- CVS Health (Jefferson City, MO)
- …medical needs of the member to facilitate the member's overall wellness. This Case Manager RN role is 100% remote , and the employee can live in any state ... weekends or holiday shifts required at this time. The Case Manager RN is responsible for telephonically...and health needs based on key questions and conversation. ** Remote Work Expectations** + This is a 100% … more
- Aston Carter (Sugar Land, TX)
- Job Title: HR Assistant IIIJob Description The DLS Case Manager provides comprehensive case management for all types of leave of absence and disability life ... managing 150 - 200 employee cases, and providing holistic case management services. + Review medical documentation...Essential Skills + 1+ years of experience as a case manager using case management… more
- CVS Health (Jefferson City, MO)
- …communication and available resources to promote optimal, cost-effective outcomes. This Case Manager RN role is 100% remote , and the employee can live in ... plan, monitoring and evaluating the plan and involving the Medical Director as indicated and closing the case...support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. ** Remote Work… more
- Actalent (Buda, TX)
- "Urgent Hiring for RN Case Manager in Austin, Texas" *Must be located in Texas* Job Description: . Complete medical necessity and level of care reviews for ... requested services using clinical judgment and refer to Medical Directors for review depending on case ...Home Health/managed care/hospital setting as an RN is Mandatory ( Case Manager Expereince Mandatory) . Bachelor's degree… more
- CVS Health (Springfield, IL)
- …of network management, clinical coverage, and policies. **Position Summary** Our Case Managers use a collaborative process of assessment, planning, facilitation, ... and healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ill… more
- 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
- Providence (Portland, OR)
- **Description** **Care Manager LPN LVN** **_Remote_** **Candidates residing in Oregon are encouraged to apply.** The purpose of this position is to provide care ... including educating, motivating and empowering members to manage their disease. Case management including: triage and referral, transition of care planning, end… more
- CVS Health (Lansing, MI)
- …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) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- STG International (Rockville, MD)
- …seeking a Registered Nurse- Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides direct support to the ... safety, and productivity of the Federal workforce by performing fulfillment of case review activities (review of service and provider fulfillment), interacting with… more
- Actalent (Reno, NV)
- FULLY Remote Case Manager Assistant MUST reside in Nevada or Oregon Description COLLABORATION WITH CARE COORDINATION (CC) TEAM TO EXECUTE TRANSITION OF CARE ... (TOC) PLAN. * Collaborates with Case Managers and Social Workers in baseline patient assessment...discharge date and disposition. * Ensures the patient and medical facility receives information on benefit coverage including partnering… more