- Elevance Health (Tampa, FL)
- …hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of licensure ... ** Telephonic Nurse Case Manager Senior**...in acute care setting preferred. + Minimum 2 years " telephonic " Case Management experience with a… more
- CVS Health (Columbus, OH)
- …- Hospital experience in ICU, CCU, Step Down, ER or OR preferred - Telephonic case management and/or telephonic experience **Education:** Associate ... inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the...has met discharge criteria. The Case Manager RN role requires a nurse that can… more
- CVS Health (Raleigh, NC)
- …(once per Quarter) **Preferred Qualifications** - 2 years experience with Telephonic Case Management - Multiple State RN licensure is welcomed but ... 's to join our team, in the role of Telephonic Case Manager. RN ...Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include… more
- Elevance Health (Indianapolis, IN)
- …and experiences:** + Certification as a Case Manager is preferred. + Telephonic Case Management experience preferred. **For URAC accredited areas the ... required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Travelers Insurance Company (Wyomissing, PA)
- …Openings** 1 **What Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early ... injured worker apprised of claim status. + In-person medical case management may be required to support...Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred. **What is a… more
- Lowe's (Charlotte, NC)
- …+ 1-2 Years of Clinical experience + 3-5 Years of Experience required with Nurse Case Management Software, along with Microsoft Office + Unrestricted ... **Your Impact** The Care Manager is a telephonic medical case management ... Case Manager + CRRN - Certified Rehabilitation Registered Nurse + CDMS - Certified Disability… more
- Sharecare, Inc. (Columbus, OH)
- …is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification preferred. ... the implementation and delivery of Sharecare's Advocacy program by providing high quality telephonic /digital Case Management and/or condition management … more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** Telephonic Case Manager opportunity available to TX licensed RNs who have previous experience as a Case Manager of Disease Management ... assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides telephonic case management services to members with mental ... use and co-morbid chronic medical conditions to provide comprehensive case management interventions. + Conduct telephonic...**LICENSES or CERTIFICATIONS** Required One of the following: + Registered Nurse ( RN ) + Licensed… more
- HCA Healthcare (Campbell, CA)
- …to members who have been identified as high risk for hospital readmissions through telephonic case management Perform other duties as assigned **What you ... care like family! Jump-start your career as a(an) Utilization Management RN today with HCA Healthcare. **Benefits**...organizations. Apply Today! **Job Summary and Qualifications** The UM Nurse 's primary function is to ensure timely review of… more
- Ventura County (Ventura, CA)
- …medical policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of ... Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4591361)...application. + Yes + No 04 Describe your full-time registered nursing experience with case management… more
- AmeriHealth Caritas (Philadelphia, PA)
- … RN license. Ability to travel within Philadelphia county, as needed. 3+ years of telephonic case management exp. Your career starts now. We are looking ... Manager II assists members appropriate for care coordination and case management services in achieving their optimal...Nursing or healthcare related field. + Current and unrestricted Registered Nurse licensure in Pennsylvania. + 3+… more
- VNS Health (Manhattan, NY)
- …health needs. Promotes quality and cost-effective outcomes at all times. + Provides telephonic case management to members, balancing clinical, social, and ... for design and development of, processes and procedures for effective member case management , efficient department operations, and excellent customer service. +… more
- AmeriHealth Caritas (Manchester, NH)
- …as a case manager, preferably providing telephonic case management . + Current and unrestricted Registered Nurse licensure in New Hampshire ... Manager II ( RN /LCSW) assists members appropriate for care coordination and case management services in achieving their optimal level of health. They will be… more
- Kepro (Chicago, IL)
- …Management (CCM). + Analytical, reporting, and data management skills. + Telephonic case management and/or triage experience. + Knowledge of ... public sector. Acentra seeks a Clinical Operations Supervisor - RN (Remote US) to join our growing team. Job...Supervising and managing the day-to-day activities of the assigned case management and utilization review teams. .… more
- Dignity Health (Rancho Cordova, CA)
- …process to reduce hospitalizations readmissions and ER visits. This position will involve telephonic case management and direct patient contact through ... A Masters Degree in nursing with a concentration in Case Management can serve as a substitute...a substitute for the experience requirement. - Current CA Registered Nurse ( RN ) license. -… more
- AmeriHealth Caritas (Newark, DE)
- …**3 years** ' experience as a Case Manager **required** , preferably providing telephonic case management + Minimum 1 years' experience working with ... RN ** Location: Newark, DE Primary Job Function: Medical Management ID**: 34502 **Job Brief** Requires: - Current/unrestricted Delaware...- 3 yrs professional practice experience - 3 yrs Case Manager experience - MS Office proficient - Ability… more
- AmeriHealth Caritas (Dover, DE)
- …experience + Minimum of **3 years** experience as a Case Manager, preferably providing telephonic case management + Certification as a case manager ... Kent County, DE | RN ** Location: Dover, DE Primary Job Function: Medical Management ID**: 34500 Your career starts now. We are looking for the next generation of… more
- Molina Healthcare (Salt Lake City, UT)
- **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 This ... Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially… more
- SUNY Upstate Medical University (Syracuse, NY)
- …materials by writing original material and/or reviewing the work of others. Participates in case management , telephonic triage, and patient care planning and ... Minimum Qualifications: Possession of or eligibility for a license to practice as a registered nurse in New York State and two years of post-licensure clinical… more