- 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 … more
- ICW Group (Lisle, IL)
- …of professional experience providing direct clinical care required. Case Management in WC, Discharge Planning, or Home Health preferred. **CERTIFICATES, ... evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and...to ensure quality and appropriate service delivery of the case management process. + Performs initial and… more
- Molina Healthcare (Ann Arbor, MI)
- …remote setting supporting our Medicaid population. Looking for candidates with previous case management experience. Excellent computer skills and attention to ... MI) may be required (Team Meetings, Audits, and Trainings) Home office with internet connectivity of high speed required....per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Humana (Oklahoma City, OK)
- …role, you will be required to be screened for TB. **Preferred Qualifications** + Case Management Certification (CCM). + Bilingual Spanish Speaking. **Work at ... health workers, housing support specialists, SDOH coordinators, and care management support assistants. The Care Manager, Telephonic ...Home Guidance** To ensure … more
- Humana (San Juan, PR)
- …overtime and/or weekends) **Preferred Qualifications** + Health Plan experience + Previous Case Management Experience + Call center or triage experience + ... and help us put health first** This is a Work-At- Home position located in Puerto Rico. You must live...in Puerto Rico for this position. The Care Manager, Telephonic Nurse works in a telephonic environment.… more
- UPMC (Pittsburgh, PA)
- Are you an experienced nurse with a background in case management ? Are you interested in the opportunity to work from home ? UPMC Health Plan is looking for ... you! We are hiring a full-time Telephonic Care Manager to support the Special Needs Plan...team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of… more
- The Cigna Group (Bloomfield, CT)
- **Evernorth Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **_ Remote but must be licensed in Florida ... needs trusts, estate planning or disability entitlements highly preferred **JOB TITLE:** Case Management Lead Analyst (Licensed Telephonic Counselor) **JOB… more
- Molina Healthcare (Taylorsville, UT)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... and productivity is important. This is a Remote position, home office with internet connectivity of high speed required....per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Monroe Plan for Medical Care (Binghamton, NY)
- …focus on individuals experiencing homelessness. In this role, you'll go beyond traditional case management - working hands-on to coordinate care, advocate for ... Case Manager II - Non-Medicaid & Health Home Summary Title: Case Manager II - Non-Medicaid...management services to specific population eligible for Health Home services. Provides information, referrals, and/or care management… more
- CDPHP (Albany, NY)
- …care for the member population serviced by CDPHP. The Hospital to Home Case Manager. This is a telephonic role. Qualifications: + Masters in Social Work ... be a part of that experience. The Hospital to Home Case Manager (Clinical) is responsible and...experience with diabetes and heart disease is preferred. + Case management experience preferred. + Experience working… more
- ChenMed (North Miami Beach, FL)
- …the patient care, discharge and home planning processes with hospital case management departments, and other healthcare facilities. + In conjunction with ... the above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic...A minimum of 1 year of utilization review and/or case management , home health, hospital… more
- Cedars-Sinai (CA)
- …and continuing care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance ... in an acute care setting (required). + Minimum of 1year of Case Management experience (preferred). \#LI-On-site \#Jobs-Indeed **About Us** Cedars-Sinai is… more
- National Youth Advocate Program (Naperville, IL)
- …the National Youth Advocate Program's Mission, Values and Philosophies. + Ensure case management assessments are completed within ORR's allotted timeframes. + ... administration, clinical, medical and educational staff in identifying best case management practices while maintaining a collaborative multi-disciplinary… 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
- 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
- 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 (Philadelphia, PA)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... primary care model and maximize their healthy time at home . The Intensive Community Managers (ICCMs) will serve as...may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention,… more
- Illumination Foundation (Cerritos, CA)
- …Description Housing Case Managers are responsible for providing comprehensive case management services to individuals experiencing homelessness or at risk ... dignity, and the safety of a place to call home ." Homelessness is the largest social and public health...At least 6 months to 1 year of previous case management experience + Experience working in… more
- Highmark Health (Dover, DE)
- …disabilities, or HIV/AIDS population. **Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified ... involves working directly with members in their homes and also requires providing case management services within nursing facility settings. T **he incumbent… 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
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