- Sedgwick Government Solutions (Indianapolis, IN)
- Job Details Telephonic Medical Case Manager ( Remote ) 2025-1426 Indianapolis, IN, USA Medical Case Management Full Time Description Overview Are ... Medical Case Managers (MCM). Responsibilities As a Telephonic Medical Case Manager , you will work independently in your home office setting… more
- Henry Ford Health System (Troy, MI)
- REGISTERED NURSE CLIENT FOCUSED CASE MANAGER ( REMOTE ) - SUPPORTIVE CARE MANAGEMENT - 40 HOURS WEEKLY - DAY SHIFT - POPULANCE Full Time Benefit Eligible ... of the Clinical Success leadership team, the Client Focused Case Manager is responsible for the collaborative...DIFS, CMS, NCQA regulatory requirements required. * Knowledge of medical ethics and legal implications related to case… more
- Molina Healthcare (Rochester, NY)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- Molina Healthcare (Mount Vernon, IL)
- **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a Remote Case Manager working with our Medicare members in south central Illinois ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (New York, NY)
- …disabled people who are eligible for Medicaid and Medicare. We are looking for a Case Manager with a LMSW or LCSW licensure. Experience with Long-term Services ... CCA, PEGA knowledge and proficient MS Excel experience. The Case Manager must have the ability to...Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical… more
- St. Catherine's Center for Children (Kingston, NY)
- CASE MANAGER , MID-HUDSON PRC -- REMOTE /HYBRID Program : Foster Care/ Mid-Hudson Region - Permanency Resource Center Location: Columbia, Greene and Delaware ... and kinship caregiving families. Working in a team environment, the PRC Case Manager participates in community outreach activities, completes monthly… more
- Molina Healthcare (Everett, WA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
- CVS Health (Des Moines, IA)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... RN licenses if needed, company will provide **Preferred Qualifications** + Certified Case Manager is preferred + Additional national professional certification… more
- The Cigna Group (Bloomfield, CT)
- **(RN) Non-Premium Oncology Nurse Case Manager ** ** Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and ... in creation of care plan and documents plan in medical management system. + Partners with each customer to...+ Within four (4) years of hire as a case manager will possess a URAC-recognized certification… more
- Ochsner Health (New Orleans, LA)
- …Registered Nurse license in state of practice. Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified ... specific care setting order by the physician and applies hospital approved medical necessity criteria to review appropriate admissions and levels of care. Documents… more
- CVS Health (Baton Rouge, LA)
- …planning and/or home healthcare coordination experience **Preferred Qualifications** + Certified Case Manager + Excellent analytical and problem-solving skills + ... and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. + Develops… more
- CVS Health (Topeka, KS)
- …do it all with heart, each and every day. **Position Summary** **Fully remote role USA.** **Standard business hours Monday-Friday. No nights and no weekends.** ... of available resources and optimal, cost-effective outcomes. * Telephonic clinical case management with Medicare population. * Uses Motivational Interviewing and… more
- Bozeman Health (Bozeman, MT)
- …clinic setting + Previous ICD-10 and CPT coding + Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job ... This position is eligible for remote work following the completion of onsite training...patient enrollment. + Communicates and collaborates with Clinical Operations Manager . Knowledge, Skills, and Abilities + Demonstrates sound judgement,… more
- Molina Healthcare (Los Angeles, CA)
- …needed. + Processes requests within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. + ... School of Nursing. **Required Experience** 3+ years hospital acute care/ medical experience. **Required License, Certification, Association** Active, unrestricted State… more
- CVS Health (Union, NJ)
- …50 to 75% travel in Union 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
- CVS Health (Linden, NJ)
- …NJ Choice Certification or $7,500 for all other eligible external candidates._** **This is a remote Case Manager opportunity with** **50 to 75% field travel ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- International Rescue Committee (Elizabeth, NJ)
- … management to clients. If the position is part of an office location, the Crisis Case Manager works a hybrid remote /office schedule, and will be required to ... Requisition ID: req57976 Job Title: HSPRS, Crisis Case Manager Sector: Social Work Employment...custody into a sponsor's care (Home Study) o Provide case management support via remote and /… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …IDD for Select Community is required _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2 ... utilization of benefits + Performing the essential activities of case management: assessment: planning, implementation, coordinating, monitoring, outcomes and… more
- International Rescue Committee (New York, NY)
- Requisition ID: req57616 Job Title: Crisis Case Manager , HSPRS Sector: Social Work Employment Category: Fixed Term Employment Type: Full-Time Compensation: USD ... custody into a sponsor's care (Home Study) - Provide case management support via remote and /...resources in the community (Post Release Services). The Crisis Case Manager (Level 3) conducts Home Studies… more
- City of Tacoma WA (Tacoma, WA)
- Registered Nurse Case Manager Salary $53.02 - $74.64 Hourly Location Tacoma, WA Job Type Non-Classified Remote Employment Flexible/Hybrid Job Number ... challenging and varied work as a part-time Registered Nurse Case Manager for the EMS Prevention &...care and coordinating care among an interdisciplinary team of medical and social service entities. The purpose of this… more
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