- CVS Health (Montclair, NJ)
- …close to or within Passaic County, New Jersey **Preferred Qualifications:** + Certified Case Manager is preferred. + Minimum 2+ years Care Management, Discharge ... themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of… more
- CVS Health (Lynchburg, VA)
- …50-75% of the time to meet with members face to face **.** **The Nurse Case Manager ** is responsible for evaluating and coordinating care for members to improve ... + Addressing complex health and social issues. + Reviewing claims and functional capacity. + Referring members to appropriate...work duties. As a **field-based role** , the Nurse Case Manager will regularly travel to various… more
- Elevance Health (Los Angeles, CA)
- **Nurse Case Manager I** **Location:** This role enables associates to work virtually full-time, except for required in-person training sessions, providing ... accommodation is granted as required by law. The **Nurse Case Manager I** is responsible for performing...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements** + Requires BA/BS… more
- Elevance Health (GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic...treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Orlando, FL)
- …for employment, unless an accommodation is granted as required by law_ The **Nurse Case Manager I** is responsible for performing care management within the ... of experience with the pediatric population strongly preferred. + Certification as a Case Manager is preferred. **_For URAC accredited areas the following… more
- Elevance Health (Washington, DC)
- **Nurse Case Manager Sr** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, ... accommodation is granted as required by law. The **Nurse Case Manager Sr** will be responsible for...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Constructive Partnerships Unlimited (Queens, NY)
- Nurse Case Manager Type of Position Full time Search Location(s) Queens, NY Apply Now ... compliance training at least annually. Fully cooperates in all corporate compliance investigations and reviews. SUPERVISES: + Medical Case Manager Counselors more
- DiPasquale Moore (Kansas City, MO)
- TITLE: Workers Compensation Case Manager /Paralegal SALARY: Competitive salary commensurate with experience REQUIREMENTS: High School Diploma; Paralegal associate ... reach a satisfactory resolution to each of our client's claims . Duties & Responsibilities: + Managing high volume personal...+ Monitor the progression of each claim + Maintain case files + Draft correspondence Our Ideal Candidate is:… more
- Sutter Health (Roseville, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- BrightSpring Health Services (Denton, TX)
- …personnel costs, consultant services, etc + Monitors worker's compensation and unemployment claims for assigned service site(s) + Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas...communicate effectively and supervise the work of others + Case Management Experience preferred Salary Range USD $19.00 /… more