- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Field Care Manager Registered Nurse (RN) assesses and evaluates member's needs and requirements ... care and wellbeing of members. The Field Care Manager Nurse employs a variety of...Experience with health promotion, coaching, and wellness. + Previous managed care experience. + Bilingual - English,… more
- East House Corporation (Rochester, NY)
- Crisis Care Manager Rochester, NY (http://maps.google.com/maps?q=269+Alexander+Street+Rochester+NY+USA+14607) Job Type Full-time Description The Crisis Care ... case management services and coordinating integration of direct care and support services. As a part of our...As a part of our commitment to individualized person-centered care , the Crisis Care Manager … more
- Intermountain Health (Miles City, MT)
- …evidence-based practice and coordination of care with other health team members. **As a Case Manager RN you need to know how to:** + Coordinate the care ... variances. + Attend, facilitate and participate in rounds and case conferences. + Advocate for patient rights. + Monitor...five (5) years of nursing experience- Prior knowledge of managed care / utilization review **Physical Requirements:**… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... Certification in utilization management or a related field + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** (any of the… more
- Penn Medicine (Lancaster, PA)
- …_The Ambulatory Care Management team is actively seeking a new Ambulatory Care Manager to join their dynamic and patient-centered department. This role ... vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits...Experience with home visits + Licensure with Commission for Case Managers CCM, or expected to obtain within two… more
- Humana (New Castle, VA)
- …Experience with health promotion, coaching and wellness. + Previous managed care experience. + Certification in Case Management (CCM). + Motivational ... Healthy Horizons in Virginia is seeking a RN, Field Care Manager Nurse 2 (Maternal-Health) who will...+ Two (2) years of prior experience in health care and/or case management. + Minimum one… more
- Humana (Marshfield, WI)
- …Key responsibilities: + Partner with a Care Coach (also referred to as a Case Manager ), taking the lead on health-related needs, to collaborate on an ongoing ... what matters most. Humana is currently seeking an RN Case Manager to join our team, serving...and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of… more
- WestCare Foundation (Fresno, CA)
- …receiving, reviewing, and processing all incoming Member referrals from the Medi-Cal managed health care plan. The Lead Care Manager will work as part of ... requests to the health plan. * Conduct outreach activities throughout the Medi-cal managed health care plan service area including in person, telephonic, street… more
- Gentiva (Madison, WI)
- … manager senior, hospice leadership jobs, RN leadership, home-based care oversight, hospice case management, Gentiva careers ReqID: 2025-131277 Category: ... full benefit package. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and...experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and… more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): * Experience working with managed care organizations, value-based programs, or community-based behavioral health ... care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. * Participate in case review meetings and rounds as needed to enhance… more