• Somatus (Philadelphia, PA)
    …and mental well-being + Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of the interdisciplinary care ... + BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience...Educator experience + Field-based experience going into homes + Telephonic case management experience + Experience working… more
    DirectEmployers Association (10/15/25)
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  • Telephonic Nurse Case

    Elevance Health (Wilmington, DE)
    ** Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager Senior** is responsible for care… more
    Elevance Health (10/18/25)
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  • Telephonic Nurse Case

    Elevance Health (Wilmington, DE)
    ** Telephonic Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... members in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for performing… more
    Elevance Health (10/18/25)
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  • Telephonic RN Nurse Case

    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
    Elevance Health (10/10/25)
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  • Nurse Case Manager II

    Elevance Health (Wilmington, DE)
    ** Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... complete the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
    Elevance Health (10/16/25)
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  • Care Manager , Telephonic Compact…

    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
    Humana (09/26/25)
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  • Telephonic Case Manager

    Sedgwick (Trenton, NJ)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
    Sedgwick (09/19/25)
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  • Case Manager , Registered…

    CVS Health (Trenton, NJ)
    …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or… more
    CVS Health (10/18/25)
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  • Care Manager , Registered Nurse

    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 (10/08/25)
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  • Care Manager

    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 (10/01/25)
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  • Community Care Manager

    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
    AmeriHealth Caritas (10/11/25)
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  • Cost Containment Analyst

    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
    ICW Group (09/22/25)
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