- CVS Health (Nashville, TN)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... 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.… more
- City of New York (New York, NY)
- …or disease . You will provide direct outreach, assist with case management tasks like scheduling appointments and follow-up reminders, collaborate closely with ... Chest Center in the Bronx . In this critical role, you will apply case management principles to connect with individuals arriving in NYC who have known risk… more
- Elara Caring (Bridgeport, CT)
- …at the Right Time, in the Right Place. **Job Description:** **Pediatric RN Case Manager ** **Flexible Scheduling | Full-Time | Competitive Benefits** Are you ... and their families? Join **Elara Caring** as a **Pediatric Registered Nurse - Case Manager ** and help bring high-quality, compassionate care to children in… more
- Covenant Health (Nashua, NH)
- …Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory learning assignments ... Summary Conducts medical necessity reviews in accordance with the Utilization...of the interdisciplinary team related to the individual patient case management goals, InterQual criteria and coverage determinations, multi-system… more
- Highland Hospital (Rochester, NY)
- **17021BR** **Title:** RN Case Manager PC/FM **Department/Cost Center:** 679 - PC Home Care Program **Job Description:** Highland is seeking a Clinical Care ... patient management, care facilitation and treatment planning functions. The RN Care Manager manages clinical aspects of patient centered medical home, working… more
- Evergreen Health (Buffalo, NY)
- …us to provide culturally competent care to everyone in our community . The RN Case Manager performs a wide variety of duties and responsibilities in a manner ... of the essential functions of this role, the RN Case Manager : + Provides nursing support and...plan development, and communication + Educates patients in chronic disease management based on evidence-based protocols + Develops and… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Shift:** Day **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management, you will be the key to ensuring patients… more
- Elevance Health (Goshen, IN)
- ** Case Manager - LCSW/LSW/LMSW/LMHC/LMFT (LTSS Service Coordinator- Clinician)** **Location:** Seeking candidate to work in Clark County, Dubois County, Henry ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service… more
- Ketchikan Indian Community (Ketchikan, AK)
- General Information Job Title: Case Manager RN Contact: Human Resources, ### Date Posted: 04/01/2025 Location: Nursing Compensation and Hours Minimum Salary: ... care as needed. JOB DUTIES & RESPONSIBILITIES + The Case Manager , clinic team and Director of...to assist in communication and collaboration of healthcare, including disease screening referral processes. + Participates in Case… more
- TEKsystems (Morrisville, NC)
- …Morrisville, NC, + Training: 6 to 8 weeks, onsite. Responsibilities: + Reimbursement Case Managers will serve as an expert on reimbursement, co-pay, and foundation ... assistance + Reimbursement Case Managers will serve as an expert on all...for patients and healthcare professionals to verify insurance coverage, medical billing, reimbursement process, and general access for complex… more