- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- Highmark Health (Charleston, WV)
- …**Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **(OR)** Licensed Professional Counselor ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Ochsner Health (New Orleans, LA)
- …Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma. Preferred - Associate's degree in nursing. **Work ... in case management or utilization review. **Certifications** Required - Current Registered Nurse license in state of practice. Preferred - Commission for… more
- CVS Health (Montpelier, VT)
- …social challenges. We're uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN , you will be responsible for assessing, ... will not satisfy this requirement)** **This is a full-time, remote , telehealth role. Must live in a compact state...the client and the member's provider. **Required Qualifications** + Registered Nurse that must reside in the… more
- CVS Health (Jefferson City, MO)
- …And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special Needs Plan (SNP) ... Meets regulatory requirements within specified timelines. + The Care Manager RN supports other members of the...skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- CVS Health (Juneau, AK)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Maternity/ Obstetrics experience . **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- CVS Health (Lansing, MI)
- …status and health needs based on key questions and conversation. **Required Qualifications** **- Registered Nurse with active MI state license in good standing** ... discharge planning and/or home health care coordination experience preferred -Certified Case Manager preferred **Education** -Associates required, BSN preferred… more
- Highmark Health (Concord, NH)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (East Orange, NJ)
- …50 to 75% travel in Bergen County and surrounding counties. **Position Summary** This is a remote Case Manager opportunity with 50 to 75% field travel in ... writing and communication skills are required. **Fundamental Components/Job Description:** The Case Manager is responsible for conducting face to face… more
- CVS Health (Totowa, NJ)
- …active New Jersey Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic ... County, NJ** This is a remote Case Manager role with...in the role. **Required Qualifications:** + Active and Unrestricted RN license in NJ + 3+ years clinical practice… more