- Molina Healthcare (York, SC)
- …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 (Iowa City, IA)
- …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
- 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
- Centene Corporation (Harrisburg, PA)
- …other departments including customer service to resolve member issues. + Refers to case or disease management as appropriate. + Completes special assignments and ... THE CURRENT IRS GUIDELINE RATE ROUND TRIP.** **PREFER A NURSE WHO RESIDES IN THE ALLENTOWN, SCRANTON, WILKES-BARRE, PA...to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to… more
- Catholic Health Services (Melville, NY)
- …to identify socio-economic issues that affect their overall health and develop health/social management plans and goals Telephonic and onsite work days. CH ... quality of care issues under the guidance of a Registered Nurse . Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and… more
- Molina Healthcare (Cayce, SC)
- …psychology, gerontology, public health or social work. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... applicable state or locality with reliable transportation. **Preferred Experience** 3-5 years in case management , disease management , managed care or medical… more
- Point32Health (MA)
- …continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, and ... disease/chronic condition management per department guidelines. The nurse care...Practice Act(s) where Point32Health operates + National certification in Case Management desirable Education + Required (minimum):… more
- AmeriHealth Caritas (Newark, DE)
- … department, including but not limited to, conducting in person, virtual, or telephonic case management screening, appropriate communication with members, ... development, reviewing referrals for appropriateness, and assigning episodes as needed.; Practices case management within the scope of their licensure (based on… more
- Point32Health (MA)
- …continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, and ... disease/chronic condition management per department guidelines. The nurse care...Bachelor's Degree in Nursing preferred + National certification in Case Management desirable **Experience** (minimum years required)… more
- WellSpan Health (York, PA)
- …services. Engages with treating providers to resolve issues when necessary. + Provides telephonic and field case management when necessary for complex ... plans for injured/ill System employees. Provides internal workers' compensation case management , including attending appointments with injured/ill employees… more
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