- Public Consulting Group (Carson City, NV)
- …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
- Guardian Life (Carson City, NV)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a variety of group sizes ranging from… more
- Elevance Health (Las Vegas, NV)
- …depression, and insightful analytics to improve the delivery of care._ **Behavioral Health Case Manager II** **Location** : **Nevada** . This position will work ... be spent working remotely from home via telephone. The **Behavioral Health Case Manager II** is responsible for performing case management telephonically… more
- HCA Healthcare (Las Vegas, NV)
- …hired below midpoint of the range. **Introduction** Do you have the career opportunities as a Case Manager RN you want in your current role? We invest in what ... with our Nurses at MountainView Hospital! **Job Summary and Qualifications** The Case Manager (CM) ensures high-quality, patient-centered care by managing… more
- Molina Healthcare (North Las Vegas, NV)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Elevance Health (Las Vegas, NV)
- …insightful analytics to improve the delivery of care. **Title:** Behavioral Health Case Manager II **Locations:** This position will predominantly be ... **Build the Possibilities. Make an extraordinary impact.** The Behavioral Health Case Manager II is responsible for performing case management telephonically… more
- Guardian Life (Carson City, NV)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- CVS Health (Carson City, NV)
- …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 (Carson City, NV)
- …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
- Elevance Health (NV)
- …depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager III, NV Crisis 988** **Location:** Candidates must reside ... + Tuesday -Saturday 12a-8:30a + Tuesday -Saturday 4p-12:30a The **Behavioral Health Case Manager III** is responsible for screening, assessing, training, and… more
- Healthfirst (NV)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification… more
- Cardinal Health (Carson City, NV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Sedgwick (Las Vegas, NV)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to facilitate progressive medical… more
- Guardian Life (Carson City, NV)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- Cardinal Health (Carson City, NV)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** 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 healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Carson City, NV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** 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,… more
- Highmark Health (Carson City, NV)
- …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
- CenterWell (Las Vegas, NV)
- …of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or ... resources appropriate for the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and… more
- BrightSpring Health Services (Las Vegas, NV)
- Our Company CompassionCare Overview Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support your patients ... by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal care experience. Take this chance to make a meaningful impact with your career today! Our comprehensive benefits include:… more
- CenterWell (Las Vegas, NV)
- …largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, ... emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to… more