- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Care Manager (RN/LICSW) assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Care Manager (RN/LICSW) is responsible for engaging...experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred **Licensure** + Current… more
- Corewell Health (Grand Rapids, MI)
- …Health Ludington Hospital) + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years ... of relevant experience clinical nursing and or case management/ managed care or related field Preferred + Registered Nurse (RN) - State of Michigan Upon Hire… more
- Ochsner Health (New Orleans, LA)
- …Nurse (RN) License in the state of practice. Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency in using ... in a multi-disciplinary team environment. Preferred - Experience in case management, care coordination or disease management....to varying levels of individuals. + Excellent knowledge of managed care , CMS, Medicaid and other regulatory… more
- Molina Healthcare (Yonkers, NY)
- …guidelines, social determinants of health, and health equity principles is also beneficial. Case management and managed care experience is preferred. Remote ... JOB DESCRIPTION **Job Summary** The Care Manager RN provides support for...navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case . **Summary:** The Social Work Care Manager I is an Illinois licensed social worker who provides patient ... care coordinator, and advocate. The Social Work Care Manager I collaborates with other members... managed care in a health care setting preferred. * Case Management certification… more
- Elevance Health (Indianapolis, IN)
- …to improve the delivery of care . The **Behavioral Health Care Manager II** is responsible for performing case management telephonically and/or by home ... **Behavioral Health Care Manager II - Autism** _*Ideal...experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities,… more
- Molina Healthcare (NY)
- …must understand clinical guidelines, social determinants of health, and health equity principles. Case management and managed care experience is highly ... JOB DESCRIPTION **Job Summary** The Care Manager provides support for ...program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral health care… more
- US Tech Solutions (Malden, MA)
- …MA area** Under the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to ... Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid managed care preferred. Proficient in computer use, the Internet, and… more
- Gentiva (Needham, MA)
- …care manager senior, hospice leadership jobs, RN leadership, home-based care oversight, hospice case management, Gentiva careers, hospice rn, rn ... If so, you could be the next Hospice Patient Care Manager Senior on our team. At...Medicaid, JCAHO, ACHC), and best practices * Familiarity with managed care principles and human resource guidelines… more
- Providence (Mission Viejo, CA)
- …setting. **Preferred Qualifications:** + 3 years Experience in utilization management or case management. + Managed care experience. **Why Join ... **Description** ** Care Manager MSW at Providence Mission...shifts available **Career Track:** Clinical Professional **Department:** 7500 MH CASE MGMT **Address:** CA Mission Viejo 27700 Medical Ctr… more