- CVS Health (Dover, DE)
- …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
- Humana (Dover, DE)
- …degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a ...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… 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 ... working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to… more
- Sharecare (Dover, DE)
- …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
- Humana (Dover, DE)
- …personalization, and enabling smarter member engagement. As Senior Associate/Product Manager - AI Capabilities, you'll lead strategy, experimentation, and pilot ... Experimentation** + Lead pilot programs to test new AI features, including use case validation, success metrics, and stakeholder feedback + Partner with internal AI… more
- Sharecare (Dover, DE)
- …days of training. PTO needs during the training period will be evaluated on a case by case basis and must be approved in advance._ **Compensation:** $18.00/hour ... (non-negotiable) Under the general supervision of the Operations Manager , the Outreach Specialist has the primary responsibility of scheduling members for enrollment… more