- Sedgwick Government Solutions (Tampa, FL)
- … Case Manager (Remote) 2025-1436 Tampa, FL, USA Medical Case Management Full Time Description **Overview** ** Telephonic Triage Nurse Case ** **Manager ... the occupationally injured? Do you have the professional nursing, case management experience, and licenses necessary to..., and support through our highly skilled team of home -based Telephonic Triage Nurse Case … more
- ICW Group (Lisle, IL)
- …of professional experience providing direct clinical care required. Case Management in WC, Discharge Planning, or Home Health preferred. **CERTIFICATES, ... evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and...to ensure quality and appropriate service delivery of the case management process. + Performs initial and… more
- Elevance Health (Cincinnati, OH)
- ** Telephonic Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of required ... different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager I** is responsible...Case Manager I** is responsible for performing care management within the scope of licensure for members with… more
- Humana (Trenton, NJ)
- …years of clinical nursing experience + Minimum of 1 year of managed care and case management experience + An active designation as a Certified Care Manager ... measure data to respective providers; serve as POC for MTF CMs. + Perform telephonic care management with beneficiaries throughout the East region with a focus… more
- Humana (San Juan, PR)
- …overtime and/or weekends) **Preferred Qualifications** + Health Plan experience + Previous Case Management Experience + Call center or triage experience + ... and help us put health first** This is a Work-At- Home position located in Puerto Rico. You must live...in Puerto Rico for this position. The Care Manager, Telephonic Nurse works in a telephonic environment.… more
- Humana (Hallandale Beach, FL)
- …population in a professional setting (under 21). + Minimum one, (1) year of case management experience. + ACHA Level II Background Check is required. **Preferred ... ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members… more
- The Cigna Group (Bloomfield, CT)
- **Evernorth Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **JOB TITLE:** Case Management Lead ... (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with...and holiday time. If you will be working at home occasionally or permanently, the internet connection must be… more
- Molina Healthcare (Taylorsville, UT)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... and productivity is important. This is a Remote position, home office with internet connectivity of high speed required....per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- CDPHP (Albany, NY)
- …care for the member population serviced by CDPHP. The Hospital to Home Case Manager. This is a telephonic role. Qualifications: + Masters in Social Work ... be a part of that experience. The Hospital to Home Case Manager (Clinical) is responsible and...experience with diabetes and heart disease is preferred. + Case management experience preferred. + Experience working… more
- Cedars-Sinai (Marina Del Rey, CA)
- …and continuing care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance ... in an acute care setting (required). + Minimum of 1year of Case Management experience (preferred). \#Jobs-Indeed \#LI-On-site **About Us** Cedars-Sinai is… more
- National Youth Advocate Program (Naperville, IL)
- …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
- ERP International (Yuma, AZ)
- …but are not limited to** : **Core Duties** : * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support... CM * Develop and implement tools to support case management , such as those used for… more
- Fallon Health (Berkshire, MA)
- …Non-English speaking, required * Home Health Care experience preferred * Effective case management and care coordination skills and the ability to assess a ... license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management strongly desired **Other** : Satisfactory Criminal Offender… more
- The Cigna Group (Bloomfield, CT)
- …case manager will possess a URAC-recognized certification in case management . + Excellent communication skills including telephonic (verbal) and digital ... partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with...aligned with organizational goals. + Understands and adheres to Case Management performance measures to deliver on… more
- ChenMed (Philadelphia, PA)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... primary care model and maximize their healthy time at home . The Intensive Community Managers (ICCMs) will serve as...may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention,… more
- Illumination Foundation (Cerritos, CA)
- …Description Housing Case Managers are responsible for providing comprehensive case management services to individuals experiencing homelessness or at risk ... dignity, and the safety of a place to call home ." Homelessness is the largest social and public health...At least 6 months to 1 year of previous case management experience + Experience working in… more
- Highmark Health (Dover, DE)
- …disabilities, or HIV/AIDS population. **Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified ... involves working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will… more
- Highmark Health (Harrisburg, PA)
- …act as a central point of contact within Highmark Wholecare, handling case management , needs assessment, resource coordination, and benefit-related inquiries. * ... and communication with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors… more
- National Youth Advocate Program (Madison, WI)
- … case aide is responsible for assisting in the day-to-day tasks to ensure that case management services are provided to youth in a timely manner. The case ... portal software. + Ensure the provision of two weekly telephonic contacts with family of origin, primary caregiver, and/or...ORR or State Licensing representatives, upon request. + Assist case management with creating discharge packets with… more
- Nuvance Health (Poughkeepsie, NY)
- …supervision of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient ... and economic perspectives. Has overall accountability for the utilization management and transition management for patients within...stay criteria with third party payers (including onsite and telephonic Case Managers) as well as Primary… more