- Public Consulting Group (Providence, RI)
- …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
- Guardian Life (Providence, RI)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a variety of group sizes ranging from… more
- Guardian Life (Providence, RI)
- …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
- Charter Care Health Partners (North Providence, RI)
- …required. Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly desirable. Interrelationships: Patient ... or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective services. Makes daily rounds and collaborates with the… more
- Elara Caring (Webster, MA)
- …in the Right Place. **Job Description:** **Join Our Team as a Behavioral Health RN Case Manager !** Position: Full-Time | Monday-Friday, 8:00 AM - 5:00 PM Branch: ... daily in the comfort of their homes. As a **Behavioral Health RN Case Manager ** , you'll have the opportunity to transform lives while growing your career… more
- Brown University (Providence, RI)
- Job Description: The Clinical Case Manager will oversee the comprehensive care of students with various health needs, ongoing health conditions, and mental ... in maneuvering through the complexities of the healthcare system. The Clinical Case Manager will serve as a crucial link, ensuring seamless coordination between… more
- Cardinal Health (Providence, RI)
- …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
- Prime Healthcare (Woonsocket, RI)
- …accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. ... maintain current. #LI-DQ1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/199166/bonus-available%21 case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark Medical Center LocationUS-RI-Woonsocket… more
- Advocates (Millbury, MA)
- **Overview** Starting rate $19.50/hour The Day Services Case Manager will provide an environment that fosters growth and independence through therapeutic and ... skills training program with the interdisciplinary team. The goal of a Case Manager is to assist each individual to reach their maximum potential with… more
- Guardian Life (Providence, RI)
- …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
- Athena Health Care Systems (Warwick, RI)
- …the patient's efforts toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility ... We are hiring per diem Hospice Registered Nurse Case Managers (RN) to join the Athena Hospice of Rhode Island team! Prior experience in hospice care is required.… more
- Cardinal Health (Providence, RI)
- …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 (Providence, RI)
- …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 (Providence, RI)
- …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
- HUB International (Providence, RI)
- …**Additional duties and responsibilities include:** + Consult on recommendations and solutions for case design with a focus on the customers' needs + Enter new ... with all other internal departments to assist financial advisor with unique client or case circumstances + Respond to the client and financial advisor inquiries in a… more
- Cardinal Health (Providence, RI)
- …+ 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
- Public Consulting Group (Providence, RI)
- …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
- Evolent (Providence, RI)
- …Pacific Coast time during standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus - Preferred + Knowledge and ... experience teaching self-management. - Preferred + Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.- Preferred + Strong work ethic built on a… more
- Hartford HealthCare (Norwich, CT)
- …the hiring, orienting, evaluating, continuing education and duties of the clinical RN case coordinators, case manager assistants, and social workers * ... The Director is responsible for the development and implementation of the case management process and promoting quality patient care outcomes while supporting… more
- Masonicare (Norwich, CT)
- …carrying out the plan of care for the client as developed by the nurse case manager while addressing all problems in the plan of care, identifying ... interdisciplinary care needs and making recommendations to the nurse case manager for additional home health care services. + Assists nurse case manager … more