- 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
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for ... diagnosis of ASD, as defined by the ACD. The ** Telephonic Care Manager ** (Autism Care Navigator) serves...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- CVS Health (Topeka, KS)
- …promote effective utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses ... do it all with heart, each and every day. **Position Summary** ** Bilingual Spanish Speaking** **Fully remote role USA.** **Standard business hours Monday-Friday. No… more
- Somatus (Mclean, VA)
- …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... a hospital, acute care, or direct care setting + Bilingual Languages in either Spanish, Cantonese, or Mandarin +...or Critical Care experience + Telephonic case management experience + Experience with… more
- Point32Health (MA)
- …in service to our members, partners, colleagues and communities. **Job Summary** Bilingual preferred HYBRID OPPORTUNITY! 75% FIELD WORK 25% HOME OFFICE Will cover ... Waban, Chestnut Hill, Brookline, Needham, Newton, Chestnut Hill, Wellesley, Weston The Care Manager - Nursing (RN CM) will ensure that all members receive timely… more
- Point32Health (MA)
- …in service to our members, partners, colleagues and communities. **Job Summary** The Care Manager - Nursing (RN CM) will ensure that all members receive timely care ... including transitions of care, care coordination and navigation, complex case management, population health and wellness interventions, and disease/chronic condition… more
- CVS Health (West Miami, FL)
- …assessment + Manage patient referrals defined by the care team & collaborate with the Case Manager on action plan + Knowledge of health plan basics (eg co-pays, ... accompanying patients through proactive in-person (hospital or home) and telephonic outreach based on their care needs to promote...are required to be successful. CHWs work closely with Case Managers to manage patient care plans, support care… more
- CVS Health (San Antonio, TX)
- …* Manage patient referrals defined by the care team & collaborate with the Case Manager on an action plan * Facilitate communication between all identified ... Qualifications** * Minimum of 1 year of experience in healthcare, community-based, case management, or social service environment * Bilingual English/Spanish *… more
- Travelers Insurance Company (Indianapolis, IN)
- …This is a unique opportunity to have face to face time while working as a case manager . Bilingual candidates encouraged to apply. **What Will You Do?** + ... for self or others to meet current or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research… more
- Amergis (El Paso, TX)
- …available position in El Paso, TX Knowledge and Skills . Proficient in case management processes and person-centered care practices. . Excellent verbal and written ... years of experience in community health, clinical, hospital, acute care, direct care, or case management settings. . At least 2 years of experience with MS Word,… more
- ChenMed (Detroit, MI)
- …possession and maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for ... procedures **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in home and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- CVS Health (Louisville, KY)
- …it all with heart, each and every day. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent ... to facilitate and support the member's improved health. The Case Manager develops a proactive course of...Case Management experience in an integrated model + Bilingual + Computer literacy and demonstrated proficiency to navigate… more
- CVS Health (Bowling Green, KY)
- …it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in ... person or telephonic contact to assess,...to facilitate and support the member's improved health. The Case Manager develops a proactive course of action… more
- Elevance Health (Richmond, VA)
- **Behavioral Health Case Manager I** **Location:** Miami, FL; Tampa, FL; Costa Mesa, CA; Walnut Creek, CA; Woodland Hills, CA; Columbus, GA; Atlanta, GA, Iselin, ... HAVE AN ACTIVE, CURRENT, CLINICAL LICENSURE. The **Behavioral Health Case Manager I** is responsible for performing...+ **Behavioral Health experience highly preferred.** + Experience in case management and telephonic and/or in person… more
- CVS Health (Columbus, OH)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Denver, CO)
- …cost-effective quality care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Livingston, NJ)
- …MS Office Suite applications, including Word and Excel. **Preferred Qualifications** + Certified Case Manager Certification + Case Management experience in ... it all with heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with potential care management needs… more
- Highmark Health (Dover, DE)
- …in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES ... members. **ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic interviewing and communication with external contacts. + Communicate… 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
- ChenMed (Lakeland, FL)
- …**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 2 (RN) is responsible for...the above "Core" duties/responsibilities plus the following: + Provide telephonic or outpatient visits to patients at high risk… more
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