- ICW Group (Philadelphia, PA)
- …perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,...unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management,… more
- Elevance Health (Wilmington, DE)
- …will service members in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager I** is responsible for ... ** Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and ... for the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
- 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 ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...the next round, a recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
- CVS Health (Willingboro, NJ)
- …with heart, each and every day. **New Hire Bonus** + **External = $1000** This Case Manager Registered Nurse position is with Aetna's Integrated Care ... requirements is for candidates to hold a NJ Registered Nurse License, and travel 50-75% of the time to...applications, including Word and Excel. **Preferred Qualifications** + Certified Case Manager Certification + Case … 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
- 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
- Sharecare (Trenton, NJ)
- …according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare ... To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the… 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
- Humana (Trenton, NJ)
- **Become 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 ... 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
- AmeriHealth Caritas (Philadelphia, PA)
- …Experience with behavioral health desired + Minimum of three years of experience as a case manager , preferably providing telephonic case management + ... Nursing (RN) required **Licensure** + Current and unrestricted Registered Nurse licensure in Pennsylvania required + Valid driver's license...Certification as a case manager preferred **Skills and Abilities** + Proficiency using MS… 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...health related field preferred. + Current and unrestricted Registered Nurse licensure in Pennsylvania **Experience** + 3+ years of… more
- ICW Group (Philadelphia, PA)
- …claims department and vendors. + Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors. Reviews ... management and utilization review. + Works closely with Case Management Manager and Director to perform...Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management, and… more