- Belle (Atlanta, GA)
- … Manager, you will: + Review documentation from in- home visits + Provide telephonic case management for members + Facilitate and track referrals to ... of this Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver...Compact Licensure + 2 years of experience in clinical case management + Experience working with older… more
- Humana (Miami, FL)
- …member and connect them to the associate automatically + Employs a variety of case management strategies, approaches and techniques to manage a member's case ... **Become a part of our caring community and help us put health first** The Telephonic Call Center Specialist / Care Coach 1 assesses and evaluates member's needs and… more
- Humana (Hallandale Beach, FL)
- …population in a professional setting (under 21). + Minimum one, (1) year of case management experience. + ACHA Level II Background Check is required. **Preferred ... ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members… more
- Molina Healthcare (Louisville, KY)
- …Kentucky. Case Manager RN will work with KY Medicaid population providing telephonic case management support. Pediatric and behavioral health experience ... This is a fast-paced position and productivity is important. Home office with internet connectivity of high speed required...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- UPMC (Pittsburgh, PA)
- …interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management interventions. Update the plan of care following ... Purpose: UPMC is currently hiring a full-time Telephonic Care Manager within its Insurance Services Division....2 years of experience in a clinical setting and case management nursing required. + BSN preferred.… more
- Humana (Springfield, IL)
- …**Preferred Qualifications** + Bachelor's degree in Nursing (BSN). + Experience with case management , discharge planning and patient education for adult acute ... that our diverse team members bring. As a Bilingual Telephonic Nurse Care Manager, you will have the opportunity...care. + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare &… more
- Humana (Springfield, IL)
- …(BSN). + Bilingual in English/Spanish, English/Polish, or English/Creole. + Experience with case management , discharge planning and patient education for adult ... community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in...acute care. + Managed care experience. + Certified Case Manager (CCM). + Prior experience with Medicare &… more
- The Cigna Group (Bloomfield, CT)
- …have a South Carolina Counseling License** **Evernorth Behavioral Health** **Job Title: Case Management Lead Analyst (Licensed Telephonic Counselor)** **ROLE ... (CEAP certification optional) + Knowledge and experience in crisis management + Solid understanding of Z-codes + Proficient with...to business need. If you will be working at home occasionally or permanently, the internet connection must be… more
- Humana (Springfield, IL)
- …assistance. See _Additional Information_ on testing. + 2 or more years of case management experience. + Experience utilizing Microsoft Word, Excel and Outlook. ... and social service agencies and additional community resources. + Experience with case management , discharge planning and patient education for adult acute… more
- CVS Health (Austin, TX)
- … Manager RN is responsible for assessing, planning, coordinating, and implementing case management activities to support members' overall health and wellness. ... This includes telephonic and/or face-to-face interactions to evaluate medical needs and...+ Review prior claims to assess impact on current case management and eligibility. + Evaluate work… more
- Cedars-Sinai (Marina Del Rey, CA)
- …and continuing care. + Assumes responsibility for timely completion of required case management reports for regulatory bodies, health plans, and insurance ... in an acute care setting (required). + Minimum of 1year of Case Management experience (preferred). \#LI-On-site \#Jobs-Indeed **About Us** Cedars-Sinai is… more
- Axiom Medical (The Woodlands, TX)
- … or related fields. Previous nurse case management or telephonic case management is preferred. Physical Requirements: + Regularly required ... Department ("Nursing"). The NCM is primarily responsible for performing telephonic medical case management for...is the responsibility of the NCM to maintain their home state RN/BSN license and obtain/maintain additional licenses as… more
- National Youth Advocate Program (Naperville, IL)
- …the National Youth Advocate Program's Mission, Values and Philosophies. + Ensure case management assessments are completed within ORR's allotted timeframes. + ... administration, clinical, medical and educational staff in identifying best case management practices while maintaining a collaborative multi-disciplinary… more
- ERP International (Yuma, AZ)
- …but are not limited to** : **Core Duties** : * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... and implement local strategies using inpatient, outpatient, onsite and telephonic CM * Develop and implement tools to support... CM * Develop and implement tools to support case management , such as those used for… more
- ChenMed (Philadelphia, PA)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... primary care model and maximize their healthy time at home . The Intensive Community Managers (ICCMs) will serve as...may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention,… more
- PruittHealth (Atlanta, GA)
- …experience in utilization review/ case management and at least two years case management , home care or hospice experience strongly preferred. * ... through application of model of care practice guidelines and Case Management (CM) Standards of Practice. Implement...not limited to the following: Following Implementation: * Conduct in- home and telephonic assessment and data collection… more
- Highmark Health (Dover, DE)
- …disabilities, or HIV/AIDS population. **Substitutions** + None **Preferred** + One year in home clinical or case management experience + Certified ... involves working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will… more
- The Cigna Group (Bloomfield, CT)
- …case manager will possess a URAC-recognized certification in case management . + Excellent communication skills including telephonic (verbal) and digital ... partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with...aligned with organizational goals. + Understands and adheres to Case Management performance measures to deliver on… more
- Molina Healthcare (Detroit, MI)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required.… more
- The Cigna Group (Bloomfield, CT)
- …case manager will possess a URAC-recognized certification in case management . + Excellent communication skills including telephonic (verbal) and digital ... partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with...aligned with organizational goals. + Understands and adheres to Case Management performance measures to deliver on… more
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