- Sharecare, Inc. (Columbus, OH)
- …(inbound and outbound)- providing individualized behavior change coaching to reduce or eliminate high risk behaviors and encourage adoption of habits that are ... through the lens of their personal health and making high -quality care more accessible and affordable for everyone. To...with improving lifestyles and behaviors that put them "at risk " of developing chronic or disease conditions. The Health… more
- Elevance Health (Monrovia, IN)
- …or behavioral health supports (including, but not limited to, potential for high - risk complications). + Engages the primary service coordinator and other ... you for payment as part of consideration for employment. **LTSS Concierge Coordinator ( Remote in Indiana)** + Job Family: MED > Medical Ops & Support (Non-Licensed)… more
- Sedgwick Government Solutions (Orlando, FL)
- Job Details Nurse Case Manager ( Remote ) 2024-1342 Orlando, FL, USA Medical Case Management Full Time Description Nurse Case Manager (Home Based) - Specialty Unit ** ... Remote Nation Wide** Salary Range: $75,000.00 - $80,000 depending...Are you looking to make a difference by providing high -quality case management with a personal touch that impacts… more
- Elevance Health (Queens, NY)
- …health, social services and long term services and supports. + Identifies members for high risk complications and coordinates care in conjunction with the member ... payment as part of consideration for employment. **LTSS Service Coordinator - RN Telehealth ( Remote )** + Job Family: MED > Licensed Nurse + Type: Full time + Date… more
- HCA Healthcare (Richmond, VA)
- …Identify attributed patients who benefit from care coordination and work with practice to manage the high risk , high cost, and high utilizers. . Assist ... ensure that we continue to provide all patients with high quality, efficient care. Did you get into our.... Unyielding attention to detail . Ability to work REMOTE if local to the Richmond Metro area and… more
- Highmark Health (Harrisburg, PA)
- …and their families with medical and psychosocial needs have access to high quality, cost-effective health care. This role supports pediatric members and their ... change. **ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic motivational interviewing with external contacts. Educate members in… more
- The Cigna Group (Bloomfield, CT)
- …on benefits, eligibility, referrals, non-clinical resources and assessing for potential risk of harm or substance abuse concerns. This position services calls ... opportunity for growth within the company. Incumbents will utilize telephonic communication the majority of the time with some...intake as needed to assess for presenting concern and risk of harm or substance abuse concerns + Provide… more
- Highmark Health (Harrisburg, PA)
- …experience with Medicaid or Medicare populations **Preferred** + Experience working with high - risk pregnant women OR experience working with chronic condition ... that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning,… more
- The Cigna Group (Bloomfield, CT)
- …of their condition. This includes adherence to medications, understanding and managing risk factors, maintaining up to date screenings, monitoring tests and more. ... Commitment to Customer Centricity + Demonstrated ability to set priorities + A high energy level and excellent written and oral communication skills are essential +… more
- CareFirst (Baltimore, MD)
- …CareFirst application protocol and regulatory standards. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. **Experience:** 5 years clinically ... + Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and document services… more
- Centene Corporation (Jefferson City, MO)
- …have and maintain a current, valid, active and unrestricted clinical license. This is a remote telephonic position. License must be valid for the state where you ... care using proactive initiatives. Identifies appropriate care for beneficiaries by evaluating high - risk cases, intensity and complexity of services, health care… more
- NTT America Solutions, Inc. (Draper, UT)
- …required to serve periodically on the customer service desk, providing third line telephonic , remote and on-site support and problem management. + Monitoring + ... improvements, operational practices and quality assurance this role will maintain a high level of service to clients. Their primary objective is to ensure… more
- GAP Solutions Inc (Arlington, VA)
- …hearing location; + Set up VTC or online video (eg Teams, etc.) for remote hearing and troubleshoot VTC /online video problems; + Perform Case Tracking System ... of DOHA case procedures, to written correspondence, email, and telephonic inquiries concerning status of cases. Ensure all responses...actions without error in judgment or action to avoid risk and negative impact to mission operations and severe… more
- Elevance Health (Richmond, VA)
- …may include, but are not limited to:** + Assists in identifying members for high risk complications. Obtains clinical data as directed. + Assists in identifying ... reside in Virginia, preferably in or around Richmond or Roanoke, VA. While primarily remote , occasional visits to facilities or meeting members face to face in their… more
- Satellite Healthcare (San Jose, CA)
- …improve patient outcomes and lower costs. - Provide case management for high - risk patients with multiple comorbidities. - Accountable for outstanding customer ... ** Remote Position** - Location: San Francisco/Peninsula - must...with patients and the care team through in-person, virtual, telephonic and electronic means of communications, care coordination and… more
- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuarial Services ... bid; advise internal leadership on potential bid pricing strategies. + Collaborate with Risk Adjustment team to monitor risk adjustment applied to capitation… more
- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Director, IS ... / year, 10% bonus target, Full benefits. www.careoregon.org/about-us/careers Posting Notes This is a remote role, but you must reside in one of the listed 9 states.… more
- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuarial Services ... Actuaries + Experience with Medicaid and Medicare + Experience estimating IBNR, risk adjustment transfers, and other health care liabilities and assets + Experience… more
- CareOregon (Portland, OR)
- … quality care and compliance. Ensure the existence of policies for all high - risk health plan functions and corporate control functions. + Identify opportunities ... target, Full benefits. www.careoregon.org/about-us/careers Posting Notes This will be a Hybrid/ Remote role for those candidates in the PDX/SW Washington area.… more
- WellSense (Manchester, NH)
- …salaries + Excellent benefits **Key Functions/Responsibilities:** + Manages a panel of high risk , medically, behaviorally and socially complex members + ... will perform a variety of diverse and complex face-to- face and telephonic care management responsibilities. The Clinical Care Manager will organize, coordinate, and… more