- Sedgwick (Trenton, NJ)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- ICW Group (Philadelphia, PA)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life, and… more
- CVS Health (Trenton, NJ)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Trenton, NJ)
- …cost-effective quality care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- AmeriHealth Caritas (Philadelphia, PA)
- …pediatrics and behavioral health desired + Minimum of three years of experience as a case manager , preferably providing telephonic case management + ... more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager (RN) provides support to complex members appropriate for...Certification as a case manager preferred + Proficiency using MS Office (Word, Excel,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …pediatrics and behavioral health desired. + Minimum of three years of experience as a case manager , preferably providing telephonic case management. + ... more about us at www.amerihealthcaritas.com. **Position Overview:** The Care Manager II assists members appropriate for care coordination and...Certification as a case manager preferred. + Proficiency using MS Office (Word, Excel,… more
- ChenMed (Philadelphia, PA)
- …in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for ... **CORE JOB DUTIES/RESPONSIBILITIES:** + Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… more
- CVS Health (Burlington, NJ)
- …**This position offers a $1,000 Sign on Bonus for external applicants!** This Case Manager Registered Nurse position is with Aetna's Integrated Care Management ... MS Office Suite applications, including Word and Excel. **Preferred Qualifications** + Certified Case Manager Certification + Case Management experience in… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is with Aetna's Integrate Care Management (ICM) team and ... and evaluating members with potential care management needs through telephonic and face to face assessments in various settings,...with mental health and/or substance use disorders. + Certified Case Manager Certification + Case … more
- US Tech Solutions (Hopewell, NJ)
- + Provides telephonic case management for workers compensation cases involving lost time and extensive medical care. + Acts as a liaison between claimants, ... involving complex injuries/treatment plans and refers them to a nurse case manager . **Qualifications:** + Prefers a bachelor's degree. + Requires a minimum… more
- Sharecare (Trenton, NJ)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- AmeriHealth Caritas (Philadelphia, PA)
- …an acute care, home care, or special needs clinic + 3+ years of Case Management experience, preferably telephonic within a managed care organization, desired + ... **Role Overview** The Care Manager II assists members appropriate for care management...events/meetings **Skills & Abilities** + Eligible to sit for Case Management certification after 12 months of employment. Must… more
- Centene Corporation (Trenton, NJ)
- …care plans and education for members and their families. **(Must have Case Management and Strong Behavioral Health Management background).** + Evaluates the needs ... ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site outreach to assess member needs and collaborate… more