- Public Consulting Group (Providence, RI)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Child & Family Services of RI (Middletown, RI)
- … case management services to participants who are part of the Conflict Free Case Management Model. The Case Manager provides in-home visits, monthly ... plan development, personalized services budgeting, oversite, referrals, and monitoring. The case manager assists with care coordination to ensure the… more
- Adecco US, Inc. (Cumberland, RI)
- **Remote Opportunity: Nurse Case Manager II (RN - EST Time Zone)** **Full-Time | Remote | EST Time Zone Required** **Location: Must reside in the Eastern Time ... License (FL or Compact)** **About the Role:** We're hiring an experienced **Nurse Case Manager II** to join our remote care coordination team. This is a **fully… more
- CVS Health (Providence, RI)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Providence, RI)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Charter Care Health Partners (North Providence, RI)
- …required. Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly desirable. Interrelationships: Patient ... or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective services. Makes daily rounds and collaborates with the… more
- Brown University (Providence, RI)
- Job Description: The Clinical Case Manager will oversee the comprehensive care of students with various health needs, ongoing health conditions, and mental ... in maneuvering through the complexities of the healthcare system. The Clinical Case Manager will serve as a crucial link, ensuring seamless coordination between… more
- Advocates (Plainville, MA)
- **Overview** Starting rate $19.50/hour The Day Services Case Manager will provide an environment that fosters growth and independence through therapeutic and ... skills training program with the interdisciplinary team. The goal of a Case Manager is to assist each individual to reach their maximum potential with… more
- Sedgwick (Providence, RI)
- …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! If you have at least** **1.5 years...with you!** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Sedgwick (Providence, RI)
- …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 advocacy,… more
- Athena Health Care Systems (Warwick, RI)
- …the patient's efforts toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility ... We are hiring per diem Hospice Registered Nurse Case Managers (RN) to join the Athena Hospice of Rhode Island team! Prior experience in hospice care is required.… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Public Consulting Group (Providence, RI)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Providence, RI)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Providence, RI)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Providence, RI)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... intervention skills preferred Managed care/utilization review experience preferred. + Case management and discharge planning experience preferred. + Managed… more
- Child & Family Services of RI (Providence, RI)
- …include children, adults, and families where clients have behavioral, emotional, and case management needs. Hybrid Role, 20% Remote Work. Your Main Priorities While ... additional responsibilities are likely to arise on the job, you will primarily: * Utilize an in-home strengths-based team approach to provide a wide range of assistance and resources to support individuals and families. * Work with collateral contacts and key… more
- Cardinal Health (Providence, RI)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Cardinal Health (Providence, RI)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- State of Massachusetts (Taunton, MA)
- …within the first 14 days.* * * Based on assignment as a Mental Health Case Manager or Forensic Transition Team Coordinator, within the Department of Mental ... professional to provide the day-to-day supervision of mental health case managers coordinating services to clients served by DMH...general summary and not all inclusive)_**:* * Provides direct case supervision and consultation to case managers… more