- Public Consulting Group (Dover, DE)
- …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
- Service Source (New Castle, DE)
- …using holistic family supports. As an integral part of the support team, the Case Manager works to move families toward self-sufficiency by linking individuals ... applications, and navigating barriers to employment. Using a wrap-around approach, the Case Manager develops care plans, continuously assesses changes in status… more
- CVS Health (Dover, DE)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Dover, DE)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… 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 ... programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care and service… 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! If you have at least** **1.5 years...with you!** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Otsuka America Pharmaceutical Inc. (Dover, DE)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… 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, ... may have budgetary responsibility and authority. + Manage a team of Case Manager Supervisors. + Oversee the development of, and updates to, policies and… more
- Public Consulting Group (Dover, DE)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- 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 a care plan, encouraging behavior… more
- Highmark Health (Dover, DE)
- …with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental ... Participate in departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists, Management Team,… more
- CVS Health (Dover, DE)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Dover, DE)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... intervention skills preferred Managed care/utilization review experience preferred. + Case management and discharge planning experience preferred. + Managed… more
- BAYADA Home Health Care (Dover, DE)
- …procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document doctors' orders + ... Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions, and evaluations pertaining to client… more
- BAYADA Home Health Care (Perryville, MD)
- …procedures + Monitor clients' conditions; reporting changes to Clinical or Client Services Manager + Follow up with, execute, and properly document doctors' orders + ... Perform client assessments as necessary + Case management and coordination + Accurately document observations, interventions, and evaluations pertaining to client… more
- Cardinal Health (Dover, DE)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Cardinal Health (Dover, DE)
- …+ 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
- Sevita (Elkton, MD)
- …identify any discrepancies to accounting staff + Coordinate utilization with the Case Manager relative to program participant's incentive account + Organize ... for infants, children, adolescents, Military Service Members and Veterans. **Program Services Case Coordinator** Do you enjoy working in a medical/rehab setting and… more
- Travelers Insurance Company (Dover, DE)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more