- Sedgwick (Columbus, OH)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Belle (Atlanta, GA)
- …cause inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered ... for both members and their caregivers. As a Nurse Case Manager , you will: + Review documentation...will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate… more
- Elevance Health (Grand Prairie, TX)
- ** Telephonic Nurse Case Manager II** **$3000 Sign-On Bonus** **Location: Virtual: This role enables associates to work virtually full-time, with the ... in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management within… more
- Elevance Health (Houston, TX)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within the… more
- ICW Group (San Diego, CA)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …in a Hospital or Clinic, Direct Care experience or experience as an Oncology Telephonic Case Manager for an insurance company * Recent Chemotherapy ... Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager - Oncology Location: Remote Career...3 years of starting in the position * Excellent telephonic skills * Keen business skills * Excellent communication… more
- CVS Health (VT)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Lumeris (NH)
- … management + Case management certification + Previous experience as a telephonic case manager for a Medicare insurance plan **Working Conditions** ... and empowers you to make an impact. **Position:** RN Care Manager **Position Summary:** Provides telephonic care and case management to Medicare members as… more
- CVS Health (MI)
- …Qualifications** + Case Management experience + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience + Home Health experience ... status of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files...have access to appropriate cost-effective care. + Configures the case management system to organize cases dealing with disease… more
- CVS Health (AZ)
- …be conducted virtually. **Position Summary** This position consists of working intensely as a telephonic case manager with patients and their care team for ... in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. + Using… more
- Humana (Topeka, KS)
- …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
- Rising Medical Solutions (Chicago, IL)
- …to the nurse + Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers ... and update participating providers + Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and written discussions) into… more
- Humana (Stevens Point, WI)
- …education for adult acute care + Managed care experience + Certified Case Manager (CCM) **Additional Information:** + **Workstyle:** Home- Associates Home ... people's lives? We invite you to consider joining our team as a Care Manager , Telephonic Nurse 2. In this role, you will connect with members and their families… more
- Humana (Springfield, IL)
- …and patient education for adult acute care. + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare & Medicaid recipients. + ... of our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, you will play a pivotal… more
- Humana (Springfield, IL)
- …and patient education for adult acute care. + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare & Medicaid recipients. + ... and languages that our diverse team members bring. As a Bilingual Telephonic Nurse Care Manager , you will have the opportunity to make a meaningful impact on… more
- Molina Healthcare (Waltham, MA)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If ... communities! Work Hours: Monday - Friday 8:30am - 5:00pm EST Remote, telephonic position based in MA **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a… more
- Humana (Springfield, IL)
- …Experience with electronic information applications/software programs. **Preferred Qualifications** + Certified Case Manager (CCM). + Master's degree in a health ... or assistance. See _Additional Information_ on testing. + 2 or more years of case management experience. + Experience utilizing Microsoft Word, Excel and Outlook. +… more
- Molina Healthcare (El Paso, TX)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If ... field to complete assessments on those members on your case load. Preference will be given to candidates with...provide consultation, recommendations, and education as appropriate to non-RN case managers. + RNs are assigned cases with members… more
- CVS Health (AZ)
- …may reside anywhere in US-must be compact state** **POSITION SUMMARY:** As a Nurse Case Manager , you will play a crucial role in providing healthcare support, ... Associated degree or Diploma in Nursing. Bachelors preferred. Preferred: Commission for Case Manager (CCM), Oncology Certified Nurse (OCN) **Anticipated Weekly… more
- Actalent (Atlanta, GA)
- …and follow-up medical care to ensure continuity of care. + The Acute Transitional Case Manager (TCM) will identify and communicate any barriers to discharge ... to alternative levels of care or home. Collaborates with physicians, telephonic care coordinators, inpatient case management/social workers, telephonic… more