- Point32Health (MA)
- …continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, and ... Nurse Practice Act(s) where Point32Health operates + National certification in Case Management desirable Education + Required (minimum): Bachelor's degree… more
- Rush University Medical Center (Chicago, IL)
- …hospital, ambulatory or home health setting with a focus in disease or case management . **Responsibilities:** 1. Facilitates communication with patients and care ... clinical evaluation of medical and psychosocial needs. Provides timely telephonic outreach to discharged patients in order to better...clinical data to track patient outcomes to determine if case management has improved patient status. 11.… more
- CVS Health (Doral, FL)
- …diabetes, hypertension, chronic kidney disease, serious mental illness, and/or HIV aids) + Case management in an integrated model preferred + Managed care ... The Care Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning,… more
- City of New York (New York, NY)
- …community-based organizations, advocates, and others engaged in benefits enrollment and case management for DSS clients and applicants. Community Partnerships ... signature software, and other innovative solutions to application assistance and case management . - Represent DSS-HRA-DHS in external meetings and community… more
- Elevance Health (Indianapolis, IN)
- …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... and direct, hands-on engagement. The **Transition RN Coordinator** is responsible or overall management of member's case within the scope of licensure; provides… more
- Sanford Health (Fargo, ND)
- …for inpatient services and procedures requiring observation periods. Documents work in case management module; provides direction to utilization management , ... , and nursing regarding what action needs to be taken. Collaborates with case management , social work, utilization management , and other cross-functional… more
- Humana (Solon, OH)
- …Minimum of 2 years of post-degree clinical experience in a behavioral health setting. + Case management experience. + Must have a Child and Adolescent Needs & ... liability insurance with at least 100,000/300,000/100,000 limits. **Preferred Qualifications:** + Case Management Certification (CCM). + Experience working with… more
- Humana (Virginia Beach, VA)
- …Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management experience working with complex SMI or SED population + ... Valid driver's license, car insurance, and reliable transportation. **Preferred Qualifications** + Case Management Certification (CCM) + 3-5 years of in-home… more
- AmeriHealth Caritas (Philadelphia, PA)
- …it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... the analysis of claims and appeals, and the review of medical management authorizations.; + Research and Investigate member and/or provider appeals and grievance… more
- Elevance Health (New York, NY)
- …individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management , or similar role; or any combination of ... development. The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides… more