- TrackFive (Paterson, NJ)
- …per weekAbout The PositionID: 55719795 Shift: Unknown Description: Job Summary: Provides telephonic case management for workers compensation cases involving ... claims involving complex injuries/treatment plans and refers them to a nurse case manager. Qualifications: Education/Experience: Prefers a bachelors degree.… more
- UnitedHealth Group (Seattle, WA)
- …(AHA) or CPR/AED for the Professional Rescuer (American Red Cross) Washington State Registered Nurse license. 3+ years of experience in a clinical setting ... $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… more
- Molina Healthcare (Long Beach, CA)
- … Case Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent computer skills and attention to detail ... JOB DESCRIPTION For this position we are seeking a ( RN ) Registered Nurse who lives...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Molina Healthcare (Long Beach, CA)
- Job Description JOB DESCRIPTION We are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state of UT ... Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially… more
- Morgan Stephens (Houston, TX)
- …Care Organization is seeking experienced Registered Nurses to serve as telephonic case managers for hospice validation. The primary responsibility of this ... Job Title: Remote Hospice Telephonic Case Manager Pay Rate: $80,000-$90,000...policies and regulatory guidelines. Required Skills & Qualifications: Active Registered Nurse ( RN ) license Candidate… more
- CVS Health (Sausalito, CA)
- …and more compassionate. And we do it all with heart, each and every day. As a Registered Nurse ( RN ), Home Infusion you will work outside the walls of a ... Certification and recertification expenses can be reimbursed for eligible RN 's such as Certified Registered Nurse...day, but evening and weekend availability is welcomed. - Telephonic on call commitment of one evening, or weekend… more
- SCAN (Long Beach, CA)
- …Goals. Other duties as assigned. Your Qualifications Bachelor's Degree in Nursing required. Registered Nurse ( RN ) License current & active required. Graduate ... Degree or equivalent experience. 3+ years managed care, health care environment and/or case management . 2+ years working with seniors and working remotely… more
- Bluestone Physician Services (Minneapolis, MN)
- …MN Licensed Social Worker (new grads encouraged to apply) OR Current Minnesota Registered Nurse license One or more years of experience working with ... the geriatric or certified disabled population in case management /care coordination, Home Care, Group Homes, Nursing Homes, TCU or Assisted Living settings… more
- Fallon Health (Worcester, MA)
- …related field preferred. License : Active, unrestricted license as a Registered Nurse in Massachusetts Certification : Certification in Case Management ... Facebook, Twitter and LinkedIn. Brief summary of purpose: The Nurse Case Manager (NCM) is an integral...transportation Experience: *1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
- Complete Health (Henrico, VA)
- …needed to best fit the situation within practice guidelines. MINIMUM REQUIREMENTS Current Licensed Registered Nurse ( RN ) or Licensed Practical Nurse ... acuity Traditional Medicare and Medicare Advantage Plan patients in the Complex Care Management Program. Complex Care Management services provide a mix of in… more
- Elevance Health (Los Angeles, CA)
- …The LTSS Service Coordinator - RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and ... direction to non- RN clinicians participating in the member's case ...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… 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 ... of a state accredited school of nursing as an RN /LPN, or RHIT or equivalent position. Experience: Experience applying...care nursing unit or experience in a Health Information Management field with Utilization Review job duties necessary. At… 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 ... The LTSS Clinician works under the direction/supervision of an RN , with overall responsibility for the member's case...scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for… more
- Lehigh Valley Health Network (Bethlehem, PA)
- …Onsite Union: Not Applicable Work Schedule: M-F 8:00=4:30 variable schedule . weekend and holiday rotation . oncall Department: 1004-06141 Case Management - Muhl ... and key payer benefits and reimbursement methodologies. Assists patients/families with self- management through education, visits, and telephonic engagement and… more
- CenCal Health (Santa Barbara, CA)
- … Coordinator - Adult Utilization Management (HPNC - Adult UM) is a Registered Nurse assigned to the Utilization Management unit. This position reports ... practices. Education and Experience Required: Current, active, unrestricted California Registered Nurse ( RN ) and/or ...of experience in this nursing role. Desired: Certification in case management , utilization, quality, or healthcare … more
- Included Health (Sacramento, CA)
- …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...support members through complex care management , disease management , and acute case management ,… 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)
- …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...support members through complex care management , disease management , and acute case management ,… more
- FreedomCare (Hartford, CT)
- …or other similar experience (required) 1-3 years of medical field experience and/or case management , home health; experience updating and maintaining case ... visit the waiver member and caregiver with the waiver Case Manager to establish communication between all members of...caregivers' health, surroundings, safety, or unmet needs to staff RN ; participate in coordination with the Waiver or assigned… more
