- Elevance Health (Atlanta, GA)
- ** Telephonic Nurse Case Manager II**...the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management ... 2 years' experience in acute care setting preferred. + Minimum 2 years' " telephonic " Case Management experience with a Managed Care Company preferred. +… more
- Elevance Health (Denver, CO)
- ** Telephonic Nurse Case Manager II**...be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management ... + Minimum 2 years' experience in acute care setting. + Minimum 2 years " telephonic " Case Management experience with a Managed Care Company. + Managed Care… more
- Elevance Health (GA)
- ** Telephonic Nurse Case Manager I**... Case Manager I** is responsible for telephonic care management within the scope of licensure ... assessments to identify individual needs and a specific care management plan to address objectives and goals as identified...type at the same time. + Certification as a Case Manager. + Demonstrate critical thinking skills when interacting… more
- Belle (Atlanta, GA)
- …cause inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered ... satisfaction for both members and their caregivers. As a Nurse Case Manager, you will: + Review...will: + Review documentation from in-home visits + Provide telephonic case management for members… more
- Sedgwick (Carson City, NV)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery...to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- Humana (San Juan, PR)
- …with resources appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse 's work assignments are varied and frequently require interpretation ... included. Please submit resume in English. The Care Manager, Telephonic Nurse employs a variety of strategies,...weekends) **Preferred Qualifications** + Health Plan experience + Previous Case Management Experience + Call center or… more
- Molina Healthcare (IA)
- JOB DESCRIPTION Job Summary Provides support for care management /care coordination activities and collaborates with multidisciplinary team coordinating integrated ... regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health...network to address member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs… more
- Molina Healthcare (TX)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... JOB DESCRIPTION Job Summary Provides support for care management /care coordination long-term services and supports specific activities and collaborates with… more
- Molina Healthcare (TX)
- …have to go into the field to complete assessments on those members on your case load. Preference will be given to candidates with experience working as a Transition ... member focusing on seven primary areas (Transition of Care Pillars): medication management , use of personal health record, follow-up care, signs and symptoms of… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a 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
- ChenMed (Houston, TX)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also...to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,… more
- Fallon Health (Lowell, MA)
- …a Registered Nurse in Massachusetts **Certification** : Certification in Case Management strongly desired **Other** : Satisfactory Criminal Offender Record ... Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral...required * Home Health Care experience preferred * Effective case management and care coordination skills and… more
- ERP International (Hurlburt Field, FL)
- …include, but is not limited to, the following: * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... CM * Develop and implement tools to support case management , such as those used for...Certification: Certified Rehabilitation Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) National Academy of… more
- ERP International (Anchorage, AK)
- **Overview** ERP International is seeking a **Registered Nurse Case Manager** for a full-time position supporting the673d Medical Group, Joint Base ... the following; * Participate in all phases of the Case Management Program (CMP) and ensure that...Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy… more
- ERP International (Twentynine Palms, CA)
- …not limited to the following: **CORE Duties:** * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... CM * Develop and implement tools to support case management , such as those used for...Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy… more
- ERP International (Tinker AFB, OK)
- …may include but are not limited to** : **Core Duties** : Provides case management , care coordination and discharge/disposition planning for inpatient and ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a...knowledge and skills to effectively apply the following core case management functions: a)Assessment:Identification of patients for… more
- CVS Health (Topeka, KS)
- …or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse ... Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and...+ This position consists of working intensely as a telephonic case manager with patients and their… more
- ChenMed (St. Louis, MO)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... visits, once patient has completed their episode of care management the register nurse (RN) will review...may need and to oversee appropriate patient discharge from case management . + Performs clinical and Social… more
- CVS Health (Columbus, OH)
- …telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs ... impact functionality. - Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member's level of… more
- Nuvance Health (Poughkeepsie, NY)
- …of the Director, The Nurse Case Manager role provide clinically-based case management to support the delivery of effective and efficient patient care. ... and economic perspectives. Has overall accountability for the utilization management and transition management for patients within...stay criteria with third party payers (including onsite and telephonic Case Managers) as well as Primary… more
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