- Public Consulting Group (Dover, DE)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Service Source (New Castle, DE)
- …using holistic family supports. As an integral part of the support team, the Case Manager works to move families toward self-sufficiency by linking individuals ... applications, and navigating barriers to employment. Using a wrap-around approach, the Case Manager develops care plans, continuously assesses changes in status… more
- AmeriHealth Caritas (Wilmington, DE)
- …services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are eligible for LTSS ... the need for a member to remain in the program. The Clinical Case Manager will also provide clinical support to his/her non-licensed counterparts and may act… more
- Guardian Life (Dover, DE)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- CVS Health (Dover, DE)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... 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 (Dover, DE)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Highmark Health (Dover, DE)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care and service… more
- Cardinal Health (Dover, DE)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Guardian Life (Dover, DE)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- Cardinal Health (Dover, DE)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Dover, DE)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Highmark Health (Dover, DE)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Highmark Health (Dover, DE)
- …with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental ... Participate in departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists, Management Team,… more
- JEVS Human Services (DE)
- We have an exciting opportunity as a Case Coordinator. In this role, you will provide support to empower adults with physical disabilities to act as employers of ... applicants Qualifications + Associate's degree minimum + 3+ years experience in case management and community-based work preferred + Knowledge of payroll, human… more
- BAYADA Home Health Care (Dover, DE)
- …procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document doctors' orders + ... Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions, and evaluations pertaining to client… more
- Cardinal Health (Dover, DE)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- BAYADA Home Health Care (Seaford, DE)
- …+ Perform home health visits with adult patients throughout lower Sussex County + Follow a personalized plan of care based on physician orders + Administer skilled ... **Full-Time Registered Nurse (RN) - Home Health - Sussex County, DE** **Now hiring a full-time Registered Nurse to join the BAYADA at BAYhealth team in Sussex County.** If you're a compassionate RN looking for flexibility, work-life balance, and meaningful 1:1… more
- AmeriHealth Caritas (Wilmington, DE)
- …administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Case Manager assists members who are eligible for LTSS ... New Castle county Delaware.; He or she contributes to the LTSS case management process by performing telephonic and/or face-to-face assessments for the… more
- Public Consulting Group (Dover, DE)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- BAYADA Home Health Care (New Castle, DE)
- …OASIS and care plan coding + Monitor episodic utilization + Act as internal case manager and client advocate + Participate in hiring, interviewing and ... Therapist (OT) or Speech Language Pathologist (SLP)** to fill the position of **Rehab Manager ** in our **New Castle, DE** office. We are also open to a **Registered… more