• Healthcare Support Permanent Placement (Bronx, NY)
    …Completed NYSED-approved infection control coursework Managed long-term care insurance experience beneficial Case Management Certification recommended ... Support Permanent Placement is seeking a Registered Nurse (RN) Case Management for a nursing job in Bronx, New...Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to… more
    JobGet (06/23/24)
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  • Case Manager ( Managed

    Elevance Health (Arlington, VA)
    …and depression, and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall ... ** Case Manager ** **Location :** This is...pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
    Elevance Health (06/13/24)
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  • LVN Care Coordinator - Inpatient…

    Sharp HealthCare (San Diego, CA)
    care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
    Sharp HealthCare (05/24/24)
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  • Managed Care Coordinator - Foster…

    Elevance Health (Roanoke, VA)
    The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
    Elevance Health (06/05/24)
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  • Managed Care /Referral Coordinator

    Beth Israel Lahey Health (Westwood, MA)
    …taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… more
    Beth Israel Lahey Health (06/21/24)
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  • Managed Care Laison

    Lutheran (West Seneca, NY)
    Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed Care ... care . This role coordinates with the Medicaid managed care plans as the liaison for...placement changes including: Access to healthcare. Facilitate a single case agreement when a child is place outside of… more
    Lutheran (05/22/24)
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  • Case Manager - Foster Care

    Molina Healthcare (Richmond, VA)
    …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care more
    Molina Healthcare (05/08/24)
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  • Case Manager (RN) - Foster…

    Molina Healthcare (Glen Allen, VA)
    …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... candidates who live in the Western region of Virginia. Case Manager RN will work in remote...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care more
    Molina Healthcare (05/08/24)
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  • CVS Accountable Care - Field Case

    CVS Health (Albany, NY)
    …Working schedule is Monday-Friday; will work between 8am - 6pm EST. The Hybrid Case Manager works in the field in provider offices, skilled nursing facilities, ... of care and treatments as appropriate. Can act in the role of embedded case manager within the provider partner(s) offices to meet with the beneficiaries in… more
    CVS Health (06/16/24)
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  • Supervisor Case Manager Long-term…

    Highmark Health (Dover, DE)
    …LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of ... a Case Manager as needed. This is a...a Case Manager as needed. This is a full time community... management experience + Medicare and Medicaid experience + Managed care experience **SKILLS** + Leadership skills… more
    Highmark Health (04/26/24)
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  • Case Manager - Case

    Arnot Health (Elmira, NY)
    …participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources...of care meetings related to the appropriate case managed population. d. Manages the appropriate… more
    Arnot Health (06/06/24)
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  • Case Manager , Ltss RN - Personal…

    Molina Healthcare (Taylor, MI)
    …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… more
    Molina Healthcare (05/14/24)
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  • RN Hospice Case Manager

    Athena Health Care Systems (Haverhill, MA)
    …to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care . The professional nurse builds from the ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager... care for assigned caseload. About Athena Health Care Systems: Hospice Services of Massachusetts is managed more
    Athena Health Care Systems (05/28/24)
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  • Registered Nurse RN Case Manager

    Banner Health (Phoenix, AZ)
    …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case more
    Banner Health (05/03/24)
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  • Registered Nurse RN Case Manager

    Banner Health (Greeley, CO)
    …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case more
    Banner Health (05/26/24)
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  • Registered Nurse RN Case Manager

    Banner Health (Phoenix, AZ)
    …your future. Apply today. Our Care Coordination staff is seeking an RN Case Manager to work closely with patients and their families, physicians, and other ... members of the health care team on case management and managed care ...require a minimum of one year Case Manager experience in an acute care hospital.… more
    Banner Health (06/10/24)
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  • Case Manager (RN)

    National Health Care Associates (Troy, NY)
    …appreciated. We invite you to join our team! **-** **What You'll Do:** As a Case Manager , your advocacy will ensure our short-term, skilled nursing patients are ... Develop and maintain relationships with insurance representatives and facilitate managed care team meetings If you are...positive patient outcomes, consider joining our team as a Case Manager ! Make a real difference in… more
    National Health Care Associates (05/22/24)
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  • Case Manager Long-term Care

    Highmark Health (Columbus, OH)
    …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet… more
    Highmark Health (06/08/24)
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  • UM Specialist (LVN) - SNF - Sharp Extended…

    Sharp HealthCare (San Diego, CA)
    …Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care payers. ... resources and current standards of clinical practice. + Knowledge of managed care , Health Plan contracts, and benefits. + Experience with MCG Guidelines.… more
    Sharp HealthCare (04/03/24)
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  • Employee Health/ Managed Care

    Bishop McCarthy Center (Vineland, NJ)
    Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to… more
    Bishop McCarthy Center (05/25/24)
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