- Somatus (Philadelphia, PA)
- …service Preferred Qualifications: + BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience + Field-based experience going ... into homes + Telephonic case management experience + Experience working within a managed care environment **Hourly Range** $85,000 to $97,000 per year… more
- Sedgwick (Trenton, NJ)
- …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 and a successful return to work through… more
- CVS Health (Trenton, NJ)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Humana (Trenton, NJ)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a ...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Experience with behavioral health desired + Minimum of three years of experience as a case manager , preferably providing telephonic case management + ... about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for case ...Certification as a case manager preferred **Skills and Abilities** + Proficiency using MS… more
- Sharecare (Trenton, NJ)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- CVS Health (Riverton, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... it all with heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with potential care management needs… more
- AmeriHealth Caritas (Norristown, PA)
- …an acute care, home care, or special needs clinic + 3+ years of Case Management experience, preferably telephonic within a managed care organization, desired + ... **Role Overview** The Community Care Manager assists members appropriate for care management and...Eligible to sit for Case Management certification after 12 months of employment. Must… more
- ICW Group (Philadelphia, PA)
- …department and vendors. + Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors. Reviews open ... bill review, case management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program… more
- Sharecare (Trenton, NJ)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Sharecare (Trenton, NJ)
- …days of training. PTO needs during the training period will be evaluated on a case by case basis and must be approved in advance._ **Compensation:** $18.00/hour ... (non-negotiable) Under the general supervision of the Operations Manager , the Outreach Specialist has the primary responsibility of scheduling members for enrollment… more
- Elevance Health (Trenton, NJ)
- …the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes ... of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and… more
