- CareFirst (Baltimore, MD)
- …Care Management Supervisor will direct and coordinate the activities of both telephonic and onsite Clinical Navigators embedded at or assigned to a partnering ... of care and manage healthcare costs. The incumbent will initially support telephonic Clinical Navigators and as business needs evolve, the incumbent will function… more
- Centene Corporation (Lansing, MI)
- …plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to members who are ... office, about care gaps identified, and barriers to care. + Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory… more
- Gentiva (Pittsburgh, PA)
- **Overview** We are seeking a compassionate and experienced **Registered Nurse (RN)** to join our **Advanced Illness Management (AIM) Palliative Care Team** . This ... is a field-based position that provides in-person and telephonic care coordination, education, and assessments to patients with serious or life-limiting illnesses.… more
- Humana (Dayton, OH)
- …with resources appropriate for their care and wellbeing. The RN, Field Care Manager Nurse 2 works in a CM OR CM Plus capacity based on member's needs. ... through recovery and health and wellness programs. * Performs telephonic and face to face assessments and evaluations of...Must reside in the state of Ohio. * Registered Nurse (RN) in the state of Ohio without restrictions.… more
- Gentiva (Toledo, OH)
- …ensuring high-quality, patient-centered end-of-life and palliative care. This position provides telephonic and virtual support to patients and their families while ... collaborating with physicians, nurse practitioners, and interdisciplinary team members to develop and...Illness Management Program, You Will:** + Conduct virtual or telephonic RN screening assessments and provide education to AIM… more
- CVS Health (Jackson, MS)
- …Summary** As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of ... and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care… more
- Actalent (Atlanta, GA)
- Utilization Review (Registered Nurse ) Job Description This role involves performing precertification and medical necessity reviews for designated referrals and ... outpatient procedures, services, and inpatient admissions. The position requires telephonic reviews to assess medical necessity using established criteria and… more
- Cardinal Health (Hartford, CT)
- …and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed to ... information. This job ensures all interactions are within an acceptable standard of telephonic nursing and keeps an eye on the financial management of programs.… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and coordinating the appropriate medical treatment in collaboration with internal nurse resources where appropriate. + Develop strategies to manage losses involving ... achieve resolution through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager) in order to integrate the delivery of… more
- ChenMed (Berwyn, IL)
- …our team. The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN) Community ... and maximizing their healthy time at home. The Register Nurse (RN) Community Care Nurse will serve...procedures **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Provides in home and telephonic visits to patients at high-risk for hospital admission… more