- Humana (Carson City, NV)
- **Become 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 ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (Las Vegas, NV)
- …**Required License, Certification, Association** Nevada licensure must be Active, unrestricted State Registered Nursing ( RN ) license in good standing. **NV is ... REMOTE , Nevada residents preferred. Candidates who do not...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Sharecare (Carson City, NV)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Centene Corporation (Carson City, NV)
- …a fresh perspective on workplace flexibility. **Must reside in Nevada** Centene is seeking a ** Remote Care Manager RN ** to support Medicaid members in ... focuses on **OB case management** , member enrollment, and care coordination to improve health outcomes. **Schedule:** Monday-Friday, 8:00...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
- CVS Health (Carson City, NV)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- CenterWell (Carson City, NV)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Humana (Carson City, NV)
- …Care Navigator) must meet **one** of the following requirements: **Active unrestricted Registered Nurse , ( RN ) license without disciplinary action with the ... for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus...best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Highmark Health (Carson City, NV)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Intermountain Health (Las Vegas, NV)
- …+ Continuous Improvement + Scheduling **Physical Requirements:** **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice ... triage, and coordination with compliance and legal to support care delivery. The Manager Care ...+ Occasional weekend or holiday coverage + Possibility of remote work some days + Main Location - Nevada… more
- Molina Healthcare (NV)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Molina Healthcare (NV)
- …NCQA-related) requirements are documented during the year + Works with the Manager and/or Director to maintain up-to-date addendums to quality policies and ... activities and results to identify opportunities for improvement + Surfaces to the Manager and/or Director any gaps in processes that may require remediation + Other… more
- Sedgwick (Las Vegas, NV)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover our Las ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Sedgwick (Carson City, NV)
- …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 ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- System One (Las Vegas, NV)
- …criteria and standards of care Licensure and Certification: + Current, unrestricted Registered Nurse ( RN ), Licensed Social Worker (LSW), or Licensed ... Location: Nevada Type: Contract Compensation: $33/Hour Contractor Work Model: Remote Title: LTSS Coordinator - Nevada ALTA is supporting...+ Serve as point of contact with the Primary Care Manager , Medical Director, Provider, or other… more
- CenterWell (Carson City, NV)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- Humana (Carson City, NV)
- …Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider ... with high-performing provider groups to understand clinical workflows, transitional care processes, and operational drivers that contribute to lower readmission… more
- CenterWell (Carson City, NV)
- …in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean ... Belt or higher) * Project Management Professional (PMP) * Nursing license ( RN or LPN/LVN) preferred but not required **Additional Information:** To ensure Home… more
- CenterWell (Carson City, NV)
- …experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and ... assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN , PT or OT preferred + More than 3...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more