- Somatus (Utica, NY)
- …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... telephonically as the need arises. **This is a fully remote role where New York licensure is required.** **The...or Critical Care experience - Telephonic case management experience - Experience with… 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. ... for both members and their caregivers. As a Nurse Case Manager , you will: + Review documentation...will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate… more
- Sedgwick (Columbia, SC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- Humana (Springfield, IL)
- …and patient education for adult acute care. + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare & Medicaid recipients. + ... a part of our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, you will play… more
- Humana (Springfield, IL)
- …Experience with electronic information applications/software programs. **Preferred Qualifications** + Certified Case Manager (CCM). + Master's degree in a health ... or assistance. See _Additional Information_ on testing. + 2 or more years of case management experience. + Experience utilizing Microsoft Word, Excel and Outlook. +… more
- Molina Healthcare (El Paso, TX)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If ... occurs smoothly, At this time, this position is fully remote , working from home, BUT there is a chance...field to complete assessments on those members on your case load. Preference will be given to candidates with… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager - Remote Location: Remote Career Area: Health ... If you are ready to make a difference, join us. The Impact You Will Have The Case Manager is a critical component of BCBSMN Care Management team as the primary… more
- CVS Health (Denver, CO)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …in a Hospital or Clinic, Direct Care experience or experience as an Oncology Telephonic Case Manager for an insurance company * Recent Chemotherapy ... Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager - Oncology Location: Remote...3 years of starting in the position * Excellent telephonic skills * Keen business skills * Excellent communication… more
- Actalent (Orlando, FL)
- RN Case Manager Job Description We are seeking a dedicated RN Case Manager to perform telephonic case management for Medicare Advantage members ... building new cases in Athena EMR. Responsibilities + Perform telephonic case management for Medicare Advantage members....or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- PruittHealth (Augusta, GA)
- …with current, unrestricted license in state of practice (Georgia) required. * Certified Case Manager preferred - Mandatory to apply for CCM certification when ... to the following: Following Implementation: * Conduct in-home and telephonic assessment and data collection with patients and caregivers...Ability to work independently and be self-motivated in a remote environment * Manage assigned case load… more
- Apex Health Solutions (Houston, TX)
- …services and support to improve health outcomes via a coordinated approach. The Case Manager works in collaboration and continuous partnership with patients and ... to identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals,...Director, Health Services Location: Houston, TX area; will consider remote deployment on a case by … more
- BlueCross BlueShield of Tennessee (Murfreesboro, TN)
- The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities\. ... three days a week, you will work remotely, conducting telephonic outreach to members\. Two days a week, you...health care available\. _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain… more
- CVS Health (Montclair, NJ)
- …candidates residing in Essex, Union or Morris Counties NJ_** **Position Summary** This Case Manager RN position is with Aetna's Integrate Care Management (ICM) ... and evaluating members with potential care management needs through telephonic and face to face assessments in various settings,...with mental health and/or substance use disorders. + Certified Case Manager Certification + Case … more
- CVS Health (Newark, NJ)
- …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... residents in Union, Essex and Bergen Counties_** **Position Summary** The care manager is responsible for assessing and evaluating members with potential care… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About ... of care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and tools. Care Advocacy… more
- Humana (Hartford, CT)
- …a part 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 ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Molina Healthcare (NM)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. Bilingual...Monday - Friday 8:00 AM to 5:00 PM EST Remote position with 25-50% field travel in Bristol, Essex,… more
- AmeriHealth Caritas (New Castle, DE)
- **Responsibilities:** The Case Manager assists members who are eligible for LTSS in obtaining the services they need as required by Diamond State Health Plan ... county Delaware.; He or she contributes to the LTSS case management process by performing telephonic and/or...as needed in accordance with requirements. ; **Work Arrangement:** Remote and must reside in New Castle or Kent… more
- Insight Global (Los Angeles, CA)
- Job Description An employer in the Southern California is seeking an RN Case Manager . This is a remote position, but individual must sit in Southern ... (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting.… more
