- Belle (Atlanta, GA)
- …inspires you! Purpose of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care. ... for both members and their caregivers. As a Nurse Case Manager , you will: + Review documentation...will: + Review documentation from in-home visits + Provide telephonic case management for members + Facilitate… more
- Sedgwick (Jackson, MS)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
- Humana (Springfield, IL)
- …help us put health first** Humana Gold Plus Integrated is seeking a RN, Care Manager , Telephonic Nurse 2 who will assess and evaluate member's needs with ... optimal health and life functioning independence in the community. The RN, Care Manager , Telephonic Nurse 2 work assignments are varied and frequently require… more
- CenterWell (Juneau, AK)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell...hotspot, DSL or satellite) **Preferred Qualifications** + Experience with case management, discharge planning and patient education for adult… more
- Humana (Springfield, IL)
- …and patient education for adult acute care. + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare & Medicaid recipients. + ... perspectives, experiences, and languages that our diverse team members bring. As a Bilingual Telephonic Nurse Care Manager , you will have the opportunity to make… more
- Humana (Springfield, IL)
- …and patient education for adult acute care. + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare & Medicaid recipients. + ... a part of our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, you will play… more
- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Care and Outreach ... Specialist - PHP - Telephonic Exemption Status Non-Exempt Management Level n/a Direct Reports...Exemption Status Non-Exempt Management Level n/a Direct Reports n/a Manager Title Panel Coordination Manager Department Care… more
- Humana (Springfield, IL)
- …Experience with electronic information applications/software programs. **Preferred Qualifications** + Certified Case Manager (CCM). + Master's degree in a health ... or assistance. See _Additional Information_ on testing. + 2 or more years of case management experience. + Experience utilizing Microsoft Word, Excel and Outlook. +… more
- Sedgwick Government Solutions (Charleston, SC)
- Job Details RN Medical Case Manager CARE ( Remote ) 2025-1445 Charleston, SC, USA Medical Case Management Full Time Description **RN Medical Case ... using your excellent writing skills as an RN Medical Case Manager to influence the actions of...and part of the Interdisciplinary Team responsible for providing telephonic case management to maximize the patient… more
- CVS Health (Salt Lake City, UT)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... 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
- Highmark Health (Harrisburg, PA)
- …**ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic interviewing and communication with external contacts. + Communicate ... effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other...departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists,… more
- CVS Health (Jefferson City, MO)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... them with appropriate resources and support services. The Care Manager provides education and guidance to members and their...Responsibilities:** + 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their… more
- Axiom Medical (The Woodlands, TX)
- Duties: The Intake Nurse Case Manager ("NCM") is an integral member of Axiom's Nursing Department ("Nursing"). The NCM is primarily responsible for performing ... as determined from time to time by the Nurse Case Manager Team Manager . Essential...acute injury, triage management or related fields. Previous nurse case management or telephonic case … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …in a Hospital or Clinic, Direct Care experience or experience as an Oncology Telephonic Case Manager for an insurance company * Recent Chemotherapy ... Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager - Oncology Location: Remote...3 years of starting in the position * Excellent telephonic skills * Keen business skills * Excellent communication… 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 ... to the following: Following Implementation: * Conduct in-home and telephonic assessment and data collection with patients and caregivers...Ability to work independently and be self-motivated in a remote environment * Manage assigned case load… more
- Access Dubuque (Dubuque, IA)
- Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions ID: 4773630008 Posted On 07/28/2025 Refreshed On 08/28/2025 **Job Overview** **Bilingual RN ... Case Manager ** **Location** : Onsite in Dubuque,...also available remotely within Iowa. **Key Responsibilities:** + Provide telephonic case management and utilization review for… more
- Apex Health Solutions (Houston, TX)
- …services and support to improve health outcomes via a coordinated approach. The Case Manager works in collaboration and continuous partnership with patients and ... to identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals,...Director, Health Services Location: Houston, TX area; will consider remote deployment on a case by … more
- CVS Health (Austin, TX)
- …convenient and more compassionate. And we do it all with heart, each and every day. ** Remote Case Manager RN - Costco Team (San Antonio, TX)** This fully ... remote Case Manager RN position... remote Case Manager RN position supports the **Costco...to support members' overall health and wellness. This includes telephonic and/or face-to-face interactions to evaluate medical needs and… more
- BlueCross BlueShield of Tennessee (Murfreesboro, TN)
- The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities\. ... of behavioral health care available\. _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2… more
- CVS Health (Topeka, KS)
- …promote effective utilization of available resources and optimal, cost-effective outcomes. - Telephonic clinical case management with Medicare population. - Uses ... do it all with heart, each and every day. **Position Summary** **Fully remote role USA.** **Standard business hours Monday-Friday. No nights and no weekends.**… more