- The Hartford (Lake Mary, FL)
- …Microsoft Office: Word, Excel & PowerPoint. + Ability to assess and explain complex medical condition. + Demonstrated aptitude for communicating with attending ... is part of a vast team of Behavioral Health Case Managers who are responsible for the review...of a disability claimant functionality. + Advises on highly complex claims at multidisciplinary clinical review roundtables… more
- CVS Health (Midlothian, VA)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Develops a ... clinical coverage policies. Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and… more
- CVS Health (Albany, NY)
- …all with heart, each and every day. **Position Summary** This is a remote RN Case Manager for New York residents. - Develops a proactive course of action to address ... - Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- HCA Healthcare (Manchester, NH)
- …satisfaction and personal growth, we encourage you to apply for our PRN Case Manager Registered Nurse opening. We review all applications. Qualified candidates ... you have the PRN career opportunities as a(an) PRN Case Manager Registered Nurse you want with your current...have an exciting opportunity for you to join Catholic Medical Center which is part of the nation's leading… more
- CVS Health (Salt Lake City, UT)
- …within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- HCA Healthcare (Plantation, FL)
- …No experience Required Years of Experience HCA Florida Westside Hospital is a 250-bed medical center and healthcare complex . Our facility was founded in 1974. We ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...personal growth, we encourage you to apply for our Case Mgmt Asst PRN opening. We promptly review… more
- Travelers Insurance Company (Morristown, NJ)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim ... of policy information to facts or allegations of each case . + Work with Manager on use of Claim...as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent… more
- HCA Healthcare (Largo, FL)
- …satisfaction. + You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What ... over 156,000 hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Largo Hospital you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Houston Methodist (The Woodlands, TX)
- …+ Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess ... At Houston Methodist, the Case Manager (CM) position is a registered nurse...satisfaction and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued… more
- Baystate Health (Springfield, MA)
- …Hospital Case Manager leads the interdisciplinary team in developing complex discharge plans. + **Responsibilities:** + Facilitates patients care plan as called ... + **Per Diem Hospital Case Manager** The **RN Hospital Case ...Requires a working knowledge of community resources and Utilization/Quality Review standards and activities conducted by third party payers… more