- Highmark Health (Dover, DE)
- …year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... community based position requiring frequent travel within the assigned territory in DE . The incumbent will travel to members' homes, nursing facilities, and other… more
- Highmark Health (Dover, DE)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- BAYADA Home Health Care (Wilmington, DE)
- …wound care, treatments, and procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and ... doctors' orders + Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions,...+ A current license as a Registered Nurse in DE **.** + A minimum of one year of… more
- AmeriHealth Caritas (Newark, DE)
- **Utilization Management Plan Oversight Manager ** Location: Newark, DE Primary Job Function: Medical Management ID**: 34207 **Job Brief** Qualified candidates ... in state interactions/audits, validation of regulatory reporting/analytics for UM DE , and serves as SME for clinical ...RN license in Delaware. + 3+ years utilization / case management experience in relevant scope preferred, one year… more
- Walgreens (New Castle, DE)
- …medications and awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient ... (eg patient consultation, medication management, drug therapy reviews, and perform clinical , or wellness services such as immunizations, diagnostic testing, and… more
- AmeriHealth Caritas (Newark, DE)
- …medical policies and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. ... **Medical Director, LTSS** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195...throughout the provider network. + Overseeing the quality of clinical care for network and non-network providers. + Engaging… more
- BAYADA Home Health Care (Dover, DE)
- …wound care, treatments, and procedures. + Monitoring clients' conditions; reporting changes to Clinical Manager and Client Services Manager . + Following up ... visits with **adult patients** . This office services clients in territories throughout **Kent County, DE ** . As a home care LPN, you will be an integral member of a… more
- CVS Health (Dover, DE)
- …leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special ... the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting,...of 2+ years' experience in medical social work or case management. + Complies with all state requirements in… more
- Fresenius Medical Center (Newark, DE)
- …members in provision of Pre-ESRD education as appropriate. + When appropriate, works with Case Manager to coordinate plan of care for patient education and ... + **Part Time: 20 Hours Per Week** + **Newark, DE ** + **Partial Benefits Included- PTO & 401K** **PURPOSE...order to maximize the patient's nutritional status and improve clinical outcomes. Functions as a member of the interdisciplinary… more
- BAYADA Home Health Care (Harrington, DE)
- …wound care, treatments, and procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and ... clients for short home health visits** in territories throughout **Kent County, DE , specifically Felton, Harringon, and Houston.** **This position is full time.** +… more
- BAYADA Home Health Care (Dover, DE)
- …wound care, treatments, and procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and ... clients with short home health visits** in territories throughout **Kent County, DE (Specifically Dover and Camden)** **This is a Full Time, Salaried position.**… more