- Public Consulting Group (Providence, RI)
- …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
- Child & Family Services of RI (Middletown, RI)
- … case management services to participants who are part of the Conflict Free Case Management Model. The Case Manager provides in-home visits, monthly ... plan development, personalized services budgeting, oversite, referrals, and monitoring. The case manager assists with care coordination to ensure the… more
- CVS Health (Providence, RI)
- …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 (Providence, RI)
- …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
- Charter Care Health Partners (North Providence, RI)
- …required. Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly desirable. Interrelationships: Patient ... or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective services. Makes daily rounds and collaborates with the… more
- Brown University (Providence, RI)
- Job Description: The Clinical Case Manager will oversee the comprehensive care of students with various health needs, ongoing health conditions, and mental ... in maneuvering through the complexities of the healthcare system. The Clinical Case Manager will serve as a crucial link, ensuring seamless coordination between… more
- Sedgwick (Providence, RI)
- …a 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...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Prime Healthcare (Woonsocket, RI)
- …accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211012/ case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark… more
- Otsuka America Pharmaceutical Inc. (Providence, RI)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Public Consulting Group (Providence, RI)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Providence, RI)
- …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
- CVS Health (Providence, RI)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- Child & Family Services of RI (Providence, RI)
- …include children, adults, and families where clients have behavioral, emotional, and case management needs. Hybrid Role, 20% Remote Work. Your Main Priorities While ... additional responsibilities are likely to arise on the job, you will primarily: * Utilize an in-home strengths-based team approach to provide a wide range of assistance and resources to support individuals and families. * Work with collateral contacts and key… more
- South County Hospital (Narragansett, RI)
- …+ RN License in the State of Rhode Island or a state participating in the Nursing Compact + BSN preferred. For AD graduates applying, must provide evidence of ... Assumes accountability for assessing, coordinating & implementing care & service from admission through discharge for assigned patients. Coordinates communication of all patient related information to appropriate personnel internally & externally. Adheres to… more
- Health Advocates Network (North Providence, RI)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- Cardinal Health (Providence, RI)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Baylor Scott & White Health (Providence, RI)
- …based on position type and/or level **Job Summary** As a Registered Nurse Case Management , oversee, strategize, and monitor the team to provide quality services ... partnerships with various stakeholders to improve member health outcomes through case management services. **Essential Functions of the Role** + Collaborates in… more
- Sedgwick (Providence, RI)
- …accredited college or university preferred. Certified Rehabilitation Counselor (CRC), Certified Case Manager (CCM), or Certified Disability Management Specialist ... employment positions as requested by referral sources or employers; to assist case management staff with client competence decisions for individual positions; to… more
- Charter Care Health Partners (Providence, RI)
- …party payers to prevent denial of payments under the direction of the Case Manager . Distributes Important Messages to patients. Notifies other departments ... records & delivers all messages to & for the Case Management Employees & Managers. Assists the Case... Case Management Employees & Managers. Assists the Case Management employees with the coordination of hospital patient… more
- Sedgwick (Providence, RI)
- …Rehabilitation Counselor (CRC), Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM), Certified Vocational Evaluator (CVE), Licensed ... Social Worker (LSW), and/or Licensed Professional Counselor (LPC) or other like credentialing highly preferred. **Experience** Four (4) years' experience in job placement and development involving participants with occupational and/or non-occupational injuries… more