- Humana (San Juan, PR)
- …Puerto Rico. You must live in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' needs and ... resources appropriate for their care and wellbeing. The Care Manager , Telephonic Nurse's work assignments are varied...the appropriate courses of action. You must be fully bilingual in English/Spanish and will be required to pass… more
- Belle (Atlanta, GA)
- …cause inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered ... for both members and their caregivers. As a Nurse Case Manager , you will: + Review documentation...will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate… more
- Humana (Santa Fe, NM)
- …every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent ... and receives guidance where needed. Follows established guidelines/procedures The Care Manager Telephonic Nurse employs a variety of strategies, approaches… more
- Access Dubuque (Dubuque, IA)
- Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions ID: 4773630008 Posted On 07/28/2025 Refreshed On 12/12/2025 **Job Overview** ** ... Bilingual RN Case Manager ** **Location**...and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career ... care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and tools....in the US Preferred Skills and Experience * Fluent bilingual Spanish speaker * 1+ years of managed care… more
- Molina Healthcare (TX)
- …Preferred Qualifications * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). * Hospital discharge planning or home ... field to complete assessments on those members on your case load. Preference will be given to candidates with...- experience with the LTSS or Behavioral Health populations. Bilingual is also a plus. Solid experience with Microsoft… more
- Point32Health (MA)
- …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Care Manager - Nursing Field (RN CM) will ensure that all members receive ... including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition… more
- ChenMed (Houston, TX)
- …**all** the above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic or onsite visits to SNFs, ... need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for...the above "Core" duties/responsibilities plus the following: + Provides telephonic or outpatient visits to patients at high-risk for… more
- Amergis (Oxnard, CA)
- The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... Oxnard,CA. This is a fully office-based role focused on telephonic case management andmedical eligibility review for...experience with medical eligibility review as an RN. + Bilingual preferred; not required Benefits At Amergis, we firmly… more
- Elevance Health (FL)
- **Behavioral Health Case Manager II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... law. **Location: Florida** **Position specific details:** The **Behavioral Health Case Manager II** will work with our...territory of the United States required. Previous experience in case management and telephonic and/or in person… more
- CVS Health (Salt Lake City, UT)
- …promote effective utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses ... Motivational Interviewing and engagement interventions to optimize member participation in case management programs. + Completes a Comprehensive Assessment and Plan… more
- CVS Health (Trenton, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... **Preferred** + Case Management experience in an integrated model + Bilingual preferred. + Working knowledge of medical terminology. + Working knowledge of… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …possible Union: No Union Name: Non-union Patient Facing: Yes We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to work on a ... health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations… more
- CVS Health (Jefferson City, MO)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... them with appropriate resources and support services. The Care Manager provides education and guidance to members and their...Responsibilities:** + 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their… more
- Humana (Oklahoma City, OK)
- …health. The individual in this role will work as an Oklahoma-based, primarily telephonic care manager , assessing and evaluating enrollees' needs and requirements ... support specialists, SDOH coordinators, and care management support assistants. The Care Manager , Telephonic Physical Health Nurse, work assignments are varied… more
- ChenMed (St. Petersburg, FL)
- …in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- Humana (Richmond, VA)
- …Healthy Horizons in Virginia is looking for RN, Field Care Managers (Field Care Manager Nurse 2) who performs primarily face to face and telephonic assessments ... to adult and pediatric members. The RN, Field Care Manager (Field Care Manager Nurse 2) will...approach/priorities and follows direction. + Responsible for managing a case load and completing assessments with members in their… more
- Health Care Service Corporation (Downers Grove, IL)
- …Summary This position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health ... member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care… more
- Health Care Service Corporation (Chicago, IL)
- …Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate them on health ... member activities. This position will be required to complete member telephonic and/or field-based health screenings, comprehensive health assessments and care… more
- Humana (Columbus, OH)
- …health first** Humana Healthy Horizons in Ohio is seeking a RN Field Care Manager 2 with Maternity, L&D, Mother Baby expertise. They will assess and evaluate ... member's needs to achieve and/or maintain optimal wellness. The Field Care Manager will connect members/families with resources appropriate for their care and… more