- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- Elevance Health (Tampa, FL)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
- Elevance Health (Tampa, FL)
- ** Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of ... in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager I** is responsible for performing care… more
- CVS Health (FL)
- …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
- Elevance Health (Miami, FL)
- ** Telephonic Nurse Case Manager II** **Hours: Monday - Friday 9 - 5:30 pm EST, plus 3 times a month 11:30 - 8 pm EST.** **Location:** This role enables ... in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
- Humana (Tallahassee, FL)
- …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
- ERP International (Macdill AFB, FL)
- …Collegiate Nursing Education (CCNE). **Experience:** Minimum 1 years experience as a RN Case Manager within the past 24 months. Certification:** Possess one of ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support...the following certifications: o Commission for Case Manager Certification Certified … more
- Humana (Tallahassee, FL)
- …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 techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Sharecare (Tallahassee, FL)
- …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
- ChenMed (Largo, FL)
- …in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- ChenMed (North Miami, FL)
- …in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for ... **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- Elevance Health (Tampa, FL)
- **JR168679 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental health ... and substance use disorder inpatient and outpatient benefits through telephonic and written processes. Also provides telephonic support for crisis intervention,… more
- Molina Healthcare (Miami, FL)
- …of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the member, caregiver,...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …outcomes must be broad and complex. Responsibilities The Patient Safety Manager (PSM) Registered Nurse (RN) executes the position responsibilities that demonstrate ... possess an ability to organize priorities; meet deadlines; provide in-person, telephonic and electronic professional presentations; demonstrate the ability to work… more
- Aveanna Healthcare (Bradenton, FL)
- Home Health Clinical Manager RN Full Time ApplyRefer a FriendBack Job Details Requisition #: 208155 Location: Bradenton, FL 34208 Category: Nursing Salary: ... Position Details Make a Real Difference-One Patient at a Time Now HIring: Clinical Manager , Home Health Similar experience is needed. This role comes with a 10%… more
- ICW Group (Orlando, FL)
- …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 (Tallahassee, FL)
- …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