- Commonwealth Care Alliance (Springfield, MA)
- …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote Houston ... TX . Daily Responsibilities for Utilization Review RN : WIll need to use their OWN EQUIPMENT: 2...or any other seem to work fine) 1. Review telephonic and faxed clinical information to authorize medically necessary… more
- Somatus (Renton, WA)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... + Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of the...Case Managers are an important part of the interdisciplinary care team. They are responsible for outreaching and scheduling… more
- Somatus (Utica, NY)
- …Manager (CCM) - Diabetic educator experience - ICU, Cardiology or Critical Care experience - Telephonic case management experience - Experience with discharge ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...departmental policies and procedures. Qualifications Required Qualifications: - Active RN license in NY with the ability to qualify… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +...Facing:** ? YES: The job has in-person contact (not telephonic /virtual) with CCA members or patients as part of… more
- Commonwealth Care Alliance (Boston, MA)
- … Nurse Supervisor and is under the general supervision of the Primary Care Manager and Clinical Director. **Supervision Exercised:** + None **Essential Duties ... team through health maintenance and chronic disease management, care coordination, and triage within the RN ...Meaningful clinical experience including: + 3+ years' experience as Registered Nurse in a high touch clinical… more
- Commonwealth Care Alliance (Boston, MA)
- …administrative support of Care Delivery. programs. Under the supervision of the Manager of Patient Access Operations and in direct partnership with Care ... prompt, and courteous service is provided in response to written and telephonic inquiries from patients, caregivers/family, Interdisciplinary Care Team Members… more
- Somatus (Oroville, CA)
- …work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their ... + Works under the guidance of physicians and/or a nurse care manager . + Follow-up...caseload. + Conduct door-to-door engagement outreach for patients with telephonic barriers. + Support NP and RNCM care… more
- Commonwealth Care Alliance (Springfield, MA)
- …specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next ... locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Boston, MA)
- …and driving record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity ... 024800 Clin Alli-Community Health Services **Position Summary:** Commonwealth Care Alliance's Community Health Services (CHS) Department is responsible for… more
- Humana (Springfield, IL)
- **Become 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, ... skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the...education for adult acute care . + Managed care experience. + Certified Case Manager (CCM).… more
- CenterWell (Frankfort, KY)
- … Nurse 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 ... infectious diseases, cancer(s), and other rare ailments. As a Care Manager , Telephonic Nurse...of clinical acute care experience + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Atlanta, GA)
- …of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social ... Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS)...regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the… more
- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …base to support the optimal health and wellness of the pediatric patient. Through telephonic outreach, the Licensed Care Manager will communicate with ... + GENERAL SUMMARY + The Fortify Licensed Care Manager has the opportunity to...regulatory and accreditation requirements. + LICENSES AND/OR CERTIFICATIONS + Registered Nurse with current, unrestricted Virginia license… more
- Ochsner Health (New Orleans, LA)
- …case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... the healthcare needs of the enrollee, identify barriers to care , develop a comprehensive treatment plan complete with specific...Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency… more
- Belle (Atlanta, GA)
- …Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care . In this role, you will play ... satisfaction for both members and their caregivers. As a Nurse Case Manager , you will: + Review...the member experience Experience, Skills, & Personality + Active Registered Nurse ( RN ) license with… more
- CVS Health (Montgomery, AL)
- …more compassionate. 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 ... + Meets regulatory requirements within specified timelines. + The Care Manager RN supports other...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- CVS Health (Austin, TX)
- …and evaluate comprehensive plans of care for multiple disease state patients. As a Telephonic Registered Nurse , you will a profound effect on the lives ... position. Learn more about us: https://protect-us.mimecast.com/s/cA1pCG6o9qf0q467ZS7DW0y?domain=vimeo.com RN , Registered Nurse , Case Manager , Nurse… more
