- The Cigna Group (Nashville, TN)
- …individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of ... regarding denials of medical services as well as Part B drugs. The Case Management Analyst will be responsible for analyzing and responding appropriately to… more
- Amentum (Springfield, VA)
- …all seven continents and is headquartered in Germantown, MD If you are an experienced Case Management Analyst seeking a way to positively impact US National ... Call Center Case Management Support Analyst I Amentum is a leading provider of enduring support for the essential missions of the US government, its allied… more
- Conduent (CA)
- …donde la individualidad se nota y valora todos los dias. **Bilingual RN Telephonic Case Management Analyst ** **About the role:** As a Clinical Services ... Manager - RN Telephonic Case Management , you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information,… more
- The Cigna Group (Bloomfield, CT)
- …current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the ... Summary Delivers specific delegated tasks assigned by a supervisor in the Case Management job family. Handles moderately-complex cases. Performs prospective,… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and ... telephonic environment. **Position Scope:** + Manages/coordinates an active caseload of case management cases for Cigna Medicare. + Uses clinical knowledge to… more
- CVS Health (Columbus, OH)
- …in, or at risk for involvement in, multiple child-serving systems. The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education… more
- CVS Health (Columbus, OH)
- …change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance… more
- CVS Health (Harrisburg, PA)
- …change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance… more
- CVS Health (Montgomery, AL)
- …change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance… more
- CVS Health (Jackson, MS)
- …to change lives in new markets across the country.Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to ... collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing… more
- CVS Health (Charleston, WV)
- …+ Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for members ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- CVS Health (Charleston, WV)
- …Wetzel. Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for members ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- CVS Health (Frankfort, KY)
- …utilizes critical thinking and clinical judgment to collaborate and implement the case management process, in order to facilitate appropriate juvenile justice ... healthcare decision-making. Monitoring, Evaluation and Documentation of Care: + Utilizes case management and quality management processes in compliance with… more
- CVS Health (Columbus, OH)
- …appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case ... the following areas of expertise: family systems, community systems and resources, case management , child and family counseling/therapy, child protection, or… more
- CVS Health (Frankfort, KY)
- …Aetna. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management and clinical ... and quality outcomes.* Creates direction and communicates a business case for change by focusing on and addressing key...of the unit.* May be accountable for the day-to-day management of teams for appropriate implementation and adherence with… more
- CVS Health (Atlanta, GA)
- …is a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have limited ... health conditions. These members are usually stratified as low risk. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the member's health… more
- CVS Health (Harrisburg, PA)
- …is a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have limited ... health conditions. These members are usually stratified as low risk. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the member's health… more
- The Cigna Group (Bloomfield, CT)
- Case Management Sr. Analyst **- Specialty Consultant** **JOB TITLE:** Case Management Sr. Analyst **- Specialty Consultant** **JOB BAND:** Low ... + Demonstrated ability to set priorities including, but not limited to time management and organizational skills. + Ability to manage own caseload and coordinate all… more
- Insight Global (San Marcos, CA)
- …Requirements - 3 years' experience as a Business Analyst or analytical role or case management - Experience with case management - Previous customer ... research the root cause of escalated member cases. Business Analyst will then provide a resolution on such escalated...will then provide a resolution on such escalated member case . Always an influx in cases due to the… more
- CVS Health (Springfield, IL)
- …change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance… more