- Sedgwick (Providence, RI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across ... the US and are looking for experienced Workers Comp Field Case Managers! Required to have a...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
- Molina Healthcare (Norfolk, MA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Norfolk, MA)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
- Fallon Health (Foxborough, MA)
- …fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an ... NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric...: Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case… more
- Highmark Health (Providence, RI)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Humana (Providence, RI)
- …multi-tasking **Preferred Qualifications** + BSN or Bachelor's degree in a related field + Registered Nurse ( RN ) with 3 years or more of NICU level 3 ... skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the...adult acute care + Managed care experience + Certified Case Manager (CCM) + Bilingual is a… more
- Humana (Providence, RI)
- …alternate time zone virtually. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) with 3 years or more of NICU level ... and help us put health first** The NICU Care Manager , Telephonic Nurse 2, in a telephonic...guidance along the healthcare continuum. You will perform clinical case review on members during an inpatient hospital admission.… more
- Highmark Health (Providence, RI)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or...**Preferred** + Certification in utilization management or a related field + Certification in Case Management **SKILLS**… more