- Molina Healthcare (Louisville, KY)
- …Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent computer skills and attention to ... For this position we are seeking a (RN) Registered Nurse who lives in Kentucky and must be licensed...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Rochester Regional Health (Rochester, NY)
- …team and patient through practice, community and home based visits and telephonic support: * Provide comprehensive care management including self- management ... and those at potential risk for adverse healthcare outcomes. The Registered Nurse works in collaboration with primary care providers and the multidisciplinary care… more
- UPMC (Pittsburgh, PA)
- …looking for an opportunity to use your nursing background in outpatient, home health, or case management ? Do you have an interest in health insurance, but thrive ... Medication Review as appropriate. + Refer members to appropriate case management , health management , or...Case Manager (CCM) + Driver's License + Registered Nurse (RN) + Act 33 with renewal + Act… more
- Centene Corporation (Austin, TX)
- …a fresh perspective on workplace flexibility. **Medicare Shared Services Team - 100% Remote Telephonic RN Case Mgt** **Locations: must reside in the state of ... pm (CST)** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality,… more
- Centene Corporation (Augusta, ME)
- …other departments including customer service to resolve member issues. + Refers to case or disease management as appropriate. + Completes special assignments and ... plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to members who are… more
- AmeriHealth Caritas (Shreveport, LA)
- …in obstetrics including prenatal and postpartum care** + 1 year of Case Management experience in a hospital, homecare, or remote/ telephonic setting + Case ... Start Care Manager II** (RN) assists members appropriate for care coordination and case management services in achieving their optimal level of health. The… more
- Centene Corporation (Lincoln, NE)
- …access to competitive benefits including a fresh perspective on workplace flexibility. **Registered Nurse (RN) - Telephonic Role** **Make outbound calls to:** + ... Facilities + Discharge planners + Case managers + Members and families + Primary Care...or Mountain (MT) Time Zones.** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects of… more
- Humana (Stuart, FL)
- …in Nursing + 3+ years of managed care experience + 3+ years of case management experience + Strong knowledge of HEDIS/Stars/CMS **Additional Information** + ... Clinical Professional (RN) is responsible for the development, implementation and management oversight of the company's Medicare Stars Program in the SouthEast… more
- AmeriHealth Caritas (Pittsburgh, PA)
- …+ Minimum of three years of experience as a case manager, preferably providing telephonic case management + Certification as a case manager preferred ... Manager (RN) provides support to complex members appropriate for care coordination and case management services in achieving their optimal level of health… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Minimum of three years of experience as a case manager, preferably providing telephonic case management + Certification as a case manager preferred ... . **Role Overview** The Care Manager (RN) assists members appropriate for case management services in achieving their optimal level of health.… more