- Sedgwick Government Solutions (Indianapolis, IN)
- …care, health management , and support through our highly skilled team of home -based Telephonic Medical Case Managers (MCM). Responsibilities As a ... Job Details Telephonic Medical Case Manager (Remote) 2025-1426 Indianapolis, IN, USA Medical Case Management Full Time Description Overview Are you… more
- Molina Healthcare (Rockford, IL)
- …assessments by phone to determine the resources we need to provide as well as case management for the member. Our ideal applicant would be someone who has ... experience doing case management /discharge planning in a managed care...the member needs and goals. + Conducts face-to-face or home visits as required. + Performs ongoing monitoring of… more
- Humana (Oklahoma City, OK)
- …Oklahoma or compact license (without restrictions). + 2+ years of experience of either in- home or inpatient case /care management . + Experience working with ... role, you will be required to be screened for TB. **Preferred Qualifications** + Case Management Certification (CCM). + Bilingual Spanish Speaking. **Work at … more
- Humana (Columbus, OH)
- …years of clinical nursing experience + Minimum of 1 year of managed care and case management experience + An active designation as a Certified Care Manager ... providers; serve as POC for MTF CMs. + Perform telephonic care management with beneficiaries throughout the...- 5:00 pm **Work Style** : Remote **Work at Home /Remote Requirements** To ensure Hybrid Office/ Home associates'… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... upon the department No weekends or holidays **Positon Summary:** Provides case management , care coordination and discharge/disposition planning for inpatient… more
- City of Tacoma WA (Tacoma, WA)
- …Prevention & Outreach Division. This classification is responsible for providing non-emergency case management including telephonic and in-person triage and ... the National League of Nursing or equivalent Minimum Experience* 4 years of case management experience working with chronically ill populations suffering from… more
- Fallon Health (Worcester, MA)
- …Non-English speaking, required * Home Health Care experience preferred * Effective case management and care coordination skills and the ability to assess a ... license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management strongly desired **Other** : Satisfactory Criminal Offender… more
- ERP International (Port Hueneme, CA)
- …but are not limited to** : **Core Duties** : * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support... CM * Develop and implement tools to support case management , such as those used for… more
- The Cigna Group (Bloomfield, CT)
- …case manager will possess a URAC-recognized certification in case management . + Excellent communication skills including telephonic (verbal) and digital ... partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with...aligned with organizational goals. + Understands and adheres to Case Management performance measures to deliver on… more
- ChenMed (Detroit, MI)
- …additional education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical and Social determination of Heath ... home setting. _Coordinate the Plan of Care:_ + Conducts/coordinates initial case management assessment of patients to determine outpatient needs. + Ensures… more
- The Cigna Group (Bloomfield, CT)
- …case manager will possess a URAC-recognized certification in case management . + Excellent communication skills including telephonic (verbal) and digital ... partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with...aligned with organizational goals. + Understands and adheres to Case Management performance measures to deliver on… more
- Fallon Health (Worcester, MA)
- …a medical change) to assign a rating category which determines BH case management level of involvement * May complete home visits and follow up assessments ... member's integrated care plan if present * Completes a home visit for all agreeable referred members within allotted...and/or LMHC or equivalent; reliable transportation + Certification in Case Management a plus + Satisfactory Criminal… more
- Fallon Health (Worcester, MA)
- …Massachusetts; current Driver's license and reliable transportation + Certification in Case Management strongly desired + Satisfactory Criminal Offender Record ... Twitter and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral part on an...on an interdisciplinary team focused on care coordination, care management and improving access to and quality of care… more
- Molina Healthcare (Des Moines, IA)
- … case management , disease management , managed care settings. * Field-based case management or home health experience. * Certified Case Manager ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required.… more
- Molina Healthcare (Williamsburg, KY)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required.… more
- Molina Healthcare (York, SC)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required.… more
- ERP International (Eglin AFB, FL)
- …include, but are not limited to the following: + Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM + Develop and implement tools to support... CM + Develop and implement tools to support case management , such as those used for… more
- Highmark Health (Dover, DE)
- …disabilities, or HIV/AIDS population. **Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified ... to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state...Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's… more
- Molina Healthcare (Mount Vernon, IL)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... a strong clinical background. While this position is mostly telephonic , there are times when you may be asked...identified in the assessment. + Develops and implements a case management plan in collaboration with the… more
- Molina Healthcare (AZ)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required.… more
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