- MVP Health Care (Rochester, NY)
- … Nurse required with at least 4 years of recent clinical and Care Management experience. + Certification in Case Manager (CCM) is required within 2 years ... improvement. To achieve this, we're looking for a Hospital Case Manager to join #TeamMVP. If you have a...of employment. + Previous experience in Care & disease management or a related healthcare role. + Ability to… more
- Elevance Health (Wilmington, DE)
- **Telephonic RN Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for...Case Manager I** is responsible for performing care management within the scope of licensure for members with… more
- Elevance Health (Cincinnati, OH)
- **Telephonic Nurse Case Manager I** **Sign On Bonus: $3000** **Location: This role enables associates to work virtually full-time, with the exception of required ... states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager I** is responsible for...Case Manager I** is responsible for performing care management within the scope of licensure for members with… more
- Geisinger (Wilkes-Barre, PA)
- …the patient or member and healthcare team. + Maintains required documentation for all case management activities. + Collects required data and utilizes this data ... lasting career with impact. Join us as an RN Case Manager in Care Coordination to strengthen that impact....health savings account (HSA) + Company-paid life insurance, short-term disability , and long-term disability coverage + 401(k)… more
- LifePoint Health (Warrenton, VA)
- …nursing, physician, and other members of the healthcare team to ensure proper case management and effective discharge planning. . Monitors patient and family ... Three years of nursing experience. *Preferred*- Experience in utilization review, case management , discharge planning, and clinical leadership role. *EEOC… more
- CVS Health (Austin, TX)
- …Manager is responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... that impact functionality. - Reviews prior claims to address potential impact on current case management plan. - Assessments include the member's level of work… more
- Northwell Health (Manhasset, NY)
- … management using evidence based medical necessity criteria. + Submits data to management regarding case management and/or quality initiatives. + Serves ... federal, and third party payer regulations. + Documents the case management process in the medical record;...+ Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more
- CVS Health (Charleston, WV)
- …Doddridge, Harrison, Taylor, Barbour, Lewis, Upshur + Preferred Qualifications: BSN preferred * Case management in an integrated model preferred * Managed care ... Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of...assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their… more
- Sutter Health (Goleta, CA)
- …**SKILLS AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... status. + Working knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but… more
- Avera (Sioux Falls, SD)
- …Work Experience:** + 1-3 years of Clinic Nursing experience + 4-6 years Case Management and /or homecare experience **Expectations and Standards** + Commitment ... the patients of the primary care practice to promote effective education, self- management support, and timely health care delivery. This will include developing and… more