- 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 (Millville, NJ)
- …requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… 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. - 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
- 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
- Highmark Health (Dover, DE)
- …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... **Job Description :** **JOB SUMMARY** 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)
- …Inc. **Job Description :** **JOB SUMMARY** This job supervises a team of Case Manager Supervisors who are charged with promoting quality member outcomes, ... budgetary responsibility and authority. + Manage a team of Case Manager Supervisors. + Oversee the development...issues and problem solving. + Suggest new approaches to complex problems. + Set appropriate targets, measure outcomes and… more
- Sedgwick (Dover, DE)
- …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 advocacy,… more
- Sedgwick (Dover, DE)
- …a Great Place 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 for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more