- Sedgwick (Trenton, NJ)
- …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
- ICW Group (Philadelphia, PA)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life, and… more
- Elevance Health (Wilmington, DE)
- ** 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
- Humana (Trenton, NJ)
- …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
- AmeriHealth Caritas (Philadelphia, PA)
- …Experience with behavioral health desired + Minimum of three years of experience as a case manager , preferably providing telephonic case management + ... about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for case ...Certification as a case manager preferred **Skills and Abilities** + Proficiency using MS… more
- CVS Health (Willingboro, NJ)
- …heart, each and every day. **New Hire Bonus** + **External = $1000** This Case Manager Registered Nurse position is with Aetna's Integrated Care Management (ICM) ... MS Office Suite applications, including Word and Excel. **Preferred Qualifications** + Certified Case Manager Certification + Case Management experience in… more
- CVS Health (Haddon Heights, NJ)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is with Aetna's Integrate Care Management (ICM) team and ... and evaluating members with potential care management needs through telephonic and face to face assessments in various settings,...with mental health and/or substance use disorders. + Certified Case Manager Certification + Case … more
- Humana (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- CVS Health (Riverton, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... it all with heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with potential care management needs… more
- AmeriHealth Caritas (Norristown, PA)
- …an acute care, home care, or special needs clinic + 3+ years of Case Management experience, preferably telephonic within a managed care organization, desired + ... **Role Overview** The Community Care Manager assists members appropriate for care management and...Eligible to sit for Case Management certification after 12 months of employment. Must… more
- ICW Group (Philadelphia, PA)
- …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 (Trenton, NJ)
- …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
- Elevance Health (Trenton, NJ)
- …the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes ... of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and… more