- 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** ** ... Triage Nurse Case Managers **.** As a Telephonic Triage Nurse Case Manager ...database the patient's improvement goal. You will implement integrated medical disability case management services to prevent,… more
- Elevance Health (Latham, NY)
- ** Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager I**...management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
- ICW Group (Lisle, IL)
- …treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical treatment and length of ... + Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life,… more
- Elevance Health (Cincinnati, OH)
- ** Telephonic Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of ... service members in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager I** is responsible for… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health in a telephonic environment, assesses and ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments...in an effective and efficient manner in accordance with Medical Management policies and procedures. + Utilize Motivational Interviewing… more
- Humana (Hallandale Beach, FL)
- …to ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service ... and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or… more
- Molina Healthcare (Taylorsville, UT)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral… more
- Travelers Insurance Company (Overland Park, KS)
- …loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided ... Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with...be required to support Concierge locations, where a Nurse Case Manager meets with injured employees face… more
- National Youth Advocate Program (Fairfax, VA)
- …trainings/education. + Why Work with Us? Exciting Benefits and Opportunities at NYAP! The Case Manager I for La Jornada is responsible for the completion and ... files compliant with ORR Policy and NYAP's CQI Team. Case Manager I is required to maintain...pre staffing process with multidisciplinary team of professionals including case managers, clinical counselors, medical coordinators and… more
- Highmark Health (Harrisburg, PA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** The Pediatric Shift Care Case Manager plays a crucial role in supporting pediatric members and ... and care plans* Experience with community resources* Pediatric experience* Certified Case Manager preferred **LICENSES AND CERTIFICATIONS** **Required** +… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... Vacation, Paid Sick Time, Plus 12 Paid Federal Holidays!** Medical /Dental/Vision, STD, LTD and Life Insurance, Health Savings Account...for professional growth and development as related to the case manager position and maintenance of CM… more
- Fallon Health (Berkshire, 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
- CVS Health (Springfield, IL)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... 5pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- The Cigna Group (Bloomfield, CT)
- … case manager will possess a URAC-recognized certification in case management. + Excellent communication skills including telephonic (verbal) and digital ... **(RN) Non-Premium Oncology Nurse Case Manager ** ** Case managers...in creation of care plan and documents plan in medical management system. + Partners with each customer to… more
- The Cigna Group (Bloomfield, CT)
- … case manager will possess a URAC-recognized certification in case management. + Excellent communication skills including telephonic (verbal) and digital ... Case managers are healthcare professionals, who serve as...in creation of care plan and documents plan in medical management system. + Partners with each customer to… more
- Highmark Health (Dover, DE)
- …Care Coordinator plays a pivotal role in ensuring members with complex medical , behavioral health, and social determinants of health (SDOH) needs receive timely ... members. **ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic interviewing and communication with external contacts. + Communicate… more
- ERP International (Cherry Point, NC)
- **Overview** ERP International is seeking full-time **Registered Nurse (RN) Case Manager ** in support of theNaval Health Clinic Cherry Point, NC. Apply online ... nursing program. Certification: Possess one of the following certifications:** **o** Commission for Case Manager Certification Certified Case Manager … more
- Access Dubuque (Dubuque, IA)
- Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions ID: 4773630008 Posted On 07/28/2025 **Job Overview** **Bilingual RN Case Manager ** ... We are seeking a compassionate and detail-oriented **Bilingual RN Case Manager ** to join our team. This...also available remotely within Iowa. **Key Responsibilities:** + Provide telephonic case management and utilization review for… more
- ERP International (Macdill AFB, FL)
- …Collegiate Nursing Education (CCNE). **Experience:** Minimum 1 years experience as a RN Case Manager within the past 24 months. Certification:** Possess one of ... Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, STD/LTD/Life, and Health Savings Account available!** Annual CME...the following certifications: o Commission for Case Manager Certification Certified … more
- Cedars-Sinai (Marina Del Rey, CA)
- …America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case… more