- Clever Care Health Plan (Huntington Beach, CA)
- …Nurse (LVN) license issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse (CMCN) preferred Skills ... and the site of service. The Case Manager is responsible for providing patient centered care...*2-3 years in case management, disease management, managed care , or medical or behavioral health… more
- HealthCare Support (New Albany, OH)
- …setting such as home health or ambulatory care required. Healthcare and/or managed care industry experience. Case Management experience Position requires ... RN Field Case Manager HealthCare Support is actively seeking a RN Field Case Manager to fill an opening in New Albany, OH. Daily Responsibilities for RN… more
- PharmaCord (Lexington, KY)
- …Acquisition team immediately at ###@pharmacord.com When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference in the ... cases are handled in a timely manner. An Executive Case Manager has the ability to translate...to access and affordability, including HIPAA and insurance guidelines. Managed through call/contact center structure, this role supports inbound… more
- NORTHEAST TREATMENT CENTER (Wilmington, DE)
- …KIRKWOOD - Wilmington, DE Salary Range $40000.00 Salary/year Description Title: Case Manager Division: Delaware Addiction Recovery Services Program: Kirkwood ... utilizing required instruments within appropriate timelines. Conduct periodic reviews with managed care companies for authorization of treatment. Assist client's… more
- HealthCare Support (Odessa, TX)
- Case Manager HealthCare Support is actively seeking a Case Manager to fill an opening with a Managed Care Company in Odessa, TX . Daily ... Responsibilities for Case Manager : Determine needs and eligibility of...and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of… more
- Central Vermont, Home Health and Hospice (Barre, VT)
- …in case management or discharge planning preferred. Knowledge of managed care , insurance processes, and community resources. Strong communication, ... is seeking a proactive and detail-oriented Registered Nurse - Case Management to coordinate and manage comprehensive care...support. If you are a compassionate and resourceful RN Case Manager committed to guiding patients through… more
- HealthCare Support (Ridgewood, NY)
- …Completed NYSED-approved infection control coursework Managed long-term care insurance experience beneficial Case Management Certification recommended ... Manager of Care Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to fill an opening with a leading healthcare… more
- HealthCare Support (Bronx, NY)
- …Completed NYSED-approved infection control coursework Managed long-term care insurance experience beneficial Case Management Certification recommended ... Manager of Care Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to fill an opening with a leading healthcare… more
- HealthCare Support (Rancho Cucamonga, CA)
- …days a week onsite/in-office in Rancho Cucamonga. Daily Responsibilities for BCBA Behavioral Health Case Manager : The Behavioral Health Care Manager , SKI ... BCBA Behavioral Health Case Manager HealthCare Support seeks BCBA...experience serving Autistic individuals and their families Familiar with managed care and discharge planning Benefits for… more
- Assisted Living- Multi-site Location (Rockville, MD)
- …etc.) Health Care -related Agencies (ie, Area Agency on Aging etc.) Managed Care Organizations Build, qualify, and maintain referral source database in ... to: Hospital Discharge Planners Physicians: Geriatric and Family Psychiatrists Geriatric Case Managers Nursing Homes Retirement Communities Home Health Agencies Day … more
- MaineGeneral Rehabilitation and Long Term Care - Gray Birch (Augusta, ME)
- …week and holiday rotations - Shifts are from 6:45 PM to 7:15 AM, with scheduling managed by the team manager Additional Information: - Dress Code: Lime Green and ... Details Client Name MaineGeneral Rehabilitation and Long Term Care - Gray Birch Job Type Travel Offering Nursing Profession RN Specialty Skilled Nursing Job ID… more
- Boston Consulting Group (Chicago, IL)
- …involves scheduling (and rescheduling) meetings, booking (and unbooking) travel, managing case team logistics, keeping track of time and expenses, and keeping ... in one of our many Practice Areas; some have managed teams or rotated through a number of other...build client relationships EA and AA peers - lead case team logistics and work together to support other… more
- Boston Consulting Group (Philadelphia, PA)
- …involves scheduling (and rescheduling) meetings, booking (and unbooking) travel, managing case team logistics, keeping track of time and expenses, and keeping ... in one of our many Practice Areas; some have managed teams or rotated through a number of other...build client relationships EA and AA peers - lead case team logistics and work together to support other… more
- Humana (Springfield, IL)
- …discharge planning and patient education for adult acute care . + Managed care experience. + Certified Case Manager (CCM). + Prior experience with ... languages that our diverse team members bring. As a Bilingual Telephonic Nurse Care Manager , you will have the opportunity to make a meaningful impact on… more
- CVS Health (Charleston, WV)
- …intervention skills * Managed care /utilization review experience * Certified Case Manager (CCM) certification * Case management experience in an ... Wyoming, McDowell, Mercer, Summers, Monroe, Greenbrier, Pocahontas, Kanawha, and Fayette.** The Case Manager RN (CM RN) is responsible for telephonically and/or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …possible, and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this ... Care experience or experience as an Oncology Telephonic Case Manager for an insurance company *...US Preferred Skills and Experiences * 2+ years of managed care experience; eg case … more
- Elevance Health (Seattle, WA)
- …therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope ... + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + Ability to talk and type… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …follow-up coordination. + Stay informed on behavioral health regulations, evidence-based practices, and managed care policies. + Presents case for patients ... nursing experience, including behavioral/mental health + Experience in a managed care , case management, or...Bachelor's or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification +… more
- Humana (Frankfort, KY)
- …Three (3) or more years of RN experience in a clinical or managed care setting + Current/Active CCM (Certified Case Manager ) certification + Strong ... of our caring community and help us put health first** The Telephonic Nurse Care Manager 2, in a telephonic environment, assesses and evaluates members' needs… more
- Houston Methodist (Houston, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) Advanced position is...in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state,… more
