- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Somatus (Annapolis, MD)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...in a Hybrid Telehealth environment with a combination of remote days and visits to members' homes if needed… more
- Somatus (Utica, NY)
- …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... telephonically as the need arises. **This is a fully remote role where New York licensure is required.** **The...departmental policies and procedures. Qualifications Required Qualifications: - Active RN license in NY with the ability to qualify… more
- Boost Home Health (Dallas, TX)
- …the healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse ( RN ) who has graduated from an accredited school of ... role for the right candidate. We are growing! Overall responsibilities for the Clinical Manager RN include the following: Providing quality care to patients in… more
- HealthCare Support (Ridgewood, NY)
- …8:30 AM - 5:00 PM one remote day after 90 days Required Qualifications for Manager of Care Delivery - RN Active NY Registered Nursing license 5 years ... Manager of Care Delivery - RN ...infection control coursework Managed long-term care insurance experience beneficial Case Management Certification recommended within 2 years of the… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... to meet their complex needs\. As a Care Transition Case Manager , you will play a vital...their residence if the state is participating in the Nurse Licensure Compact Law\. _Experience_ + 3 years \-… more
- Seattle Children's (University Place, WA)
- …1:30-5:30pm. This is a remote position, with residence required in Washington state. The RN Care Manager works to improve the health of and reduce the cost ... of care for children. The Care Manager is responsible for assuring program-specific transitional care, ED...community outreach and collaboration with care teams. Experience in case management serving complex children and families. Per the… more
- Rady Children's Hospital San Diego (San Diego, CA)
- **POSITION DETAILS:** **Schedule: Days, 10-hour shifts in person (not remote )** **FTE: CASUAL for 4 mos from hire date, with potential extension, Full-Time, 80 hours ... Care Coordinator, in collaboration with Gastroenterology specialty medical providers, performs case management and direct patient care to assigned patients. This… more
- Cordis (Miami Lakes, FL)
- …scientific accuracy, regulatory compliance, and clinical relevance. The Manager partners cross-functionally with Clinical, Regulatory, Marketing, and Commercial ... initiatives. + Provide field support for keytraining events and live case demonstrations. + Evaluate program effectiveness through participant feedback, assessments,… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager - Remote Location: Remote Career Area: Health ... difference, join us. The Impact You Will Have The Case Manager is a critical component of...of care between settings. Required Skills and Experience * Registered Nurse with Psychiatric experience or Behavioral… more
- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- CVS Health (East Orange, NJ)
- …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... all with heart, each and every day. **_Field Based RN role in Northern New Jersey-Preference to residents of...of Essex and Mercer Counties._** **Position Summary** The care manager is responsible for assessing and evaluating members with… more
- 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...and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and… more
- CVS Health (Denver, CO)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN Location: Remote Career Area: Health Services About Blue Cross ... care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. *… more
- Highmark Health (Charleston, WV)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Insight Global (Los Angeles, CA)
- Job Description An employer in the Southern California is seeking an RN Case Manager . This is a remote position, but individual must sit in Southern ... (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting.… more
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote , no travel is expected with this position. ... hour shift between 7am to 5pm Arizona time** The Nurse Case Manager is responsible...**Required Qualifications** + Must have active, current and unrestricted RN licensure in state of residence and have the… more
- CVS Health (Montgomery, AL)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote , and the employee can live in any ... as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment… more
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