- Molina Healthcare (NE)
- …LIMHP with a background in Behavioral Health to join our health plan as a Case Manager . The position may require making infrequent face-to-face visits with our ... assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Healthfirst (NY)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which...as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST… more
- Molina Healthcare (Salt Lake City, UT)
- **JOB DESCRIPTION** We are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the state of UT This ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- CVS Health (Trenton, NJ)
- …health care more personal, convenient and affordable. **Position Summary** **This is a fulltime remote Case Manager opportunity with field travel required in ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- Adecco US, Inc. (Las Vegas, NV)
- Adecco Healthcare & Life Sciences is hiring remote Case Manager RNs! This role is remote /work from home and all equipment is provided. You must reside ... Friday, 8:30am to 5pm **Pay:** $37.47 to $39.47 an hour **Responsibilities of the Case Manager RN :** . Assess and create a discharge plan to ensure patient… more
- Molina Healthcare (Spokane, WA)
- …will be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare ... Proficient knowledge of MS Suite is very helpful. The Case Manager must be able to work...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Waltham, MA)
- …funded health plans for members who reside in Massachusetts. We are looking for Registered Nurse Case Managers with strong organizational and time management ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Molina Healthcare (Bellevue, WA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Behavioral Health experience** **SUD… more
- Highmark Health (Harrisburg, PA)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Molina Healthcare (Bronx, NY)
- …Supports (** **LTSS) is highly preferred. Strong organizational and time management skills. The Case Manager must have the ability to work in a high-volume ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
- University of Miami (Miami, FL)
- …Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote . The incumbent conducts initial, ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- Molina Healthcare (Bronx, NY)
- …supporting our Complex Adult Case Management program . We are seeking a Registered Nurse with previous Case /Care Management and managed care experience. ... to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Health Plans, Inc. (Portland, ME)
- …years' clinical experience in behavioral health + Active, current and unrestricted professional licensure Registered Nurse ( RN ) in MA, ME, NH, or state of ... Not just a job-a mission. What you'll do The Case Manager is responsible for the coordination...+ We offer our employees flexible work arrangements including remote and hybrid options (depending on the position) +… more
- CVS Health (Atlanta, GA)
- …Planning and/or Home Healthcare Coordination experience **Preferred Experience** + Certified Case Manager + Excellent analytical and problem-solving skills + ... and expand DSNP into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and… more
- CVS Health (Trenton, NJ)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... License **Preferred Experience:** * Bilingual preferred - Spanish * Certified Case Manager is preferred. * Additional national professional certification… more
- CVS Health (Austin, TX)
- …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... outcomes. **Required Qualifications** + Must possess active and unrestricted compact RN licensure in state of residence. California licensure preferred + Minimum… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Registered Nurse ( RN ) Case Manager -...**The position is on site at the facility, and remote work will not be considered.** Benefits of the ... Registered Nurse ( RN ) Case Manager... Registered Nurse ( RN ) Case Manager : + Daily...**The position is on site at the facility, and remote work will not be considered.** Are you a… more
- Henry Ford Health System (Detroit, MI)
- …working in a fun and dynamic environment? Join our team as a Registered Nurse ( RN ) Case Manager ! Who We're Looking For: Passionate, compassionate, ... + Innovative Team Structure:Benefit from our new dyad Social Work/ RN Case Manager model and remote utilization review setup, allowing you to excel… more
- Mayo Clinic (Rochester, MN)
- …and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo… more
- Banner Health (Gilbert, AZ)
- …of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... Apply today. Our Care Coordination staff is seeking an RN Case Manager to work...electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients… more