- Sedgwick Government Solutions (Tampa, FL)
- Job Details Telephonic Triage Nurse Case ...Case Management Full Time Description **Overview** ** Telephonic Triage Nurse Case ** **Manager ... and support through our highly skilled team of home-based Telephonic Triage Nurse Case Managers... Management (CCM), Insurance Rehabilitation (CIRS/CRRN), Disability Management (CDMS), and/or Nurse Case … more
- Elevance Health (Indianapolis, IN)
- ** Telephonic Nurse Case Manager II**...experience in acute care setting. + Minimum 2 years " telephonic " Case Management experience with a ... different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II**...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
- Elevance Health (Tampa, FL)
- ** Telephonic Nurse Case Manager II**...experience in acute care setting. + Minimum 2 years " telephonic " Case Management experience with a ... different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II**...Case Manager II** is responsible for performing care management within the scope of licensure for members with… more
- ICW Group (Lisle, IL)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... or Licensed Vocational Nurse (LVN) required. Certification in case management , rehabilitation nursing or a related specialty is strongly preferred.… more
- Humana (Oklahoma City, OK)
- …SDOH coordinators, and care management support assistants. The Care Manager, Telephonic Physical Health Nurse , work assignments are varied but will focus ... you will be required to be screened for TB. **Preferred Qualifications** + Case Management Certification (CCM). + Bilingual Spanish Speaking. **Work at Home… 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 ... For this position we are seeking a (RN) Registered Nurse who must live and have a current active...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- AdventHealth (Altamonte Springs, FL)
- …A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case management for Workers Compensation Injury cases. ... **The value youll bring to the team:** + Provide telephonic case management for multi-state...secure COMPACT nursing license immediately upon hire + Certified Case Manager (CCM) or Certified Rehabilitation Registered Nurse… 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
- Humana (San Juan, PR)
- …Puerto Rico. You must live in Puerto Rico for this position. The Care Manager, Telephonic Nurse works in a telephonic environment. They assess and evaluate ... appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse 's work assignments are varied and...weekends) **Preferred Qualifications** + Health Plan experience + Previous Case Management Experience + Call center or… 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 ... **JOB DESCRIPTION** We are seeking a (RN) Registered Nurse who must live and have a current...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- ChenMed (North Miami Beach, FL)
- …into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with ... to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,...of communication. + Introduces self to patient/family and explains Nurse Case Manager's role and processes to… more
- ERP International (Port Hueneme, CA)
- …university. With one of the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited by the American ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support...(ACCC), (CRC), (RN-NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a… more
- Fallon Health (Worcester, 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
- 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 ... do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview**...Our Ideal Candidate Have?** + RN preferred. + Disability case management experience preferred. + Prior clinical… more
- ERP International (Cherry Point, NC)
- …holidays No On-Call or Call-Back **Core Duties:** * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established ... case management (CM) standards of care. *...Certified Rehabilitation Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager (RN-NCM) o National Academy… 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 ... **(RN) Non-Premium Oncology Nurse Case Manager** ** Case ...aligned with organizational goals. + Understands and adheres to Case Management performance measures to deliver on… 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
- ChenMed (Eastpointe, MI)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... Once a patient has completed their episode of care management the register nurse (RN) will review...Team. _Coordinate the Plan of Care:_ + Conducts/coordinates initial case management assessment of patients to determine… more
- CVS Health (Jackson, MS)
- …Specialty Pharmacy Advocacy** **.** **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
- The Cigna Group (Mesa, AZ)
- The Nurse Case Management Lead Analyst is an integral member of the Care Management department as part of Evernorth Care Group (ENCG) Patient Health ... of high- and rising-risk, disease burdened members. The Nurse Case Management Lead Analyst...to problem solve around highly complex care needs. **Disease Management /Outreach:** Initiate new customer and ongoing telephonic … more
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