- Sedgwick (Topeka, KS)
- …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
- ICW Group (Las Vegas, NV)
- …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
- Sedgwick Government Solutions (Tampa, FL)
- Job Details Telephonic Triage Nurse Case Manager (Remote) 2025-1436 Tampa, FL, USA Medical Case Management Full Time Description **Overview** ** ... home-based Telephonic Triage Nurse Case Managers **.** As a Telephonic Triage Nurse Case Manager with an active RN license from Puerto Rico residing… more
- Molina Healthcare (Ann Arbor, MI)
- …live and have a current active unrestricted RN license in the state of MI Case Manager RN will work in remote setting supporting our Medicaid population. Looking ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- CVS Health (Montgomery, AL)
- …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
- CVS Health (St. Paul, MN)
- …cost-effective quality care for members. - 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
- Elevance Health (St. Louis, MO)
- ** Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... Join us, and together we will drive the future of health care The ** Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- UPMC (Pittsburgh, PA)
- …Check out this fantastic new opportunity! UPMC Health Plan is hiring a full-time Telephonic Care Manager to support our Medical Management department based in ... Tower, however, this position will predominantly work remotely. The Telephonic Care Manager is responsible for care...2 years of experience in a clinical setting and case management nursing required. BSN preferred. + Ability to… more
- Molina Healthcare (Joliet, IL)
- …DESCRIPTION** Opportunity to join Molina Healthcare working with our Medicaid members as a Case Manager . This is open to Illinois licensed RNs across the state ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Layton, UT)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... the state of UT. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- The Cigna Group (Sacramento, CA)
- **Evernorth Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **_ Remote but must be licensed in California ... trusts, estate planning or disability entitlements highly preferred **JOB TITLE:** Case Management Lead Analyst (Licensed Telephonic Counselor) **JOB BAND:**… more
- CDPHP (Albany, NY)
- …quality medical care for the member population serviced by CDPHP. The Hospital to Home Case Manager . This is a telephonic role. Qualifications: + Masters in ... you to be a part of that experience. The Hospital to Home Case Manager (Clinical) is responsible and accountable for coordinating the care of CDPHP members… more
- RELX INC (Raleigh, NC)
- …prioritizes using the best model from today's top model creators for each individual legal use case . About the Role As a Client Manager your purpose is to drive ... revenue growth by managing and expanding channel partner relationships. You will collaborate with partners to identify opportunities, provide sales support, and ensure customer satisfaction. Your efforts will contribute to the overall success of the sales… more
- ChenMed (North Miami Beach, FL)
- …**all** the above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic or onsite visits to SNFs, ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves...the above "Core" duties/responsibilities plus the following: + Provides telephonic or outpatient visits to patients at high-risk for… more
- ERP International (Port Hueneme, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support...for professional growth and development as related to the case manager position and maintenance of CM… more
- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric Support Service Coordinator,… more
- Elevance Health (Washington, DC)
- Licensed Behavioral Health Case Manager ll (JR152644) **Location:** This role requires associates to be in-office 4 days per week, fostering collaboration and ... workplace. **Office Location:** 609 H Street NE, Washington, DC The **Behavioral Health Case Manager ll** is responsible for performing NCQA Complex Care… more
- Travelers Insurance Company (Centennial, CO)
- …what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this ... Is the Opportunity?** Under moderate supervision, provide office based telephonic and/or in-person medical case management supporting...have face to face time while working as a case manager As of the date of… more
- Ascension Health (Austin, TX)
- …date required. Licensure required relevant to state in which work is performed. + Case Manager credentialed from the American Case Management Association ... American Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for...years of CCM experience, preferred. + 3-5 years of Telephonic case management (TCM) experience, required. +… more
- The Cigna Group (Pittsburgh, PA)
- …case manager will possess a URAC-recognized certification in case management.** **Excellent communication skills including telephonic (verbal) and digital ... required to meet business needs. Must be open to work evenings.** **Nurse Case managers are healthcare professionals, who serve as customer advocates to coordinate,… more