- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Sharecare (Dover, DE)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Dover, DE)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Swedesboro, NJ)
- …And we do it all with heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with potential care ... the member's private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric … more
- Centene Corporation (Dover, DE)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... state of Delaware.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- CVS Health (Dover, DE)
- …performing the job functions. **Required Qualifications** - 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty. - A ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we... Registered Nurse that holds an unrestricted license… more
- Sharecare (Dover, DE)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- CenterWell (Dover, DE)
- **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care ... your skills to make an impact** **Required Qualifications** + Active unrestricted Compact RN license. + A minimum of three years clinical experience. + Prior… more
- Highmark Health (Dover, DE)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- AmeriHealth Caritas (Newark, DE)
- …your work makes a difference, we encourage you to apply. **Role Overview:** The Pediatric Care Manager ( RN /SW) assists members appropriate for care ... services in achieving their optimal level of health through self-management. The Care Manager ( RN /SW) engages pediatric members, member caregivers,… more
- AmeriHealth Caritas (Newark, DE)
- **Role Overview:** The Care Manager ( RN /SW) assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Care Manager ( RN /SW) engages behavioral...Plan, NCQA, Federal/State standards and requirements. **Work Arrangement** : Remote with required travel in **New Castle County, Delaware,… more
- Highmark Health (Dover, DE)
- …+ 5 - 7 years in Social Work **LICENSES OR CERTIFICATIONS** **Required** + Registered Nurse or + Licensed Clinical Social Worker (LCSW) - Non-Specific ... Develops educational interventions to maintain contractually mandated standards of care as it applies to existing and future Policies,...**Preferred** + ACM Certification (Accredited Case Manager ) **SKILLS** + Adult Learning: Theory and Practice +… more
- Centene Corporation (Newark, DE)
- …within the state of Delaware, as this is a field-based role.** ** RN license highly preferred.** **Position Purpose:** Assists in developing, assessing, and ... coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes....plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Newark, DE)
- …Castle County, DE.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental… more
- Penn Medicine (West Chester, PA)
- …position provides patient care under the direction and supervision of a Registered Nurse . Both the Unit Secretary and Nursing Assistant performs duties that ... at the request of nursing leadership. Seeks clarification from Nurse Manager or Director as needed. Performs...Procedure Manual.Communication Communicates patient and unit information to the RN and interdisciplinary care team in a… more
- Devereux Advanced Behavioral Health (West Chester, PA)
- …and the education staff to ensure comprehensive service provision and accurate documentation of care . The Certified School Nurse Manager is responsible for ... **Description** **Devereux West Chester Seeking Certified School Nurse Manager ** **Exempt, M-F 8-4pm, year...practice standards which are consistent between school. Delegates school nurse duties to Rn 's, LPNs and agency… more