- Somatus (Renton, WA)
- …(CCM) + Diabetic Educator experience + Field-based experience going into homes + Telephonic case management experience + Experience working within a managed care ... empowering patients across the country living with chronic kidney disease to experience more days out of the hospital...+ Community engagement opportunities + And more! Field Based Nurse Case Managers are an important part of the… more
- ChenMed (St. Louis, MO)
- …the follow up patient visits, once patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge and ... Job Profile Summary The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care… more
- CVS Health (St. Paul, MN)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... - This position consists of working intensely as a telephonic Associate Manager, Case Management with staff...**Required Qualifications** - 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty. -… more
- Point32Health (MA)
- …, population health and wellness interventions, and disease /chronic condition management per department guidelines. The nurse care manager possesses strong ... Nursing Field (RN CM) will ensure that all members receive timely care management (CM) across the continuum, including transitions of care, care coordination and… more
- Molina Healthcare (Rochester, NY)
- … program. The ideal candidate will bring strong expertise in chronic disease management , with familiarity in evidence-based practices for conditions commonly ... Summary** The Care Manager (RN) provides support for care management /care coordination activities and collaborates with multidisciplinary team coordinating… more
- Molina Healthcare (Louisville, KY)
- …Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent computer skills...Degree in Nursing **Preferred Experience** 3-5 years in case management , disease management , managed care… more
- CDPHP (Latham, NY)
- …Programs RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current New York ... York State Universal Assessment System is preferred. + Experience with chronic condition management , particularly diabetes and heart disease is required. + Case … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Inpatient Management Onsite Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of ... or other levels of care. Utilizing experience and skills in both care management and utilization management , the Onsite Clinical Navigator will leverage… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes, skill sets and tools. Care Advocacy Health ... call center environment. This position is a critical component of BCBSMN Medical Management team as the primary clinician providing condition and case management … more
- Cleveland Clinic (Cleveland, OH)
- …predominantly outpatient setting to provide outstanding preventative, acute and chronic disease care for adults in a patient focused environment. Selected ... a predominantly outpatient setting to provide outstanding preventative, acute and chronic disease care for adults and children in a patient focused environment.… more