- Sedgwick (Trenton, NJ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order ... partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to… more
- CVS Health (Trenton, NJ)
- …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
- Humana (Trenton, NJ)
- …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
- AmeriHealth Caritas (Philadelphia, PA)
- …Experience with behavioral health desired + Minimum of three years of experience as a case manager , preferably providing telephonic case management + ... about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for case ...Certification as a case manager preferred **Skills and Abilities** + Proficiency using MS… more
- Somatus (Philadelphia, PA)
- …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
- Humana (Trenton, NJ)
- …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 (Trenton, NJ)
- …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
- CVS Health (Moorestown, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... it all with heart, each and every day. **Position Summary** The care manager is responsible for assessing and evaluating members with potential care management needs… more
- ICW Group (Philadelphia, PA)
- …department and vendors. + Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors. Reviews open ... bill review, case management and utilization review. + Works closely with Case Management Manager and Director to perform quarterly reporting on program… more
- Sharecare (Trenton, NJ)
- …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
- Elevance Health (Trenton, NJ)
- …the direction/supervision of an RN, with overall responsibility for the member's case . As required by applicable state law and contract, the Clinician contributes ... of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and… more