- Commonwealth Care Alliance (Springfield, MA)
- …(must have): - Meaningful clinical experience including: - 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care , ... them at home, by providing best-in-class disability competent primary care . Within Care Delivery, the Manager...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Commonwealth Care Alliance (Springfield, MA)
- …Long-Term Services Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and ... are met in a manner that supports quality, independence, and cost-effective community-based care . The Manager also ensures providers are educated on CCA… more
- Highmark Health (Hartford, CT)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Hartford, CT)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- AccentCare, Inc. (Farmington, CT)
- …Farmington, CT Position: After Hours Registered Nurse / RN , Hospice Position Type: Full-Time Remote /Virtual Position: No Coverage Area: Hartford ... Overview After Hours Registered Nurse / RN , Hospice... transitions as directed. + If serving as a Care Manager , coordinates all aspects of patient … more
- CVS Health (Hartford, CT)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (Springfield, MA)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... We are looking for a candidate with a MA RN licensure. Candidates with case management and home health...consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex… more
- Molina Healthcare (Hampden, MA)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are looking for a candidate with a MA RN licensure. Candidates with case management and home health… more
- Commonwealth Care Alliance (Springfield, MA)
- …(must have): * Meaningful clinical experience including: * 3+ years' experience as a Registered Nurse in a high-touch clinical environment or home care , ... them at home, by providing best-in-class disability competent primary care . Within Care Delivery, the Manager...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Sharecare (Hartford, CT)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Humana (Hartford, CT)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
- Molina Healthcare (Springfield, MA)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- The Cigna Group (Bloomfield, CT)
- …EAP. * Facilitates critical incident response by consulting with requesting manager and direct service providers to arrange appropriate clinical services, including ... practice as an independent mental health professional (LCSW, LMFT, LPC/LPCC, LMHC, Psych RN , or Licensed Psychologist) in the state of employment. CEAP required to… more
- Sedgwick (Hartford, CT)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- CenterWell (Hartford, CT)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
