- CVS Health (Doral, FL)
- …Qualifications** + Must reside in Miami Dade, FL or a surrounding county + Bilingual in Spanish + Active current unrestricted RN licensure in the state ... all with heart, each and every day. **Position Summary** The Care Manager RN is responsible for driving and supporting care management and care coordination… more
- ChenMed (North Miami Beach, FL)
- …centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also involves establishing ... the above "Core" duties/responsibilities plus the following: + Community Case Manager role as above. + CM telephonic...a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in… more
- ChenMed (Detroit, MI)
- …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... procedures **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in home and telephonic visits to patients at high-risk for hospital admission...a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in… more
- CVS Health (Frankfort, KY)
- …service and engagement skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in the state of Kentucky ... 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 (Frankfort, KY)
- …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 (Lakewood, NJ)
- …Summary** **This position offers a $1,000 Sign on Bonus for external applicants!** This Case Manager Registered Nurse position is with Aetna's Integrated ... The requirements is for candidates to hold a 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
- Actalent (Orlando, FL)
- Job Title: Remote Registered Nurse Job Description The Care Manager plays a pivotal role in providing care management services to beneficiaries, particularly ... of experience. + Must have and maintain a current, valid, and unrestricted Registered Nurse license. Additional Skills & Qualifications + Proficient in computer… more
- ChenMed (Tampa, FL)
- …+ Under the direction and supervision of a Registered Nurse ( RN ) provides in home and telephonic visits to patients at high-risk for hospital ... The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care...incumbent will implement comprehensive care plans designed by our Nurse Case Managers to provide targeted education… more
- Molina Healthcare (Yonkers, NY)
- …to address concerns. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- ChenMed (Winter Park, FL)
- …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
- Access Dubuque (Dubuque, IA)
- Bilingual RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions ID: 4677023008 Posted On 05/07/2025 Refreshed On 06/07/2025 **Job Overview** We are ... seeking a compassionate and detail-oriented ** Bilingual RN Case Manager** to...quality outcomes and cost-effective treatment. **Key Responsibilities:** + Provide telephonic case management and utilization review for… 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
- Point32Health (MA)
- …trends in the communities we serve. **Education, Certification and Licensure** + Registered Nurse with current unrestricted license in state of residence ... HYBRID OPPORTUNITY! 75% FIELD WORK 25% HOME OFFICE The Care Manager - Nursing ( RN CM) will ensure that all members receive timely care management (CM) across the… more
- Elevance Health (Plant City, 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
- ChenMed (Philadelphia, PA)
- …care providers. We're rapidly expanding and we need great people to join our team. The RN Case Manager (Community Care Nurse ) is an on-site role within our ... post-acute facilities, as well as, their home environments. The Nurse Case Manager role also involves establishing...a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in… more
- Highmark Health (Dover, DE)
- …**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
- LA Care Health Plan (Los Angeles, CA)
- …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category:...overutilization, including overlapping services. Engages with members by conducting telephonic nursing follow up and care coordination when necessary,… more
- Humana (Newport News, VA)
- …_Hampton, Newport News, Gloucester, Williamsburg, Poquoson, York and James City._ + Active Registered Nurse ( RN ) license in the Commonwealth of Virginia ... RN , Field Care Manager (Field Care Manager Nurse 2) to perform telephonic and face-to-face...(2) years of prior experience in health care and/or case management. + One (1) year of experience working… more
- Humana (Columbus, OH)
- …to make an impact** **Required Qualifications** + **Must reside in the state of Ohio.** + Registered Nurse ( RN ) in the state of Ohio without restrictions. + ... with resources appropriate for their care and wellbeing. The RN , Field Care Manager Nurse 2 works...through recovery and health and wellness programs. + Performs telephonic and face to face assessments and evaluations of… more
- Humana (Solon, OH)
- …Clinical Social Worker (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse ( RN ). + Minimum of 2 years of ... and resolves barriers that hinder effective care. + Performs telephonic and face to face assessments and evaluations of...post-degree clinical experience in a behavioral health setting. + Case management experience. + Must have a Child and… more