- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities. ... levels of behavioral health care available. Skills/Certifications Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2… more
- Blue Shield of California (Rancho Cordova, CA)
- …RN License Bachelors of Science in Nursing or advanced degree preferred. Certified Case Manager (CCM) Certification or is in process of completing certification ... our team to ensure the effective coordination of patient care across multiple settings. The Manager of Care Management will report to the Senior Manager of Care… more
- Rising Medical Solutions (Los Angeles, CA)
- … Advance Your Career with Rising Medical Solutions Are you an experienced workers' compensation nurse case manager eager to bring your expertise to a team ... best practices in workers compensation management. We are searching for a case manager with a proven background in workers compensation-someone who is assertive,… more
- Blue Shield of California (Rancho Cordova, CA)
- …with members care including clinical nurses and treating MDs. The Case Management Nurse , Senior will report to the Manager , Care Management. In this role you ... degree preferred. Requires a current CA RN License. Certified Case Manager (CCM) Certification or is in...- whether working in the office or through a hybrid approach - by providing clear expectations while respecting… more
- Abby Care (Boston, MA)
- …We're looking for a passionate Registered Nurse to join our team as a RN Case Manager . This role will report into the Director of Nursing in Massachusetts. ... This is a Full-Time Hybrid opportunity based in the Greater Boston Metropolitan Area,...Boston Metropolitan Area, specifically in Quincy, MA. The RN Case Manager at Abby Care is responsible… more
- Strive Health (Chicago, IL)
- …Qualifications 3+ years experience in nephrology, ER, ICU, Cardiac, or Ambulatory Complex case management nursing. Certified Case Manager (CCM) certification ... in healthcare. Join us in making a real difference. Benefits & Perks Hybrid -Remote Flexibility -Work from home while fulfilling in-person needs at the office,… more
- The Travelers Indemnity Company (Tampa, FL)
- …with insured based on application of policy information to facts or allegations of each case . Work with Manager on use of Claim Coverage Counsel as needed. ... and technical resource to the field and our business partners. Travelers offers a hybrid work location model that is designed to support flexibility. What Will You… more
- Elevance Health (Indianapolis, IN)
- Anticipated End Date: 2025-08-01 Position Title: Med Mgmt Nurse (US) Job Description: Medical Management Nurse Work schedule: M-F 8:00am to 5:00pm EST. Will work ... skill development. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...is granted as required by law. The Medical Management Nurse is responsible for review of the most complex… more
- Virginia Commonwealth University (Richmond, VA)
- …flexibility to work hybrid 5 days/month post-review, 3-6 months training and manager approval. Each CRN reports to a Clinical Operations Manager who oversees ... Clinical Research Nurse Benefits of working at VCU All full-time...issues independently and referring complex issues to an upper-level manager or the PI, as appropriate. This role reports… more
- UnitedHealth Group (Lacey, WA)
- …Director Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager , and/or community-based services Engage with patients, families, or ... readmission reports, quarterly, and other reports with the assigned Clinical Team Manager , as needed, to assist with the identification of opportunities for… more
- Veterans Health Administration (Indianapolis, IN)
- …employees. This includes: Career/Career Conditional or Excepted Service (ie Canteen, Hybrid , Title 38, VRA, Schedule A, etc. and meets interchange agreement ... current Richard L. Roudebush VAMC employees. Videos Duties The Nurse V DADPCS is of an executive nature, comprised...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Northwestern Memorial Healthcare (Palos Heights, IL)
- …using reported 1.) Hospital acquired conditions, 2) Patient safety indicators, 3) Case Mix index, and 4) Expected mortality. Collaborates with the Clinical Quality ... minimum of one NM Clinical Documentation committee as approved by Manager , Clinical Documentation Participates on departmental and hospital committees and… more
- Emonics LLC (New York, NY)
- …this position. 13. Performs other duties as may be assigned by the Regional Nurse Manager or other project management. General Comments ll candidates being ... must be under the impression they will be conducting hybrid Tele and in-field assessments Candidates can't do UAS...and or health referral forms, as relevant to the case 3. Enter evaluation data into electronic evaluation form… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …ensure appropriate resource utilization, identification of referrals to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... claims data to assure appropriate resource utilization, identification of opportunities for Case Management, identify issues which can be used for education of… more
- Max Populi LLC (Chelsea, MA)
- …comes with a fantastic perk - a $5,000 sign-on bonus! As an RN Care Manager , you'll take on an exciting hybrid position, balancing in-person home visits with ... We're on the lookout for an enthusiastic RN Care Manager to join our dynamic care management team in...duties as needed. What You Bring: An active Registered Nurse (RN) License in the state of employment. At… more
- Abbott (Richmond, VA)
- …Sales Specialist (CSS) role is to provide TAVI clinical trial and commercial case support, trial enrollment & education initiatives for accounts within a defined ... of the trial and commercial sales process in collaboration with the Territory Manager (TM) to educate interventional cardiologists, cardiac surgeons, and hybrid … more
- Elevance Health (Columbus, OH)
- …strongly preferred. Experience with mental health and substance use disorders preferred. Case management, Community Health Workers, Certified nurse assistant or ... modifications and determines need for additional services, in conjunction with case management and provider. Coordinates identification of and referral to local,… more
- Elevance Health (Los Angeles, CA)
- …Service Coordinator - RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...Level: Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts… more
- Virginia Jobs (Richmond, VA)
- …flexibility to work hybrid 5 days/month post-review, 3-6 months training and manager approval. Each CRC reports to a Clinical Operations Manager who oversees ... but not limited to the clinical study team coordinator, Clinical Research Nurse , peer Clinical Research Coordinators, Clinical Data Manager , Sponsors and… more
- Fallon Health (Brockton, MA)
- …on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Accountable Care Organization (ACO) Nurse Case Manager (NCM) is an integral part on an ... **Primary Job Responsibilities** Member Assessment, Education, and Advocacy + Telephonically assesses and case manages a member panel + May conduct in home face to… more
