- Sedgwick Government Solutions (Charleston, SC)
- Job Details RN Medical Case Manager CARE ( Remote ) 2025-1445 Charleston, SC, USA Medical Case Management Full Time Description ** RN Medical ... supportive team. RN Medical Case Manager Qualifications + Unrestricted State Registered Nursing...across all US Territories. We are looking for Full-Time Nurse Case Manager RNs with… more
- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- aptihealth (Clifton Park, NY)
- …curiosity and collaboration + Priding ourselves in being diverse and inclusive The Role The Registered Nurse Case Manager team at AptiHealth is pivotal ... of support to our patients and our providers. The RN Case Manager will assist...preferred + Currently licensed as a Registered Nurse in New York + Current Certified Case… more
- Actalent (Los Angeles, CA)
- Job Title: Concurrent Review Nurse - REMOTE POSITIONRequirements + CA RN license + Case Management experience + Medicare or Medical experience + Ability ... + Work in a fast-paced environment, handling 17-20 reviews daily + 100% REMOTE POSITION + Support pediatrics OR psych/behavioral health Job Description We are… more
- Highmark Health (Harrisburg, PA)
- …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- CVS Health (Raleigh, NC)
- …every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse ( RN ). Case Managers serve as ... nights, weekends, or holidays required. **Key Responsibilities of the Case Manager RN ** (Includes but...or business needs. **Required Qualifications** + Must be a Registered Nurse with an active state license… more
- CVS Health (Jefferson City, MO)
- …And 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) ... Meets regulatory requirements within specified timelines. + The Care Manager RN supports other members of the...skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- CVS Health (Salt Lake City, UT)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Maternity/ Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager - Oncology Location: Remote Career Area: Health Services About ... Utilizing key principles of case management, the RN Case Manager focuses on...and cost-effective health outcomes. Required Skills and Experiences * Registered nurse with current MN license and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN Location: Remote Career Area: Health Services About Blue Cross ... care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. *… more
- CVS Health (East Orange, NJ)
- …50 to 75% travel in Bergen County and surrounding counties. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- Highmark Health (Concord, NH)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Insight Global (Los Angeles, CA)
- Job Description An employer in the Southern California is seeking an RN Case Manager . This is a remote position, but individual must sit in Southern ... (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting.… more
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote , no travel is expected with this position. ... hour shift between 8:30am to 5pm Arizona time The Nurse Case Manager is responsible...**Required Qualifications** + **Must have active, current and unrestricted RN licensure in state of residence and have the… more
- CVS Health (Austin, TX)
- …convenient and more compassionate. And we do it all with heart, each and every day. ** Remote Case Manager RN - Costco Team (San Antonio, TX)** This fully ... remote Case Manager RN position supports the **Costco Team** , but candidates **must reside within 45 minutes** of the local office at **7034 Alamo Downs… more
- CVS Health (Sparta, NJ)
- …or $10,000 for any external hire with an active NJ Choice Certification** **Position Summary: Case Manager Registered Nurse - Field in Sussex County, ... NJ** This is a remote Case Manager role with...NJ** This is a remote Case Manager role with 50-75% field travel...in the role. **Required Qualifications:** + Active and Unrestricted RN license in NJ + 3+ years clinical practice… more
- CVS Health (Kearny, NJ)
- …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with...in pediatric, Special Needs and/or Adult Population + BSN RN with current unrestricted state licensure in the State… more
- Adecco US, Inc. (Minneapolis, MN)
- Adecco Healthcare & Life Sciences is hiring a ** Remote ** ** Case Manager RN ** ! This role is work from home. Please read below and apply with an updated ... $47.00 per hour based on experience **Responsibilities of the** ** Case Manager RN :** **.** Telephonic Nurse Case Management **Qualifications for… more
- Henry Ford Health System (Detroit, MI)
- …Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote , allowing staff to excel in their chosen ... by the Commission for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American Case Management Association preferred. Not… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...Nursing or equivalent degree. + Master's Degree + Certified Case Manager (CCM) - Commission for … more
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