- TrackFive (Paterson, NJ)
- …per weekAbout The PositionID: 55719795 Shift: Unknown Description: Job Summary: Provides telephonic case management for workers compensation cases involving ... Requires knowledge of medical terminology. Prefers knowledge of understanding of case management , philosophy and process. Skills and Abilities: Strong… more
- UnitedHealth Group (Seattle, WA)
- $7500 Sign-on Bonus for External Candidates! Approximately 70% Field Work / 30% Telephonic Work in the King County Area Optum Home & Community Care, part of the ... ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site and telephonically as the need arises. Works in… more
- Molina Healthcare (Long Beach, CA)
- …Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent computer skills and attention to ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Monster (Gainesville, FL)
- …and appeals Long-Term Care Coordinator Requirements . 2+ years of Care / Case Management experience . Bachelor's Degree . Medical Health Records experience ... Full time Long-Term Care Coordinator / Case Manager openings in Various counties throughout FL...members, caregivers, or providers through in person visits and telephonic contact . Authorize and coordinate referral for services… more
- Molina Healthcare (Long Beach, CA)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Morgan Stephens (Houston, TX)
- Job Title: Remote Hospice Telephonic Case Manager Pay Rate: $80,000-$90,000 Schedule: Monday - Friday, 8:00 AM - 5:00 PM CST Location: Remote, but candidate must ... Organization is seeking experienced Registered Nurses to serve as telephonic case managers for hospice validation. The...of 3 years of hospice experience Managed care and case management experience strongly preferred. Strong understanding… more
- Monster (Los Angeles, CA)
- …all aspects of workers' compensation medical only claims from set-up to case closure ensuring strong customer relations are maintained throughout the process. Review ... or possible undesirable exposures when encountered. Controls and directs vendors, telephonic cases managers, and use all medical cost containment programs. Complies… more
- NATIONAL YOUTH ADVOCATE PROGRAM (Bolingbrook, IL)
- …with the National Youth Advocate Program's Mission, Values and Philosophies. Ensure case management assessments are completed within ORR's allotted timeframes. ... administration, clinical, medical and educational staff in identifying best case management practices while maintaining a collaborative multi-disciplinary… more
- Appcast (Tallahassee, FL)
- …Key Responsibilities: Locations; Tallahassee/ Orlando/ Jacksonville/ Miami, FloridaManaging a case load for healthcare members with long term care needs.Monthly ... members, caregivers, or provider s through in person visits and telephonic contactAuthorize and coordinate referral for services.Ensure provider services are… more
- Fallon Health (Worcester, MA)
- …license as a Registered Nurse in Massachusetts Certification : Certification in Case Management strongly desired Other : Satisfactory Criminal Offender Record ... may also be Non-English speaking, required *Home Health Care experience preferred *Effective case management and care coordination skills and the ability to… more
- Pair Team (Salinas, CA)
- …carry out daily tasks What You'll Need 1+ years of general work experience ( Case Management preferred) You are physically located near Santa Cruz County (Santa ... homelessness, or Severe Mental Illness/Substance Use Disorder 2+ years of case management experience Experience with motivational interviewing Knowledge of… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …efficient utilization of benefits. Performing the essential activities of case management : assessment: planning, implementation, coordinating, monitoring, ... patient education, and reducing readmissions. This hybrid position involves telephonic outreach and weekly visits to local Acute Inpatient...outcomes and evaluation. Perform case management activities in community settings including… more
- Elevance Health (Jacksonville, FL)
- …Skills, Capabilities and Experiences: Bilingual in Spanish strongly preferred. Previous case management or oncology experience strongly preferred. Experience ... Anticipated End Date: 2025-08-15 Position Title: LTSS Service Coordinator-LPN Case Manager (Bilingual-Tallahassee/Pensacola) Job Description: LTSS Service Coordinator -… more
- Amberwell Health (Atchison, KS)
- …Job Shift Day Job Category Nursing - Hospital Description The Utilization Review/ Case Manager will assure maximum coverage by third party payers for patients ... in an acute care nursing unit or experience in a Health Information Management field with Utilization Review job duties necessary. At least two years experience… more
- UnitedHealth Group (Austin, TX)
- …services Ensure appropriate management /resolution of local queries regarding patient case management either by responding directly or routing these inquiries ... authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion… more
- SCAN (Long Beach, CA)
- …Degree or equivalent experience. 3+ years managed care, health care environment and/or case management . 2+ years working with seniors and working remotely ... and live independently by providing person-centered care in accordance with care management , disease management , and complex and enhanced care management… more
- Included Health (Sacramento, CA)
- We're looking for a Newborn/Pediatric Nurse Care Manager for our Care and Case Management team, who is passionate about caring for members holistically through ... and ensuring needs are met with industry-leading interventions. The telephonic Nurse Care Manager will guide members through complex...support members through complex care management , disease management , and acute case management ,… more
- Mental Health Association (Newton, NJ)
- …The ability to supervise and coach the learning of effective Motivational Interviewing and case management services. The ability to build a cohesive team and be ... following services: Provide direction, leadership, and inspiration for staff in case management services, including Motivational Interviewing to support… more
- EmblemHealth (New York, NY)
- …both internally and external to the organization (Required) Experience in case management /care coordination, managed care, and/or utilization management ... Summary of Position Provide care management , as part of a multi-disciplinary care team,...ensure knowledge of the action plan, including participation in telephonic and face-to-face case conferences when appropriate.… more
- Included Health (Denver, CO)
- We're looking for a Newborn/Pediatric Nurse Care Manager for our Care and Case Management team, who is passionate about caring for members holistically through ... and ensuring needs are met with industry-leading interventions. The telephonic Nurse Care Manager will guide members through complex...support members through complex care management , disease management , and acute case management ,… more
