- Humana (Oklahoma City, OK)
- …SDOH coordinators, and care management support assistants. The Care Manager, Telephonic Behavioral Health Nurse 2 work assignments are varied but will ... on those enrollees with primarily behavioral health needs. The Care Manager, Behavioral Telephonic Nurse 2 will utilize clinical expertise and experience to… more
- UPMC (Jamestown, NY)
- …our Total Joint Replacement orthopedic population, providing high quality nursing care, telephonic case management , and care coordination throughout the ... **UPMC Chautauqua is seeking a highly motivated Registered Nurse to join their team as an Orthopedic...4 years nursing experience in a hospital setting + Telephonic case management experience highly… more
- CareFirst (Baltimore, MD)
- …Licensure and/or Compact State Licensure. **Experience:** 5 years experience in Utilization Management or Case Management at CareFirst BlueCross BlueShield, ... **Resp & Qualifications** **PURPOSE:** The Care Management Supervisor supervises, directs and coordinates the activities...care costs. **We are looking for an experienced Registered Nurse and people leader with UM/CM experience** **living within… more
- UPMC (Williamsport, PA)
- …orthopedic patient population. The navigator will provide high quality nursing care, telephonic case management , and care coordination throughout the ... UPMC is looking for a highly motivated Orthopedic Nurse Navigator/Coordinator to work as part of a...4 years nursing experience in a hospital setting. + Telephonic case management experience highly… more
- CVS Health (Frankfort, KY)
- …Length of Stay) to clinical staff. + Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty ... for health care service delivery under the direction of nurse or medical director in the most appropriate setting...issues. + Supports the administration of the hospital care, case management and quality management … more
- ChenMed (Houston, TX)
- …additional education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical and Social determination of Heath ... visits, once patient has completed their episode of care management the register nurse (RN) will review...is mandatory during all LPN visits. + Conducts/coordinates initial case management assessment of patients to determine… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department:...aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and… more
- Molina Healthcare (Austin, TX)
- …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
- Molina Healthcare (Hazard, KY)
- …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
- ChenMed (Jacksonville, FL)
- …education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical, fall prevention, and social determination ... Once a patient has completed their episode of care management the register nurse (RN) will review...(SOPs) _Coordinate the Plan of Care:_ + Conducts/coordinates initial case management assessment of patients to determine… more