• Medicare Behavioral Health Case Manager - Remote…

    Fallon Health (Worcester, MA)
    …Health:** Fallon Health is a mission-driven not-for-profit health care services organization based in Worcester, Massachusetts. For 45 years we have been improving ... member's integrated care plan if present * Completes a home visit for all agreeable referred members within allotted...follow-up assessments with members and forward results to the Nurse Case Manager or PCP as indicated. Documents all… more
    Fallon Health (04/16/25)
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  • Field Care Manager, Behavioral Health 2 (RN, LCSW,…

    Humana (Solon, OH)
    …health issues. Identifies and resolves barriers that hinder effective care. + Performs telephonic and face to face assessments and evaluations of the member's needs ... (CSW), Licensed Social Worker (LSW), Licensed Professional Counselor (LPC), or Registered Nurse (RN). + Minimum of 2 years of post-degree clinical experience in… more
    Humana (05/09/25)
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  • Social Worker or RN Transitional Care Shea

    HonorHealth (AZ)
    …discharge Assess readmission risk and barriers to care outpatient including home support, medication management, expectation, etc. Coordinate with hospital case ... information and plan of care between all care providers Conduct effective post-hospitalization telephonic monitoring, or depending on the tier level of each case and… more
    HonorHealth (05/07/25)
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  • Care Manager - Behavioral Health

    Molina Healthcare (Lexington, KY)
    …and member's support network to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs ongoing monitoring ... * Graduate from an Accredited School of Nursing Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)...health case management, disease management, managed care settings. * Field- based case management or home health experience.… more
    Molina Healthcare (05/22/25)
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  • RN Care Manager, Complex Care

    East Boston Neighborhood Health Center (East Boston, MA)
    …an integral member of the Project SHINE clinical care management team the Registered Nurse (RN) Care Manager (CM) will have the opportunity to make a profound impact ... meet members where they are. Outreach methods may vary based on the needs of the organization and may...on the needs of the organization and may include telephonic or in person in a variety of potential… more
    East Boston Neighborhood Health Center (05/07/25)
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  • Senior Care Options RN Community Care Manager…

    Point32Health (MA)
    …partners, colleagues and communities. **Job Summary** HYBRID OPPORTUNITY! 75% FIELD WORK 25% HOME OFFICE The Care Manager - Nursing (RN CM) will ensure that all ... interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking… more
    Point32Health (05/23/25)
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  • LPN Behavioral Health - Member Health Assessor

    Molina Healthcare (North Charleston, SC)
    **JOB DESCRIPTION** For this position we are seeking a (LPN) Licensed Practical Nurse who lives in SOUTH CAROLINA and must be licensed for the state of SOUTH ... member visits in the surrounding areas will be required. Home office with internet connectivity of high speed required....with quality care that is medically appropriate and cost-effective based on the severity of illness and the site… more
    Molina Healthcare (04/12/25)
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  • Behavioral Health Care Manager

    Molina Healthcare (York, SC)
    …and member's support network to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs ongoing monitoring ... for our members and ensure they have care plans based on their concerns/health needs. Excellent computer skills and...member visits in the surrounding areas will be required. Home office with internet connectivity of high speed required.… more
    Molina Healthcare (04/02/25)
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  • Clinical Navigator - Heart Failure & Advanced…

    Virtua Health (Voorhees, NJ)
    …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... to provide exceptional care close to home . A Magnet-recognized health system ranked by US News...safe transition across the continuum. This is a primarily telephonic role that will service two distinct groups -… more
    Virtua Health (05/15/25)
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  • Care Manager - Nursing

    Point32Health (MA)
    …interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking ... the caregiver/authorized representative, and providers to meet the targeted member-specific goals. Based on national standards for CM practice, the RN CM focuses on… more
    Point32Health (04/10/25)
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