- Humana (San Juan, PR)
- …Puerto Rico. You must live in Puerto Rico for this position. The Care Manager, Telephonic Nurse works in a telephonic environment. They assess and evaluate ... appropriate for their care and wellbeing. The Care Manager, Telephonic Nurse 's work assignments are varied and...the appropriate courses of action. You must be fully bilingual in English/Spanish and will be required to pass… more
- ChenMed (Warren, MI)
- …great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse ( RN ) who works with our highest complexity patients, their ... other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary...a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in… more
- CVS Health (Lansing, MI)
- …service and engagement skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in the state of Michigan ... Responsibilities:** + 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their...(BSN) (PREFERRED) **License** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- CVS Health (Springfield, IL)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... + This position consists of working intensely as a telephonic case manager with patients and their...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Topeka, KS)
- …care - Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... - This position consists of working intensely as a telephonic case manager with patients and their...a hospital setting - A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Piscataway, NJ)
- …with heart, each and every day. **New Hire Bonus** + **External = $1000** This Case Manager Registered Nurse position is with Aetna's Integrated Care ... The requirements is for candidates to hold an NJ Registered Nurse License, and travel 50-75% of...Case Management experience in an integrated model. + Bilingual preferred. + Effective communication skills, both verbal and… more
- CVS Health (Clifton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Integrated Care Management ... requirements is for candidates to hold a New Jersey Registered Nurse License, and to travel 50-75%...Case Management experience in an integrated model. + Bilingual preferred. + Remote work experience + Effective communication… more
- CVS Health (Franklin, KY)
- …do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent ... in person or telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial… more
- CVS Health (Tallahassee, FL)
- …status which has resulted in an inpatient admission. The Transition of Care (TOC) RN ensures the member experiences a seamless transition to their next care setting. ... **Position Responsibilities:** . Responsible for telephonic and/or face to face assessing, planning, implementing, and...assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their… more
- Humana (Trenton, NJ)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... and help us put health first** The Care Manager, Telephonic Behavioral Health in a telephonic environment,...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- Somatus (Mclean, VA)
- …+ Diabetic educator experience + ICU, Cardiology or Critical Care experience + Telephonic case management experience + Experience with discharge planning + Solid ... Director (OMD) Quality Committee. Qualifications Required Qualifications: + Active RN license in current state of residence with the...a hospital, acute care, or direct care setting + Bilingual Languages in either Spanish, Cantonese, or Mandarin +… more
- Elevance Health (Lakeland, FL)
- …The **LTSS Service Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case , as required by ... within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification,… more
- The Cigna Group (Bloomfield, CT)
- …+ Current independent clinical license (eg, LCSW, LPC, LMFT, LPCC, PhD, PsyD, PMHNP, or RN with psychiatric focus) + Bilingual in Spanish required + 5+ years of ... mental health, substance use disorders, crisis call work, and case management with a passion to deliver a service...works in a fast-paced environment, on a queue, taking telephonic calls in the moment, balanced with scheduled calendar… more
- ChenMed (Jacksonville, FL)
- …bachelor's degree in home in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required. Compact ... visits. Once a patient has completed their episode of care management the register nurse ( RN ) will review patient chart for discharge and conduct final discharge… more
- Aveanna Healthcare (Miami, FL)
- …is an Aveanna Core Value + Tuition discounts and reimbursement Requirements: + Registered Nurse licensure in the state of practice or Physical Therapist ... evaluations for all clinical staff. + Responsible for overseeing case management to ensure services that are financially sound....CPR per agency policy. + Associates degree required + Bilingual (English/ Spanish) Preferred: + 3+ years RN… more
- CVS Health (Harrisburg, PA)
- …(SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role...within specified timelines. + **Consults** with the Care Manager RN within the Care Team for clinical knowledge, medication… more
- Humana (Goshen, IN)
- …make an impact** **Required Qualifications** + Perform job responsibility in Indiana + Licensed Registered Nurse ( RN ) in the state of Indiana without ... restrictions + At least one (1) year of experience in providing case management or similar health care services + Intermediate to advanced computer skills and… more
- Highmark Health (Harrisburg, PA)
- …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... in working in Acute Care/Managed Care/Medicaid and Medicare populations. + Bilingual English/Spanish language skills. + Case Management Certification **LICENSES… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …possible Union: No Union Name: Non-union Patient Facing: Yes We are seeking an HIV Nurse Case Manager who is interested in a unique opportunity to work on ... team members, agencies, and healthcare facilities. Qualifications: + Licensed as a Registered Nurse in the Commonwealth of Massachusetts. + Bachelor's degree… more
- Elevance Health (New York, NY)
- … case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... **LTSS Service Coordinator - RN Telehealth** **_Location:_** candidate must reside in the...you will make an impact:** + Responsible for performing telephonic clinical assessments for the identification, evaluation, coordination and… more