- Humana (Salt Lake City, UT)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (West Valley City, UT)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates… more
- Highmark Health (Salt Lake City, UT)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Salt Lake City, UT)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Salt Lake City, UT)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (West Valley City, UT)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
- Molina Healthcare (Provo, UT)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- Molina Healthcare (Salt Lake City, UT)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
- Sharecare (Salt Lake City, UT)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (West Valley City, UT)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Highmark Health (Salt Lake City, UT)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Humana (Salt Lake City, UT)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Healthfirst (UT)
- **This position is 100% Remote **Duties/Responsibilities:** + The Pediatric Care Manager plans and manages pediatric medical and/or behavioral care with ... members and their beneficiaries across the continuum of care . The Care Manager is...services within their coverage plan empowering self-management. + **NYS RN or LCSW, LMSW** + **1 year of pediatric… more
- CenterWell (Salt Lake City, UT)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...work-from-home telephonic nurse position. **Essential Functions:** + Act as CenterWell Home… more
- Intermountain Health (South Jordan, UT)
- …+ Bachelor's degree in business or healthcare related field OR Registered Nurse , Respiratory Therapist, Occupational Therapist, Physical Therapist Clinical ... **Job Description:** The Clinical Excellence Operations Manager leads and coordinates clinical outcomes and quality...leads and coordinates clinical outcomes and quality management at care sites within a market or region while aligning… more
- Healthfirst (UT)
- …alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge of Centers for Medicare ... This position is 100% Remote ** **Duties//Responsibilities:** + **Provides case management services for...+ **Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- BD (Becton, Dickinson and Company) (Salt Lake City, UT)
- **Job Description Summary** The Global Clinical Solutions Manager plays a pivotal role in advancing the Medication Delivery Solutions (MDS) value proposition by ... solution-selling services across Vascular Access Devices (VAD) and Catheter Care platforms, ensuring alignment with regional healthcare priorities. + Collaborate… more
- Sedgwick (Salt Lake City, UT)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Salt Lake City, UT)
- …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 ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- HCA Healthcare (Orem, UT)
- …advanced and comprehensive knowledge of cardiac device therapy. Under the direction of a Nurse Manager , RN , or Medical Director they will provide thorough, ... centric environment with a team approach to delivery of care . SUPERVISOR: Practice Administrator, Practice Manager or...Educate patients on all aspects of their device including remote monitoring and follow-up protocol. + Ensure charges are… more