- 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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Sharecare (Carson City, NV)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- CenterWell (Las Vegas, NV)
- …attendance + Perform all other duties and responsibilities as required **Required Qualifications** + Registered Nurse ( RN license) in Nevada or Compact + ... and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's...and supportive consultation to other team members, handling escalated complex cases + Develop care plans leveraging 5Ms Geriatric… more
- Humana (Carson City, NV)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- Molina Healthcare (North Las Vegas, NV)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Elevance Health (Las Vegas, NV)
- …and depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager III, NV Crisis 988** **Location:** 9133 W Russell Rd., ... Monday-Friday 8:00am-4:30pm PST for 3 weeks. The **Behavioral Health Case Manager III** is responsible for screening,...to Clinical & Referral Specialists. + Assists with more complex cases & calls. + Will provide clinical consults… more
- Elevance Health (Las Vegas, NV)
- …and insightful analytics to improve the delivery of care._ **Title** : Behavioral Health Case Manager I **Location: Virtual** - This role enables associates to ... , 2 days: 10:30AM-7:00PM **MST** ) The **Behavioral Health Case Manager ** is responsible for performing ...social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder… more
- Sedgwick (Las Vegas, NV)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Elevance Health (Las Vegas, NV)
- **Telephonic Nurse Case Manager II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... will drive the future of health care The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more
- Sedgwick (Carson City, NV)
- …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
- Sedgwick (Carson City, NV)
- …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! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Molina Healthcare (NV)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific… more
- Elevance Health (Las Vegas, NV)
- **Behavioral Health Care Manager II** **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person training ... law. **Shift** : 12:00 PM - 8:30 PM ET The **Behavioral Health Care Manager II** is responsible for managing psychiatric and substance abuse or substance abuse… more
- Elevance Health (Las Vegas, NV)
- …guidelines and/or medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill ... of a registered nurse . Acts as a resource for...include but are not limited to: + Responsible for complex cases that may require evaluation of multiple variables… more
- Elevance Health (Las Vegas, NV)
- …or NHCAA, RN or JD certification preferred. + Experience in complex , high dollar white collar and/or healthcare investigations strongly preferred. + Experience ... teams across the national SIU. + Functions within the SIU include investigations, case intake and assignment, and data analysis. + Hires, trains, coaches, counsels,… more
- Elevance Health (Las Vegas, NV)
- …facilitated, in part, by algorithmic or automated processes. + Handles less complex benefit plans and/or contracts. + Conducts and may approve precertification, ... denial determination made by a Medical Director. + Refers complex or non-routine reviews to more senior nurses and/or...experience. + Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health… more