- Molina Healthcare (WA)
- …our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare knowledge/experience is ... Proficient knowledge of MS Suite is very helpful. The Case Manager must be able to work in a...**_Further details to be discussed during our interview process._** ** Remote position with field travel in Yakima, Benton or… more
- Fallon Health (Lawrence, MA)
- …or follow us on Facebook, Twitter and LinkedIn.** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team ... area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare ...**Member Assessment, Education, and Advocacy** + Telephonically assesses and case manages a member panel + May conduct in… more
- Molina Healthcare (WA)
- …and the site of service. **This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous Case Management ... experience and a LCSW or LCISW licensure. Medicare knowledge/experience is highly preferred. Proficient knowledge of MS...Proficient knowledge of MS Suite is very helpful. The Case Manager must be able to work in a… more
- Highmark Health (Harrisburg, PA)
- … Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES AND CERTIFICATIONS** **Required** + Licensed Social ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- CVS Health (Austin, TX)
- …make health care more personal, convenient and affordable. This is a full-time remote role. The hours for this position are Monday-Friday 8:00a-5:00p CST. Position ... determinant needs. Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and Medicaid. Our Care Managers are frontline advocates for members who… more
- CVS Health (Austin, TX)
- …make health care more personal, convenient and affordable. This is a full-time remote role. The hours for this position are Monday-Friday 8:00a-5:00p CST. Position ... determinant needs. Dual Eligible Special Needs Plans (DSNP) members are enrolled in Medicare and Medicaid. Our Care Managers are frontline advocates for members who… more
- CVS Health (Hartford, CT)
- …and appeal requests. + Develops strategy for review requirements to assure case reviews are overseen by practitioners with relevant clinical expertise. + Applies ... of problem solving and decision making skills Position Summary The Appeals Nurse Consultant position is responsible for processing the medical necessity of … more
- CVS Health (Baton Rouge, LA)
- …to make health care more personal, convenient and affordable. This is a full-time remote position. The hours for this role are Monday-Friday 8a-5p CST. Job Purpose ... The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC)...3+ years experience in health-related field Preferred Qualifications + Medicare and Medicaid experience + CRC, CDMS, CRRN, COHN,… more
- CVS Health (Austin, TX)
- …stratified as low risk. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of ... health and disabled population Preferred Qualifications + Managed Care experience + Medicare and Medicaid experience + CRC, CDMS, CRRN, COHN or CCM preferred… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:** 301351004 MfdHos- Case Mgmt-Soc Svcs **Scheduled ... for detail (United States of America) **Job Description:** **JOB SUMMARY** The RN Case Manager serves as part of the collaborative care team, addressing the… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The Nurse Manager (NM) is a professional nurse who holds 24-hour accountability for the management and leadership of a defined area in the Community ... direct on-site coverage. Duties Include: The Community Living Center (CLC) Nurse Manager (NM) participates in policy and procedure formulation and implementation… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Registered Nurse - Acute - Critical Care - Medical ICU **Cost Center:** 301351127 ... position may be eligible for a recruitment bonus!** **JOB SUMMARY** The Registered Nurse -Acute-Critical Care functions as a vital member of the healthcare team by… more
- WellSense (Boston, MA)
- Nurse Care Manager SCO WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare , ... other duties as requested. Our Investment in You: + Full-time remote work + Competitive salaries + Excellent benefits **Key** **Functions/Responsibilities:** +… more
- Humana (Oklahoma City, OK)
- …our caring community and help us put health first** The Compliance Audit Nurse is responsible for auditing care management activities and documentation to ensure ... adherence to policies, procedures, and regulations. The Compliance Audit Nurse work assignments are varied and frequently require interpretation and independent… more
- Marshfield Clinic (Marshfield, WI)
- …support the most exciting missions in the world!** **Job Title:** Registered Nurse - Acute - Surgical/Ortho (with Med/Surg Residency option) **Cost Center:** ... position may be eligible for a recruitment bonus!** **JOB SUMMARY** The Registered Nurse -Acute functions as a vital member of the healthcare team by demonstrating a… more
- CVS Health (Columbus, OH)
- …personal, convenient and affordable. Requisition Job Description Position Summary This is a full-time remote role with a requirement to reside in any state in CST or ... the care coordination team, the CVS Accountable Care RN Case Manager will be the primary care manager for...areas: critical care, ICU, CCU, Emergency + A Registered Nurse that must hold an unrestricted license in their… more
- Humana (Columbus, OH)
- …+ Case Management Certification (CCM) + Experience working with Medicare , Medicaid and dual-eligible populations + Field Case Management Experience ... (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse (RN) + Minimum of 2 years of post-degree clinical experience in… more
- State of Colorado (Denver, CO)
- Youth Corrections Medical Operations Coordinator ( Nurse V) - $7,000 Sign on Incentive! Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4473466) ... Apply Youth Corrections Medical Operations Coordinator ( Nurse V) - $7,000 Sign on Incentive! Salary $105,384.00...includes but is not limited to parole supervision through case management to ensure community safety. We invite you… more
- Marshfield Clinic (Beaver Dam, WI)
- …to support the most exciting missions in the world!** **Job Title:** Nurse Practitioner - Nursing Home **Cost Center:** 351011295 Beaver Dam-NH-Hillside Manor ... Mon-Fri; 8:00 am - 5:00 pm (United States of America) **Job Description:** The Nurse Practitioner- Nursing Home Service functions as a member of our primary care… more
- Marshfield Clinic (Minocqua, WI)
- …the most exciting missions in the world!** **Job Title:** Surgical Nurse Practitioner or Physician Assistant - Urology **Cost Center:** 301451320 Minocqua-Urology ... (United States of America) **Job Description:** **JOB SUMMARY** The Surgical Nurse Practitioner or Physician Assistant provides patient services under the… more