- 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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Dover, DE)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… 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 ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- Sharecare (Dover, DE)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Evolent (Dover, DE)
- …care across multiple settings and with multiple providers - **- Required** + Current Registered Nurse license without restrictions must be able to qualify for AK ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus -… more
- Highmark Health (Dover, DE)
- …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... within the assigned territory in DE. This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health… more
- Highmark Health (Dover, DE)
- …to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care ... health, hospice, public health, or assisted living **OR** + Registered Nurse or Licensed Practical Nurse...clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social… more
- Highmark Health (Dover, DE)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Intermountain Health (Dover, DE)
- …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined...- Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This… more
- Cardinal Health (Dover, DE)
- …life-changing therapies to patients who need them-faster.** **_Position Summary_** The Manager , Clinical is responsible for strategic oversight and management of ... demands to long-term implications, in alignment with the supporting business case + Prioritizes multiple tasks while meeting deadlines + Communicates program… more