- CVS Health (Columbus, OH)
- …to change lives in new markets across the state. **Position Summary/Mission:** The Case Management Analyst facilitates appropriate healthcare outcomes for ... have not been reached and engaged in active care management . The Analyst will make all efforts...optimum level of health. + Documentation of Care: Utilizes case management processes in compliance with regulatory… more
- Cayuse Holdings (Arlington, VA)
- …performed in accordance with the Core Values of Cayuse. **Responsibilities** The Case Management Analyst -Journeyman will provide support to the ... $90,000.00 - USD $90,000.00 /Yr. Submit a Referral (https://careers-cayuseholdings.icims.com/jobs/1605/ case - management - analyst -journeyman/job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834356743) **Location** _US-VA-Arlington_ **ID**… more
- Amentum (Fort Carson, CO)
- …all seven continents and is headquartered in Germantown, MD If you are an experienced Case Management Analyst seeking a way to positively impact US National ... Case Management Support Analyst I Amentum is a leading provider of enduring support for the essential missions of the US government, its allied partners and… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** For this position, ... Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members. Also assist those… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** **For this position, ... Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members. Also assist those… more
- The Cigna Group (Austin, TX)
- **Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time** **Required Work Hours: 9:00 am-5:30 pm PST.** **Major Job Responsibilities and Required ... health advocacy to our customers** **Implements, coordinates, monitors and evaluates the case management plan as appropriate.** **Documents findings in a clear,… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst -Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical ... or + 2+ years of relevant RN experience with a BSN degree + Case management experience preferred + 5+ years of experience is preferred in prior authorization or… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and ... any gaps or barriers to healthcare. Establishes a documented patient centric case management plan involving all appropriate parties (client, physician,… more
- CVS Health (Frankfort, KY)
- …appropriate healthcare outcomes for members. + Helps implement projects, programs, and processes for Case Management . + Applies practical knowledge of Case ... of the time + Up to 2 years work experience, specifically in Case Management , Healthcare or Clinical experience. + Basic awareness of problem solving and… more
- The Cigna Group (Bloomfield, CT)
- …other weekend (Tuesday ALT Day).** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to ... report and summarize required changes to all levels department management and staff. + Support the implementation of new...implementation of new process as needed. + Based on case work and departmental reporting, ability to identify and… more
- The Cigna Group (Bloomfield, CT)
- …+ Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient medical services for ... regular trainings and other collaborative meetings as appropriate. + Works with management team to achieve operational objectives and financial goals. + Supports… more
- The Cigna Group (Sacramento, CA)
- …clinical experience required MUST RESIDE in California Clinical experience in case management strongly preferred Transplant specific experience strongly ... position. This is a Work-at-Home position. Monday-Friday** **Responsibilities** The Transplant Case Manager interacts with benefit specialist and claims staff for… more
- The Cigna Group (Harlingen, TX)
- …in participating provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical ... Nursing. * Three to Five (3-5) years recent experience in an acute-care environment, case - management or utilization management position (experience can be a… more
- CVS Health (Albany, NY)
- …change lives in new markets across the country. **Position Summary/Mission:** The Case Management Coordinator utilizes critical thinking and judgment to ... collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing… more
- CVS Health (Lansing, MI)
- …appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. * Coordinates and… more
- CVS Health (Tallahassee, FL)
- …business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case ... and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for telephonically and/or face to face assessing,… more
- CVS Health (Frankfort, KY)
- …convenient and affordable. **Position Summary** Aetna Better Health is hiring for a Case Management Coordinator (CMC) for the Cumberland region. A Case ... (CMC) utilizes critical thinking and professional judgment to support the case management process, in order to facilitate and maintain improved healthcare… more
- CVS Health (Richmond, VA)
- …member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. + Coordinates and ... knowledgably participate with their provider in healthcare decision-making. + Utilizes case management and quality management processes in compliance with… more
- CVS Health (Frankfort, KY)
- …Health is hiring for multiple openings across the state/regions of Kentucky. Case Management Coordinator (CMC) utilizes critical thinking and professional ... judgment to support the case management process, in order to facilitate and maintain improved healthcare outcomes for members by providing advocacy,… more
- MTA (New York, NY)
- …Compliance Department in a wide range of research, data collection, data entry and case management activities. The Analyst will prepare compliance data by ... Compliance Analyst Job ID: 8647 Business Unit: MTA Headquarters...+ Obtain data on business activities, Meet with departmental management to gather input on the risks and controls… more