- Sedgwick (Dover, DE)
- …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
- ICW Group (Philadelphia, PA)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... Measures and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life, and… more
- CVS Health (Dover, DE)
- …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
- CVS Health (Dover, DE)
- …cost-effective quality care for members. - 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
- ChenMed (Philadelphia, PA)
- …in community case management experience highly desired + Certified Case Manager certification is preferred. Certification through the Commission for ... **CORE JOB DUTIES/RESPONSIBILITIES:** + Provides in-house, at facility, and telephonic visits to patients at high-risk for hospital admission... Case Manager Certification (CCMC) or the American… 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) provides support to complex members appropriate for...Certification as a case manager preferred + Proficiency using MS Office (Word, Excel,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …pediatrics and behavioral health desired + Minimum of three years of experience as a case manager , preferably providing telephonic case management. + ... **Role Overview** The Care Manager II assists members appropriate for care coordination...Certification as a case manager preferred **Licensure** + Valid driver's license with car… 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 ... settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines,… more
- Highmark Health (Dover, DE)
- …**ESSENTIAL RESPONSIBILITIES** + Communicate effectively while performing customer telephonic interviewing and communication with external contacts. + Communicate ... effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other...departmental and/or organizational work and quality initiative teams. + Case collaborate with peers, Case Management Specialists,… more
- Sharecare (Dover, DE)
- …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
- AmeriHealth Caritas (Dover, DE)
- **Role Overview** AmeriHealth Caritas Delaware is seeking a Pediatric Case Manager to support **;** Kent County. ;The Care Manager will be responsible for ... the care coordination of our pediatric patients. The Care Manager will help coordinate care-plans and collaborate with community resources to help ensure our members… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Member population. The Care Connector functions with direction from the program's Case Managers or Supervisor/ Manager and is responsible for screening identified ... experience in a healthcare environment + Minimum of 1 year of telephonic customer service experience, preferably within a healthcare setting + Medical terminology… more