• WellCare (Fairfax, VA)
    The RN Utilization Manager maximizes the components of the in-patient and out-patient settings by utilizing care coordination tools, criteria and protocols to: ... stop-loss attachment level status. Communication with other Health plan case managers for follow up needs with documentation in...of care to meet the member's individual needs. Provide telephonic and/or face to face follow up with members… more
    Jobs2Careers.com (01/20/18)
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  • WellCare (Fairfax, VA)
    The RN Utilization Manager maximizes the components of the in patient and out patient settings by utilizing care coordination tools criteria and protocols to ... loss attachment level status Communication with other Health plan case managers for follow up needs with documentation in...care to meet the member s individual needs Provide telephonic and or face to face follow up with… more
    Geebo.com (01/14/18)
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  • Tower Health (Reading, PA)
    Open Date 10/4/2017 Division Reading Hospital Description RN Case Manager for Telephonic Utilization Management and Case Management for Tower Health. ... experience required; excellent organizational, interpersonal, and communication skills. A Certified Case Manager (CCM) designation and managed care experience is… more
    Appcast.io (01/19/18)
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  • Professional Edge Nursing (Dalton, GA)
    …role in their own health care. Care Manager Requirements -Credentialed as a Licensed Registered Nurse ( RN ) or Licensed Social Worker (LSW) with at least ... must have a minimum of 5 years of relevant care/ case management experience. -Certified Care/ Case Manager...basis by our client -Other related disciplines such as Nurse Practitioners, Licensed Professional Counselors, Professionals with a BA… more
    WorkPop.com (01/18/18)
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  • Hill Physicians Medical Group/PriMed Management (Sacramento, CA)
    Nurse Case Manager - Hill Physicians Medical Group/PriMed Management Case Manager - SAC Responsible for carrying out case management activities ... knowledge of personal computers. Required Education: Associates Degree Unrestricted California Registered Nurse licensure; certification in case management… more
    Viktre (01/21/18)
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  • Presence Health (Des Plaines, IL)
    …40 Employment Status: Full-time Employment Type: Regular Shift: Day FLSA: E PHP - CASE MANAGER Employ advanced clinical judgment and critical thinking skills to ... Computer Skills Basic Outlook, Word, Excel skills required. Certificates, Licenses, Registrations Registered Nurse with current Illinois state license or a… more
    ChicagoJobs.com (12/21/17)
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  • Christus Health (Irving, TX)
    DescriptionJob Summary:The Case Manager identifies, evaluates, and provides management of services for patients with complex, catastrophic, long term illness or ... services. To promote quality, cost-effective outcomes throughout the care continuum, the Case Manager will utilize ongoing nursing process and critical thinking… more
    Careerbliss (01/17/18)
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  • Sentara Healthcare (Virginia Beach, VA)
    …of our members, promote effective utilization and monitor health care resources. The HRT case manager assumes a collaborative role with all members of the ... in case management to help support our case management teams in a telephonic , integrated...the A cents ??OtherA cents ?? section below LicenseRequired: Registered Nurse Preferred: Basic Life Support SkillsRequired:… more
    Careerbliss (01/12/18)
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  • Absolutecare (Baltimore, MD)
    Job Description Provides face-to-face and telephonic Case Management services to assigned members; Develops and implements an individualized plan of care for ... not limited to cross-coverage of other office functions. Qualifications Registered Nurse with 3 + years related...Nurse with 3 + years related experience in Case Management or Licensed Practical Nurse with… more
    ZipRecruiter (12/31/17)
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  • G/O Digital (Phoenix, AZ)
    Manager positions in the West Coast time zone. The Nurse Care Manager is responsible for the telephonic management of complex cases identified for the ... the member/patient, family, physician and healthcare team. Utilizes the case management process to set priorities, plan, organize, and...on call work specific to the care management program. * Registered Nurse License in California State is… more
    Careerbliss (01/20/18)
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  • Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …is necessary and ensure evidence based treatment is being applied. An experienced case manager with managed care experience will be successful in this ... of members living with cancer. Utilizing key principles of case management, the RN Specialist will work...coordination, and transition of care between settings. Requirements · Registered nurse with current MN license and… more
    Blue Cross Blue Shield of Minnesota (11/27/17)
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  • Beacon Health Options (New York, NY)
    …and other members of the provider clinical team for discharge planning Performs telephonic case review for pre admission and continuing care in psychiatric ... THE POSITION We are currently seeking a dynamic Care Manager Utilization Management to join our team at our...Nursing or Advanced Degree in Behavioral Health Field Licensure RN or active unrestricted license to practice independently in… more
    Geebo.com (01/02/18)
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  • Case Manager - Telephonic

