- Trinity Health (Fresno, CA)
- …Reporting to the Director, CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- Elevance Health (Arlington, VA)
- ** Case Manager ( Managed Care Coordinator)** **MUST LIVE WITHIN 50 MILES OF THE ARLINGTON PULSEPOINT** A proud member of the Elevance Health family of ... and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall management… more
- Elevance Health (Norfolk, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- CVS Health (Columbus, OH)
- …Qualifications: - Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Managed Care experience - Hospital experience in ICU, ... solutions to make health care more personal, convenient and affordable. This Case Manager RN position is 100% remote and the employee can live in any state.… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...and provider (per diem, capitation, discount from charge, DRG, case rate, bundled payments, pay for performance programs ,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …change at any point. Job Summary: Under the direction of the Sr. Managed Care Coordinator and Surgery Practice Manager initiate and process managed ... APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with… more
- Molina Healthcare (Richmond, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (Glen Allen, VA)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... candidates who live in the Western region of Virginia. Case Manager RN will work in remote...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care… more
- CVS Health (Albany, NY)
- …Working schedule is Monday-Friday; will work between 8am - 6pm EST. The Hybrid Case Manager works in the field in provider offices, skilled nursing facilities, ... of care and treatments as appropriate. Can act in the role of embedded case manager within the provider partner(s) offices to meet with the beneficiaries in… more
- Highmark Health (Dover, DE)
- …LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of ... a Case Manager as needed. This is a...a Case Manager as needed. This is a full time community... management experience + Medicare and Medicaid experience + Managed care experience **SKILLS** + Leadership skills… more
- Arnot Health (Elmira, NY)
- …participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources...of care meetings related to the appropriate case managed population. d. Manages the appropriate… more
- ChenMed (Tampa, FL)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through… more
- Banner Health (Phoenix, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- Highmark Health (Harrisburg, PA)
- …or Master's degree in Social Work and 3 years experience in Acute or Managed Care / experience with Medicaid or Medicare populations. OR + Bachelor's degree ... in Social Work with five years experience in Acute or Managed Care / experience with Medicaid or Medicare populations **Preferred** + Experience working with… more
- Athena Health Care Systems (Warwick, RI)
- …Rhode Island - Warwick, RI Posted 2 months ago We are hiring an RN Case Manager to join our dynamic care team at Athena Hospice of Rhode Island! Working with ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager...Care Systems: Athena Hospice of Rhode Island is managed by Athena Health Care Systems. Athena… more
- Banner Health (Tucson, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- CVS Health (Columbus, OH)
- …no weekends and no holidays As part of the care coordination team, the CVS Accountable Care RN Case Manager will be the primary care manager ... management activities with members across the continuum of care . The RN Case Manager ...be licensed in all non-compact states Preferred Qualifications + Managed Care experience preferred + Medicare experience… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to… more
- Molina Healthcare (San Diego, CA)
- …psychology, gerontology, public health or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical or ... locality with reliable transportation. **Preferred Experience** 3-5 years in case management, disease management, managed care...(LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health… more
- Highmark Health (Dover, DE)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet… more