- 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
- Humana (Providence, RI)
- …or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Providence, RI)
- …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 manage ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- Molina Healthcare (Norfolk, MA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. ...case management and home health are highly preferred. Bilingual candidates are encouraged to apply to support our… more
- CAI (Providence, RI)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services firm ... enterprise. **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...member needs, and develop tailored care plans Preferred: + Case Management Certification (CCM or equivalent) + Bilingual… more
- Molina Healthcare (Norfolk, MA)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... case management and home health are highly preferred. Bilingual candidates are encouraged to apply to support our...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Molina Healthcare (Brockton, MA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... candidates with a MA RN licensure, care management and hospital experience. Bilingual candidates that speak Cape Verdean Creole, Spanish, Vietnamese, Haitian Creole… more
- Molina Healthcare (Norfolk, MA)
- …Office suite/applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health ... with a Massachusetts LICSW or LADC1 licensure. Candidates with case management and home health are highly preferred. ...case management and home health are highly preferred. Bilingual candidates are encouraged to apply to support our… more