- Health Care Service Corporation (Chicago, IL)
- …home and/or facilities to support complex and specialty populations. **JOB REQUIREMENTS** **:** + Registered Nurse ( RN ) with 2 years direct clinical care to ... is responsible to provide care coordination to members via telephonic and/or field based care management to inform and...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
- Molina Healthcare (OH)
- …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... Care Management Supervisor will direct and coordinate the activities of both telephonic and onsite Clinical Navigators embedded at or assigned to a partnering… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Care Manager I** _*Ideal candidate must reside and be licensed in_ **_Indiana._** **Location:** Virtual: This role enables associate to work ... analytics to improve the delivery of care. The **Behavioral Health Care Manager I** is responsible for managing psychiatric and substance abuse or substance… more
- Elevance Health (OH)
- **Behavioral Health Care Manager I - (Day Shift)** **Location** **- Virtual:** This role enables associates to work virtually full-time, with the exception of ... + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The **Behavioral Health Care Manager I - (Day Shift)** is responsible for managing psychiatric and substance… more
- Elevance Health (NC)
- **Behavioral Health Care Manager I - North Carolina** **Sign on Bonus: $3,500** **Location** **- Virtual:** This role enables associates to work virtually full-time, ... 8:00 AM - 8:00 PM. The **Behavioral Health Care Manager I - North Carolina** is responsible for managing...disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an… more
- Elevance Health (FL)
- …substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. The BH Care Manager (UM) job ... **JR169828 Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or… more
- Centene Corporation (Frankfort, KY)
- …(about 75%)** **Behavioral Health and Physical Health Experience** ** Case management experience** **Position Purpose:** Develops, assesses, and facilitates ... which may include behavioral health and social determinant needs + May perform telephonic , digital, home and/or other site visits outreach to assess member needs and… more
- Fallon Health (Plymouth, MA)
- … Managers to coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. ... and other data which may indicate a need for Nurse Case Manager involvement and...medical record documentation and able to recognize triggers requiring RN intervention required + Experience with telephonic … more
- Elevance Health (Columbus, OH)
- **LTSS Service Coordinator - Clinician ( Case Manager )** **Candidates should live in one of the following counties:** Athens, Auglaize, Defiance, Gallia, Hocking, ... is responsible for working under the direction/supervision of an RN , with overall responsibility for the member's case...scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for… more