted RN … more
- Ochsner Health (New Orleans, LA)
- …team to develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC ... to change at the company's discretion. **Education** Required - Registered nurse diploma or equivalent. Preferred -...Certification in Case Management (CCM) or Accredited Case Manager (ACM). **Knowledge Skills and Abilities… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue Cross ... care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. *… more
- STG International (Rockville, MD)
- STGi is currently seeking a Registered Nurse - Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides ... delivery with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist...met, relay any concerns raised by customers to Program Manager (PM). + Ensure exam scheduling requests are submitted… more
- Trinity Health (Syracuse, NY)
- …do not pass screening and/or compliance screening requirement guidelines per approved protocols. A Registered Nurse ( RN ) is a licensed health care provider ... screening information as necessary within the scope of the RN role. Reports to manager or identified...supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or… more
- Bon Secours Mercy Health (Norfolk, VA)
- …excellence. **Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide clinical care ... Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State of… more