- CVS Health (Manville, NJ)
- …Travel requirements are subject to change based upon business need. **Preferred** + Case Management experience in an integrated model + Bilingual preferred. + ... care manager is responsible for assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various… more
- US Tech Solutions (Columbia, SC)
- …enrollment in care management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions, ... and work remotely. Detail Oriented, Good Communication Skills, Time Management , Organization, Team Oriented, but able to work independently. **Responsibilities:**… more
- CVS Health (Columbus, OH)
- …in accordance with the benefit plan. + 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...payment issues. Supports the administration of the hospital care, case management and quality management … more
- ChenMed (Oakland Park, FL)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also...to preferred providers. + Coordinates the integration of social services/ case management functions in the pre-acute, ER,… more
- Gentiva (Canonsburg, PA)
- …strong communication and collaboration across the care team, including social work and case management + Ensure adherence to all HIPAA, compliance, ethical, and ... **Overview** We are seeking a compassionate and experienced **Registered Nurse (RN)** to join our **Advanced Illness Management (AIM) Palliative Care Team** .… more
- Lumeris (NH)
- …telephone etiquette + Effective training and mentoring skills Preferred + BSN or experience with telephonic case management + Case management ... an impact. **Position:** RN Care Manager **Position Summary:** Provides telephonic care and case management ...+ Current licensure in good standing as a registered nurse in the state of Missouri and Illinois and… more
- Robert Half Accountemps (New Haven, CT)
- …with attorneys to manage hearings and litigation - Controls and directs vendors nurse case managers telephonic cases managers and rehabilitation managers ... recovery opportunities are maximized. - Works with in-house Technical Assistants Special Investigators Nurse Consultants Telephonic Case Managers as well as… more
- Catholic Health Services (Melville, NY)
- …to established workflow guidelines Refers patient/employees to appropriate resources and provides telephonic case management to medically and psychosocially ... of care issues under the guidance of a Registered Nurse . Utilizes motivational interviewing skills to ensure maximum member...issues that affect their overall health and develop health/social management plans and goals Telephonic and onsite… 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