- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to make a difference, join us. The Impact You Will Have Utilizing key principles of case management , the RN Case Manager focuses on supporting members living ... the member, family and providers to engage in complex case management program. * Conducts clinical assessments...Clinic, Direct Care experience or experience as an Oncology Telephonic Case Manager for an insurance company… more
- Molina Healthcare (Detroit, MI)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Access Dubuque (Dubuque, IA)
- …Services as a Work Comp Nurse Case Manager, where you will provide telephonic case management services to injured employees. This role is ideal for ... Work Comp RN Case Manager **Cottingham & Butler/ SISCO** 1 Positions...outside of a clinical setting. This position is 100% telephonic and requires residency in IA, IL, or WI.… more
- Molina Healthcare (Nampa, ID)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Apex Health Solutions (Houston, TX)
- Summary Responsible for providing case management services and support to improve health outcomes via a coordinated approach. The Case Manager works in ... consider remote deployment on a case by case basis Education Education: Registered Nurse (RN)...the state of Texas or Compact state. Certification in Case Management preferred (CCM or ACM) EXPERIENCE… more
- PruittHealth (Atlanta, GA)
- …quality resources through application of model of care practice guidelines and Case Management (CM) Standards of Practice. Implement appropriate interventions to ... patients and caregivers and document findings in a concise/comprehensive manner * Develop a case management care plan for each patient based on a thorough… more
- ChenMed (Tampa, FL)
- …care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital ... Once a patient has completed their episode of care management the register nurse (RN) will review...may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention,… more
- Hospice of Michigan (Southfield, MI)
- …to information requested by third party payers and calls clinical reports to case managers. + Provides nursing telephonic interventions using Triage Protocols ... | Michigan RN License Required Job Summary: The Registered Nurse (RN), Contact Center meets all requirements of a...and Triage Protocols and Process Flows. + Completes on-going telephonic assessment of the impact of the terminal diagnosis… more
- Highmark Health (Dover, DE)
- …involves working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will ... to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state...Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's… more
- Sharecare (Charleston, WV)
- …motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + ... Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more