• Integrated Resources, Inc (Detroit, MI)
    …pm. Schedule Notes: . Full Time Day Shift Position Utilization Management or Telephonic Case management experience are not appropriate for this position ... be able to integrate quickly. . Required: Clinical Background, 3-5 Years Case Management Experience Therapy background will not be considered and strong computer… more
    JobGet (04/24/24)
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  • Signet Health (Clinton, MD)
    …for the following: Triaging, assessing and managing members referred for Behavioral Health Case management . Tracking and management of members identified as ... needing Intensive Case management Services who may be high risk, high utilizing...clinical risk. Perform Telephone Assessments of Mental Health needs. Telephonic collaboration with members. Telephonic Collaboration and… more
    JobGet (04/18/24)
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  • Signet Health (Clinton, MD)
    …for the following: Triaging, assessing and managing members referred for Behavioral Health Case management Tracking and management of members identified as ... needing Intensive Case management Services who may be high risk, high utilizing...clinical risk Perform Telephone Assessments of Mental Health needs Telephonic collaboration with members Telephonic Collaboration and… more
    JobGet (04/14/24)
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  • Integrated Resources, Inc (Rensselaer, NY)
    …assessments a day and work with a Family Support Coordinator to meet the family's case management needs specifically related to the HCBS POC. . This position is ... in person assessment rest 2 days documentation work and telephonic assessment. Pay range: $45 - $50/hr. on W2.... Utilize the State CANS assessment tool and MAXIMUS case management systems to document the child's… more
    JobGet (04/14/24)
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  • Northeast Georgia Health System, Inc (Oakwood, GA)
    …The Clinical Quality Assistant supports the Quality department by conducting telephonic outreach to patients who are needing preventative services in support ... Experience:Other: Job Specific and Unique Knowledge, Skills and AbilitiesExcellent self- management and organizational skills and ability to work independently and… more
    JobGet (04/23/24)
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  • St. Luke's Health System (Boise, ID)
    …Education: Bachelor's of Nursing Degree (BSN) Experience: 2 years' RN experience- RN Case management , Critical Care RN, or social work highly preferred. ... is seeking an experienced nurse that is passionate about helping patients through telephonic patient advisory care. What is so special about this position? The Care… more
    JobGet (04/12/24)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Norfolk, VA)
    …if this individual is providing services in multiple states. + Minimum 2 years " telephonic " Case Management experience with a Managed Care Company. + ... you for payment as part of consideration for employment. ** Telephonic Nurse Case Manager II** + Job...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
    Elevance Health (04/17/24)
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  • Telephonic Case Manager (RN) - CA…

    Molina Healthcare (CA)
    …for a California licensed, bilingual RN to join our Marketplace Team performing telephonic Case Management . Opportunity is open to either qualified ... 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 (04/07/24)
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  • Licensed Telephonic Counselor - Evernorth…

    The Cigna Group (Bloomfield, CT)
    **Evernorth Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **JOB TITLE:** Case Management Lead ... (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with...to set priorities including, but not limited to time management and organizational skills + Ability to manage own… more
    The Cigna Group (03/05/24)
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  • Case Manager RN

    CVS Health (Columbus, OH)
    …- Hospital experience in ICU, CCU, Step Down, ER or OR preferred - Telephonic case management and/or telephonic experience Education: Associate ... coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
    CVS Health (04/13/24)
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  • Case Manager RN

    CVS Health (Raleigh, NC)
    Case Manager (CCM) + Managed Care experience + Home Care experience + Telephonic case management and/or telephonic customer service center experience ... coordination needs, inpatient review, and discharge planning, developing, and implementing the case management plan, monitoring, and evaluating the plan and… more
    CVS Health (03/28/24)
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  • Case Manager RN

    CVS Health (Columbus, OH)
    …of clinical experience -RN in OH Preferred Qualifications -Home Health preferred or telephonic case management experience -Computer Skills (Microsoft office ... Better Health of Ohio Outreach Care Manager to complete telephonic assessments, care planning, member follow up, and member...oriented, highly organized, tech-savvy Registered Nurses to join our Case Management team. This opportunity offers a… more
    CVS Health (04/04/24)
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  • Nurse Case Manager (Remote)

    Sedgwick Government Solutions (Orlando, FL)
    …a highly skilled team of home-based **Nurse Case Manager (NCM)s** providing telephonic case management , focused on supporting individuals in _maximizing ... Details Nurse Case Manager (Remote) 2024-1342 Orlando, FL, USA Medical Case Management Full Time Description Nurse Case Manager (Home Based) - Specialty… more
    Sedgwick Government Solutions (04/09/24)
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  • RN Case Manager (Large Hospital)

    Actalent (Riverside, CA)
    …and KP physicians. *Float department (if needed): Special Needs Department (SNP), provide telephonic case management *Certificates required: RN license The ... Description: *Responsibilities: Extended Care Coordinator, provide comprehensive case management for patient at skilled nursing facilities including coordination… more
    Actalent (04/20/24)
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  • Nurse Medical Case Manager - Workers…

    Travelers Insurance Company (Richmond, VA)
    …Openings** 1 **What Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early ... in established guidelines. + Customer Engagement. + Participate in Telephonic and/or onsite File Reviews. + Respond to inquiries...injured worker apprised of claim status. + In-person medical case management may be required to support… more
    Travelers Insurance Company (04/16/24)
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  • Clinical Case Manager BH

    CVS Health (Topeka, KS)
    …to promote effective utilization of available resources and optimal, cost-effective outcomes.* Telephonic clinical case management with Medicare population.* ... Motivational Interviewing and engagement interventions to optimize member participation in case management programs.* Completes a Comprehensive Assessment and… more
    CVS Health (04/21/24)
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  • Clinical Case Manager Behavioral Health

    CVS Health (Harrisburg, PA)
    …to promote effective utilization of available resources and optimal, cost-effective outcomes.* Telephonic clinical case management with Medicare population.* ... Motivational Interviewing and engagement interventions to optimize member participation in case management programs.* Completes a Comprehensive Assessment and… more
    CVS Health (03/29/24)
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  • Clinical Case Manager Behavioral Health…

    CVS Health (Richmond, VA)
    …cases.- Participate in QI activities including data collection, tracking, and analysis. Telephonic clinical case management .- Uses Motivational Interviewing ... and engagement interventions to optimize member participation in case management programs.- Completes a Comprehensive Assessment and Plan of care.- Will document… more
    CVS Health (03/06/24)
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  • Medical Only Case Manager Trainee

    Amerisafe (Deridder, LA)
    …to perform as a Medical Only Case Manager Level 1. This employee will perform telephonic medical only case management of an inventory of 75 to 100 claims ... the Claims Policy and Procedures Manual. Under the advice of the Medical Only Case Management Team Leader, the MOCM Trainee will establish a case reserve,… more
    Amerisafe (03/19/24)
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  • Medical Management Nurse Senior-UM, CM/DM,…

    Ventura County (Ventura, CA)
    …medical policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of ... PDF reader) POSITION Under general direction, is responsible for providing Care/ Case Management and Disease Management duties within the Ventura County… more
    Ventura County (02/17/24)
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