- Medical Mutual of Ohio (OH)
- … Medicare Supplement, and individual plans. Under limited supervision, the RN Case Manager evaluates and provides support to members, their families, and ... are looking for applicants that have a strong clinical case management background. Medicare experience is a...state licensure preferred and may be required. + Certified Case Manager (CCM) or other industry recognized certification… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- Registered Nurse (RN) Case Manager - Monday thru Friday, On Site Come work at our 4-star staffing facility! **The position is on site at the facility, and remote ... not be considered.** Benefits of the Registered Nurse (RN) Case Manager : + Daily Pay Option! Your...care setting. + Proficient in ability to interpret Managed Care/ Medicare Advantage Contracts and provide education to the teams… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate ... achievement of quality and cost, patient outcomes. The Case Manager works collaboratively with interdisciplinary staff...and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN)… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for you, we encourage you to apply! Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department ... of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National...Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members… more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... in Nursing Or in health related field. + Certified Case Manager (CCM) - Commission for ...in accordance with payer contracts and benefit guidelines and/or Medicare guidelines.Engages the client/family in the planning process as… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Intensive Case Manager (NY HELPS), New York City Children's Center, Bronx Campus, P26040 Occupational Category ... Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have:* Bachelor's degree...for full and unconditional participation in the Medicaid and Medicare programs. If you receive an appointment, your continued… more
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