- Commonwealth Care Alliance (Springfield, MA)
- …specialty services, LTSS coordinators, Aging Service Access Points (ASAPs), visiting nurse services, care attendants, patient designated contacts, and next of kin. ... efforts + Participates in regular Interprofessional Care Team meetings and Team Case Review. + Participates in Risk Management meetings as needed. + Conducts… 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 ... will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate...the member experience Experience, Skills, & Personality + Active Registered Nurse ( RN ) license with… more
- CVS Health (Albany, NY)
- …customer service and engagement skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in the state of NY. ... Responsibilities:** + 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their...(BSN) (PREFERRED) **License** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- CVS Health (Denver, CO)
- …for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (East Orange, NJ)
- …**Preferred** + Case Management experience in an integrated model + Bilingual preferred. + Working knowledge of medical terminology. + Working knowledge of ... all with heart, each and every day. **_Field Based RN role in Northern New Jersey-Preference to residents of...and evaluating members with potential care management needs through telephonic and face to face assessments in various settings,… more
- CVS Health (Montclair, NJ)
- …candidates residing in Essex, Union or Morris Counties NJ_** **Position Summary** This Case Manager RN position is with Aetna's Integrate Care Management (ICM) ... Certification + Case Management experience in an integrated model. + Bilingual preferred. + Remote work experience + Effective communication skills, both verbal… more
- Molina Healthcare (El Paso, TX)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have… more
- ChenMed (Largo, FL)
- …great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their ... other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary...a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in… 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 coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. *… more
- Humana (Springfield, IL)
- …critical thinking skills. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the state of Illinois with no ... community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold...disciplinary action or ability to obtain IL RN licensure. + Minimum of 3 years of clinical… more
- Humana (San Juan, PR)
- …with resources appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse 's work assignments are varied and frequently require interpretation ... must live in Puerto Rico for this position. The RN Care Manager works in a telephonic ...included. Please submit resume in English. The Care Manager, Telephonic Nurse employs a variety of strategies,… more
- Point32Health (MA)
- …Qualifications - what you need to perform the job Certification and Licensure + Registered Nurse with current unrestricted license in state of residence + May ... Point32Health (https://www.point32health.org/) . **Job Summary** The Care Manager - Nursing Field ( RN CM) will ensure that all members receive timely care management… more
- Molina Healthcare (NM)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...case management and home health are highly preferred. Bilingual candidates are encouraged to apply to support our… more
- CVS Health (Frankfort, KY)
- …do 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, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial… more
- Gentiva (Addison, TX)
- …employer + We maintain a drug-free workplace Related Job Titles RN , Registered Nurse , hospice RN jobs, case manager nurse , end-of-life care RN ... other related duties as assigned. **About You** **Required Qualifications:** + Active and unrestricted Registered Nurse ( RN ) license with no board actions +… more
- Humana (Hartford, CT)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of...MCG or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in… more
- Actalent (Santa Barbara, CA)
- …- REMOTE POSITION Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! Opportunity ... Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to one of several...HPNC may perform utilization management activities, which can encompass telephonic or onsite clinical reviews, case or… more
- Health Care Service Corporation (Gallup, NM)
- …require visits to members' homes and/or facilities. **Required Job Qualifications:** + Registered Nurse ( RN ), unrestricted Licensed Professional Counselor ... is responsible for providing care coordination to members via telephonic and/or field-based care management to inform and educate...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
- Humana (Columbus, OH)
- …to make an impact** **Required Qualifications** + **Must reside in the state of Ohio.** + Registered Nurse ( RN ) in the state of Ohio without restrictions. + ... with resources appropriate for their care and wellbeing. The RN , Field Care Manager Nurse 2 works...through recovery and health and wellness programs. + Performs telephonic and face to face assessments and evaluations of… more
- CVS Health (Harrisburg, PA)
- …(SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role...within specified timelines. + **Consults** with the Care Manager RN within the Care Team for clinical knowledge, medication… more
