- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About Blue Cross ... and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will...to the member, family and providers to engage in complex case management program. * Conducts clinical… more
- CVS Health (Jefferson City, MO)
- …the medical needs of the member to facilitate the member's overall wellness. This Case Manager RN role is 100% remote , and the employee can live in any state ... weekends or holiday shifts required at this time. The Case Manager RN is responsible for telephonically...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Topeka, KS)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… more
- Providence (Portland, OR)
- **Description** **Care Manager LPN LVN** **_Remote_** **Candidates residing in Oregon are encouraged to apply.** The purpose of this position is to provide care ... including educating, motivating and empowering members to manage their disease. Case management including: triage and referral, transition of care planning, end… more
- CVS Health (Springfield, IL)
- …enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we ... of network management, clinical coverage, and policies. **Position Summary** Our Case Managers use a collaborative process of assessment, planning, facilitation,… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and ... resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager reports directly to the ...of care; work closely with Care Navigators in clinics, complex care Case Managers , homecare and… more
- Henry Ford Health System (Detroit, MI)
- …elsewhere as needed, with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care team or ... have experienced a critical event or diagnosis that requires complex management strategies and the extensive use of resources...for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …required to know multiple functional areas and supporting systems. + Expertise in Case Management area and able to handle complex assignments, challenging ... Job Description: Summary: Conducts case management program activities in accordance with departmental,...improvement suggestions and participates in the solutions of more complex issues/activities. + Mentors junior staff and assists with… more
- PruittHealth (Atlanta, GA)
- …with current, unrestricted license in state of practice (Georgia) required. * Certified Case Manager preferred - Mandatory to apply for CCM certification when ... interact with a wide variety of people and handle complex situations simultaneously with customer service focus * Evidence...Ability to work independently and be self-motivated in a remote environment * Manage assigned case load… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's National Medical Excellence (NME) team and ... is a fully remote position. Candidates from any state are welcome to... Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or… more
- CVS Health (Columbus, OH)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** This RN Case Manager role is 100% remote and the employee can live in ... required in the event of clinical audits. The RN Case Manager is responsible for telephonically and/or...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- Battelle Memorial Institute (Fort Campbell, KY)
- …Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government ... and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful research and analytics that… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- Description Job Title: Mobile FAP Case Manager ** This job will require frequent, and potentially consecutive, travel for 3-6 months at a time to provide ... locations designated by CNIC and serve in a FAP case manager role at those locations for...requirements, to include medical and dental, for travel to remote locations. Required Education and/or Experience Qualifications + Master's… more
- CVS Health (Royal Oak, MI)
- …discharge planning and/or home health care coordination experience preferred + Certified Case Manager preferred **Education** + Associate's Degree required. + ... a 6 month probationary period.** **Our Mission** Our Field Case Managers are frontline advocates for members who cannot...and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and… more
- Molina Healthcare (NY)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... Case management and managed care experience is preferred. Remote position based in New York A New York...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Case Manager SW provides therapeutic intervention and social work services to patients and their families to enhance comprehensive, ... full time experience- weekend and holiday rotation will go remote ** EDUCATION/EXPERIENCE REQUIRED: Master's degree in Social Work required....for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American … more
- CVS Health (Wall, NJ)
- …**Schedule:** Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...within Monmouth County, New Jersey. **Preferred Qualifications** + Certified Case Manager is preferred. + Minimum 2+… more
- Henry Ford Health System (Detroit, MI)
- … Management department has recently redesigned into a dyad Social Work/RN Case Manager model where UR is remote , allowing staff to excel in their chosen ... for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American ...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- CVS Health (Columbus, OH)
- …compassionate. And we do it all with heart, each and every day. **This Case Manager RN position is 100% remote and the employee can live in any state.** ... per quarter).** Typical training hours are Monday-Friday 8-4:30 EST. Nurse Care Manager is responsible for telephonically and/or face to face assessing, planning,… more
- Sedgwick (Miami, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more