- Somatus (Washington, DC)
- …service Preferred Qualifications: + BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience + Field-based experience going ... into homes + Telephonic case management experience + Experience working within a managed care environment **Hourly Range** $85,000 to $97,000 per year… more
- Somatus (Mclean, VA)
- …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... or Critical Care experience + Telephonic case management experience + Experience with discharge planning + Solid working knowledge of hypertension and/or… more
- Sedgwick (Washington, DC)
- …a Great 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… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... desired clinical outcomes and to enhance quality of medical care. The ** Telephonic Nurse Case Manager ** will collect and document data to facilitate… more
- Elevance Health (Hanover, MD)
- ** Telephonic Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for performing care… more
- Elevance Health (Hanover, MD)
- ** Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager Senior** is responsible for care management… more
- CVS Health (Washington, DC)
- …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
- Elevance Health (Hanover, MD)
- ** Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within the… more
- Humana (Annapolis, MD)
- …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
- Immigration and Customs Enforcement (Washington, DC)
- Summary The Behavioral Health Case Manager is a non-supervisory role within. The incumbent coordinates behavioral health services for individuals in ICE custody, ... standards. Must obtain National Association of Social Work (NASW) Board Certification in Case Management or Case Manager Certification (CCM) credential… more
- Elevance Health (Washington, DC)
- **Position specific details: The Case Manager will work with our Youth & Adolescent population with serious emotional disturbance and/or substance use disorder ... client needs, and direct, hands-on engagement. The **Behavioral Health Case Manager I - Youth & Adolescent**...required. Preferred qualifications, skills, and experiences: + Experience in case management and telephonic and/or in person… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
- Sharecare (Washington, DC)
- …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
- Elevance Health (Hanover, MD)
- **Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse or substance… more
- CareFirst (Baltimore, MD)
- …management team, specifically the Medicare Advantage line of business. The Care Manager helps members, families, and caregivers access the health care delivery ... trainings and/or other business-related activities. In addition, the Care Manager participates in community-based events, representing the face of CareFirst… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under minimal ... supervision, the Care Manager researches and analyzes a member's medical and behavioral...Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and… more
- Humana (Washington, DC)
- …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
- CareFirst (Baltimore, MD)
- …Care Management Supervisor will direct and coordinate the activities of both telephonic and onsite Clinical Navigators embedded at or assigned to a partnering ... of care and manage healthcare costs. The incumbent will initially support telephonic Clinical Navigators and as business needs evolve, the incumbent will function… more
- Sharecare (Washington, DC)
- …and objectives of the Disease Management program by providing high quality telephonic and omni - channel support in an appropriate, efficient and cost-effective ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- Sharecare (Washington, DC)
- …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
