- CDPHP (Latham, NY)
- …for the member population serviced by CDPHP. Based on national standards for case management practice, the RN Case Manager will focus on empowering the ... RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current New York State… more
- Zurich NA (Schaumburg, IL)
- Claims IT Development - Subject Matter Expert (SME)...Business and IT, as assigned. + Support the Portfolio Manager in building the Business Case , including ... 122364 Zurich North America is looking for a Claims IT Development - Subject Matter Expert (SME) to...AND + 7 or more years of software product management or product development experience. + 5 or more… more
- CVS Health (Austin, TX)
- …role is a blended role doing both Case Management and Utilization Management . The RN Case Manager is responsible for telephonically and/or face to ... with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position... claims to address potential impact on current case management and eligibility. + Assessments include… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management , Inpatient Status: Full Time Shift: 80 hours every ... hours per week, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT :** The Case ...OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited… more
- CVS Health (Petersburg, VA)
- …functionality. Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member's level of work ... with heart, each and every day. **Position Summary** This Case Manager RN position is with Aetna's...is responsible for assessing, planning, implementing and coordinating all case management activities with members to evaluate… more
- Elevance Health (Fort Wayne, IN)
- …responsiveness to client needs, and direct, hands-on engagement. The **RN Case Manager ** is responsible for overall management of member's case within ... **RN Case Manager (LTSS Service Coordinator- RN...chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any… more
- CVS Health (Cheyenne, WY)
- …functionality. - Reviews prior claims to address potential impact on current case management plan. - Assessments include the member's level of work capacity ... however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and… more
- US Tech Solutions (Richmond, VA)
- …functionality. + Reviews prior claims to address potential impact on current case management and eligibility. + Assessments include the member's level of ... cases at case conferences for multidisciplinary focus to benefit overall claim management . + Utilizes case management processes in compliance with… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health ... BCBSMN Medical Management team as the primary clinician providing condition and case management services to members. Your Responsibilities * Serves as a… more
- Sedgwick (Grand Rapids, MI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... order to be considered.** **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick… more