- 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
- 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
- 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
- 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
- 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
- Travelers Insurance Company (Providence, RI)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Travels frequently inclusive of claim office visits, court… more
- State of Massachusetts (Fall River, 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 ... seeking a qualified professional for the position of Adult Case Management Supervisor (Human Service Coordinator II) at the...general summary and not all inclusive):_* * Provides direct case supervision and consultation to HSC Is by meeting… more
- Gentiva (Fall River, MA)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and… more
- Commander, Navy Installations (Newport, RI)
- …and civilian representatives and taking all steps required under the FAP. Serves as designated case manager and primary FAP point of contact for spouse and child ... interactions, interpersonal issues and other challenges. Responsibilities Performs FAP Case Management duties, which include receiving initial reports of suspected… more
- South County Hospital (Wakefield, RI)
- …medical home model offering strong collaboration with a pharmacist and nurse case manager to support high-risk patient populations. The Center allows ... our physicians to coordinate care with specialists within the group. Practice patients receive breathing, intravenous antibiotics, and other treatments, suturing and other procedures, and after-hours care by the adjacent Express Care, enabling seamless… more
- Cardinal Health (Providence, RI)
- …helps manufacturers rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support ... Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating… more