    Humana (Miramar, FL)
    …impact on the future of healthcare, Humana has the right opportunity for you. **Title:** * Case Manager - Telephonic RN 2nd Shift 10:30AM-7:00PM Broward ... Role: Case Manager - Telephonic ...Case Managers shall meetallof the following qualifications: * Registered Nurse license in the state of… more
    Humana (01/19/18)
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  • RN Case Manager

    Molina Healthcare (Midvale, UT)
    …**Job:** **Healthcare Services* **Organization:** **Health Plans* **Title:** * RN Case Manager - Telephonic * **Location:** *UT-Midvale-UTAH* **Requisition ... travel required. * RNs provide consultation, recommendations and education as appropriate to non- RN case managers. * RNs are assigned cases with members who… more
    Molina Healthcare (01/13/18)
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  • Case Manager RN

    Aetna (Blue Bell, PA)
    Case Manager role, based in the Blue Bell, PA office! POSITION SUMMARY This Registered Nurse Case Manager position is a great opportunity to join ... a Bachelor's degree or equivalent experience. LICENSES AND CERTIFICATIONS Nursing/ Registered Nurse is required Nursing/Certified Case Manager (CCM) is… more
    Aetna (12/21/17)
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  • Telephonic Nurse Case

    Genex Services (Anaheim, CA)
    Overview We are currently seeking a Case Manager , Medical ( Telephonic Case Management). Responsible for assessment, planning, coordination, ... contact to include the following: + Contact Employee: + Disclosure of Case Manager 's role and responsibilities. + Express your and the employer's concern for… more
    Genex Services (12/22/17)
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  • Telephonic Case Manager

    UnitedHealth Group (Richardson, TX)
    …review, Richardson, TX, Texas, Registered Nurse , case manager , case management, managed care, telephonic , health care, healthcare ... 2e2c65be-7877-4040-89b1-c940d27b51ab * Telephonic Case Manager RN - Richardson, TX* *Texas-Richardson* *748113* more
    Jobsflag.com (01/11/18)
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  • RN Telephonic Case

    UnitedHealth Group (Greensboro, NC)
    …are required to pass a drug test before beginning employment. Job Key words: Registered Nurse , RN , case manager , case management, managed care, ... Louis, MO, Missouri, Greensboro, NC, North Carolina, Orlando, FL, Florida 415f816c-57d1-4eee-826b-eeedad19f7b3 * RN Telephonic Case Manager , Advanced… more
    Jobsflag.com (01/20/18)
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  • RN Workers' Comp Telephonic

    Aetna (White Plains, NY)
    …people to live healthier lives. Come join us! POSITION SUMMARY The Workers Comp Telephonic Case Manager works with the employees, providers, employers, ... while you are documenting at the same time BACKGROUND/EXPERIENCE Registered Nurse ( RN ) with active...of NY (knowledge of NY workers comp) is required ( case management or utilization management)Strong analytical skills Strong computer… more
    Aetna (01/04/18)
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  • RN Telephonic Case

    UnitedHealth Group (St. Louis, MO)
    …scale. This is the place to do your life's best work. (sm) As an Advanced Illness Telephonic Case Manager , you'll interact with members who are in the final ... stages of life Assist members with safe, effective transitions from care environments to where they live. You may also act as an intermediary between providers and members - serving in numerous roles, such as educator, evaluator, service coordinator, community… more
    American Hospital Association (01/18/18)
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