• Telephonic Nurse Case Manager II

    Elevance Health (Indianapolis, IN)
    …fashion. + Minimum 2 years' experience in acute care setting. + Minimum 2 years " telephonic " Case Management experience with a Managed Care Company. + ... ** Telephonic Nurse Case Manager II** **Location:...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
    Elevance Health (07/02/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Tampa, FL)
    …fashion. + Minimum 2 years' experience in acute care setting. + Minimum 2 years " telephonic " Case Management experience with a Managed Care Company. + ... ** Telephonic Nurse Case Manager II** **Location:...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
    Elevance Health (07/10/25)
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  • RN Care Manager - Telephonic

    Molina Healthcare (Covington, KY)
    …Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent computer skills and attention to ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
    Molina Healthcare (06/22/25)
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  • Behavioral Health Case Manager II (LICSW,…

    Elevance Health (Washington, DC)
    …and/or medical disorders. + Managed care experience required. **Preferred Qualifications:** + Telephonic case management strongly preferred. + Experience ... in the District of Columbia (Washington, DC) required. + Previous experience in case management and telephonic and/or in person coaching with members with a… more
    Elevance Health (05/29/25)
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  • Spanish Speaking RN- Case Manager

    Ascension Health (Austin, TX)
    …nursing experience, preferred. + 3-5 years of CCM experience, preferred. + 3-5 years of Telephonic case management (TCM) experience, required. + 3-5 years of ... **Details** + **Department:** Case Management + **Schedule:** Full Time, Monday- Friday, Day Shift, with occasional evenings and weekends, remote. +… more
    Ascension Health (06/17/25)
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  • Bilingual RN Case Manager

    Access Dubuque (Dubuque, IA)
    …office and is also available remotely within Iowa. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned ... Manager** to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager… more
    Access Dubuque (07/03/25)
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  • Case Manager RN

    Somatus (Buffalo, NY)
    …* Diabetic educator experience * ICU, Cardiology or Critical Care experience * Telephonic case management experience * Experience with discharge planning ... ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. **This is… more
    Somatus (07/02/25)
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  • Case Manager RN- Bilingual

    Somatus (Mclean, VA)
    …+ Diabetic educator experience + ICU, Cardiology or Critical Care experience + Telephonic case management experience + Experience with discharge planning ... ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site or telephonically as the need arises. **This is… more
    Somatus (07/02/25)
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  • Workers Compensation Support Registered Nurse

    AdventHealth (Altamonte Springs, FL)
    …successful return to work. **The value youll bring to the team:** + Provide telephonic case management for multi-state claim caseload assignment (excluding ... A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case management for Workers Compensation Injury cases. Case more
    AdventHealth (07/01/25)
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  • Orthopedic Navigator Coordinator

    UPMC (Jamestown, NY)
    …our Total Joint Replacement orthopedic population, providing high quality nursing care, telephonic case management , and care coordination throughout the ... Minimum of 4 years nursing experience in a hospital setting + Telephonic case management experience highly preferred. Experience with the orthopedic… more
    UPMC (07/09/25)
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  • Care Manager, Registered Nurse- Remote

    Sharecare (San Juan, PR)
    …motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + ... program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager… more
    Sharecare (07/08/25)
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  • Behavioral Health Case Mgr I

    Elevance Health (Indianapolis, IN)
    …the United States required. **Preferred skills, qualifications and experiences:** + Experience in case management telephonic coaching with members with a ... **Behavioral Health Case Manager I** is responsible for performing case management telephonically within the scope of licensure for members with behavioral… more
    Elevance Health (07/01/25)
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  • Care Manager

    AmeriHealth Caritas (Philadelphia, PA)
    …+ Minimum of three years of experience as a case manager, preferably providing telephonic case management + Certification as a case manager preferred ... (RN) provides support to complex members appropriate for care coordination and case management services in achieving their optimal level of health through self-… more
    AmeriHealth Caritas (07/03/25)
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  • Care Manager

    AmeriHealth Caritas (Philadelphia, PA)
    …+ Minimum of three years of experience as a case manager, preferably providing telephonic case management . + Certification as a case manager ... The Care Manager II assists members appropriate for care coordination and case management services in achieving their optimal level of health. The Care Manager… more
    AmeriHealth Caritas (05/31/25)
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  • RN Care Manager

    Actalent (Mcallen, TX)
    Job Description + Deliver telephonic case management services, coordinating care across PCPs, specialists, and support staff to address clients' medical and ... clinical nursing experience in home health, hospice, managed care or case management + Experience working with people with disabilities and vulnerable… more
    Actalent (07/03/25)
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  • Care Manager

    AmeriHealth Caritas (Shreveport, LA)
    …in obstetrics including prenatal and postpartum care + 1 year of Case Management experience in a hospital, homecare, or remote/ telephonic setting + Case ... Care Manager II (RN) assists members appropriate for care coordination and case management services in achieving their optimal level of health. The Care Manager… more
    AmeriHealth Caritas (06/26/25)
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  • Telephonic Triage Nurse Case Manager…

    Sedgwick Government Solutions (Tampa, FL)
    Case Manager (Remote) 2025-1436 Tampa, FL, USA Medical Case Management Full Time Description **Overview** ** Telephonic Triage Nurse Case ** **Manager ... the occupationally injured? Do you have the professional nursing, case management experience, and licenses necessary to...and support through our highly skilled team of home-based Telephonic Triage Nurse Case Managers **.** As… more
    Sedgwick Government Solutions (06/14/25)
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  • PA or CRNP (ACNP), Senior - Sports Medicine…

    UPMC (Pittsburgh, PA)
    …for our UPMC Elite Athlete Program. The navigator will provide high quality care, telephonic case management , and care coordination throughout the continuity ... engagement with our contracted sports teams and personnel, team management , athletic directors, and sports agents. **Department Details:** Nationally recognized… more
    UPMC (04/26/25)
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  • Telephonic Nurse Case Manager

    ICW Group (Lisle, IL)
    …with ongoing monitoring to ensure quality and appropriate service delivery of the case management process. + Performs initial and ongoing clinical assessment via ... evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and...ensures support systems are in place. + Creates a case management plan based on the assessment… more
    ICW Group (06/18/25)
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  • Clinic Nurse Medical Case Manager - Workers…

    Travelers Insurance Company (Centennial, CO)
    …1 **What Is the Opportunity?** Under moderate supervision, provide office based telephonic and/or in-person medical case management supporting Concierge ... in established guidelines. + Customer Engagement. + Participate in Telephonic and/or onsite File Reviews. + Respond to inquiries...Our Ideal Candidate Have?** + RN preferred. + Disability case management experience preferred. + Prior clinical… more
    Travelers Insurance Company (06/20/25)
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