• A-Line Staffing Solutions (Sebring, FL)
    …and resolving complaints and appeals Case Manager Requirements . Bachelor's degree or Registered Nurse License and 2+ years of care management experience or ... caregivers, or provider s through in person visits and telephonic contact . Authorize and coordinate referral for services...Experienced with electronic medical health records . Must be bilingual in Spanish . Experience in home… more
    JobGet (05/01/24)
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  • Telephonic Case Manager ( RN ) - CA…

    Molina Healthcare (CA)
    …DESCRIPTION** **Opportunity for a California licensed, Spanish bilingual RN to join our Marketplace Team performing telephonic Case Management. ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (04/07/24)
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  • AIM Palliative RN

    Gentiva (Plano, TX)
    …in their home environment. **As a Registered Nurse / RN , you will:** + Conduct in-person/ telephonic RN assessments/screenings and provides ... in order to support sound nursing practice. **About You** ** Registered Nurse / RN Requirements:**...**Specialized Knowledge and Skills:** + Prior clinical experience + Bilingual candidate preferred ( Spanish ) + Strong compassionate… more
    Gentiva (04/11/24)
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  • Care Manager - Bilingual (Remote)

    CareFirst (Baltimore, MD)
    …+ Ability to provide excellent internal and external customer service. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact ... **Resp & Qualifications** **PURPOSE:** We are looking for a bilingual care manager (fluent in English and Spanish...State Licensure RN - Registered Nurse in MD, VA or Washington,… more
    CareFirst (04/12/24)
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  • RN , Utilization Management - Behavioral…

    Humana (Columbus, OH)
    …community and help us put health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral ... an impact** **Required Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and no disciplinary actions +… more
    Humana (05/01/24)
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  • RN Care Manager, Complex Care

    East Boston Neighborhood Health Center (East Boston, MA)
    …Description: As an integral member of the Project SHINE clinical care management team the Registered Nurse ( RN ) Care Manager (CM) will have the opportunity ... on the needs of the organization and may include telephonic or in person in a variety of potential...with substance abuse and/or HIV Care patients. SKILLS/ABILITIES: + Spanish Bilingual /Bicultural skills preferred. + Excellent interpersonal… more
    East Boston Neighborhood Health Center (02/07/24)
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  • RN , Virtual Care (Remote) (Weekends…

    ChenMed (Metairie, LA)
    …providers. We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic ... license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and...calendar year + Spoken and written fluency in English; bilingual ( Spanish /Creole) preferred + This job requires… more
    ChenMed (05/01/24)
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  • RN Value Based Care Nurse (Onsite…

    The Cigna Group (Philadelphia, PA)
    …**Supervisory Responsibilities** : + None **Qualifications** : + Current Licensure as a registered nurse , in the state of residency. in good standing. + ... participate in weekly Complete Health Team rounds + Perform telephonic outreach or home visits, as needed + Communicates...Previous HEDIS and/or CMS STARs experience a plus + ** Bilingual ** - preferred Spanish both conversational and… more
    The Cigna Group (04/18/24)
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  • Care Coordinator, RN

    Humana (Indianapolis, IN)
    …to make an impact** **Required Qualifications** + **Must reside in Indiana.** + Licensed Registered Nurse ( RN ) in the state of Indiana without restrictions ... applications/software programs including electronic medical records. **Preferred Qualifications** + Bilingual (English/ Spanish ) or (English/Burmese) + Prior nursing… more
    Humana (02/23/24)
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  • LTSS Service Coordinator - RN Telehealth

    Elevance Health (New York, NY)
    … license in NY required. **Preferred Skills, Capabilities, and Experiences:** + Bilingual - Spanish , Korean, Chinese (Mandarin, Cantonese), Russian, Bengali, ... The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of...you will make an impact:** + Responsible for performing telephonic clinical assessments for the identification, evaluation, coordination and… more
    Elevance Health (05/02/24)
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  • LPN/LVN or RN Value Based Care Nurse

    The Cigna Group (Mobile, AL)
    …provider offices + Works independently with minimum of supervision + ** Bilingual ** - preferred Spanish both conversational and written **Experience** ... calls which may include primary care physician and specialist appointment scheduling + Nurse notifies PCP daily of admissions and discharges + Collaborates with the… more
    The Cigna Group (03/26/24)
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  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Licenses/Certifications** + _Upon Hire Required:_ RN - Registered Nurse - State Licensure And/or Compact ... State Licensure RN - Registered Nurse in MD, VA or Washington,...social determinants of health and/or barriers to care. + Bilingual - fluent in Spanish . **Knowledge, Skills… more
    CareFirst (04/27/24)
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  • Public Health Nurse IV

    The City of Houston (Houston, TX)
    …years of the experience requirement. LICENSE REQUIREMENTS Must be licensed to practice as a registered nurse ( RN ) in the State of Texas. CPR certification is ... the patient's home, correctional facilities, mobile unit or via telephonic case management or as needed by the Bureau...revoked 04 Are you licensed to practice as a Registered Nurse in the State of Texas… more
    The City of Houston (04/30/24)
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  • Health Plan Nurse Coordinator- 100% Remote

    Actalent (Santa Barbara, CA)
    …@actalentservices.com** Description: The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one of several Health Services' ... Actalent is looking for a fully remote RN Case Manager to work Monday-Friday 8am-5pm, making...UM or CM activities for a specific member population. Bilingual in Spanish may be required for… more
    Actalent (04/30/24)
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  • Behavioral Health Field Care Manager

    Humana (Frankfort, KY)
    …of post-degree clinical experience in behavioral health setting Or + Unrestricted Kentucky licensed Registered Nurse ( RN ) with at least three years of ... Experience with behavioral change, health promotion, coaching and wellness + Bilingual (English/ Spanish ); speaking, reading, writing, interpreting and explaining… more
    Humana (04/20/24)
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  • Health Plan Nurse Coordinator

    Actalent (Santa Barbara, CA)
    …+ Fully remote!! REQUIREMENTS: + Must be bilingual in Spanish . + California Registered Nurse ( RN ) and/or Nurse Practitioner (NP) License + Must ... need is now looking for a REMOTE Health Plan Nurse Coordinator to join their team! Here you will...working as soon as possible! Description: + REMOTE + RN with experience in providing Case Management services to… more
    Actalent (04/30/24)
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  • Medical Case Manager - Sussex County, Delaware

    Highmark Health (Dover, DE)
    …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Bilingual English/ Spanish language skills. + Case Management Certification **LICENSES… more
    Highmark Health (04/26/24)
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  • Care Coordinator (Long Term Care)

    Centene Corporation (Tallahassee, FL)
    …+ Complies with all policies and standards **Education/Experience:** Bachelor's degree or Registered Nurse License and 2+ years of care management experience, ... caregivers, or provider s through in person visits and telephonic contact + Authorize and coordinate referral for services...Worth, Lantana, Greenacres, Boynton Beach, or Delray Beach + Bilingual Spanish highly preferred Pay Range: $22.36… more
    Centene Corporation (04/20/24)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... to review aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and individual Provider activities… more
    LA Care Health Plan (03/02/24)
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  • Transition Coordinator

    Humana (Indianapolis, IN)
    …Coordinators (Care Coach 2) shall **meet** **one** of the following qualifications: + Registered nurse , a licensed practical nurse , or an associate's ... to the home and community based setting. + Requires telephonic and in-person meetings within assigned region to meet...+ Applicable state license in field of study + Bilingual (English/ Spanish ) + Prior nursing home diversion… more
    Humana (04/27/24)
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