- Health Care Service Corporation (Downers Grove, IL)
- …and/or facilities to support complex and specialty populations. **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care ... is responsible to provide care coordination to members via telephonic and/or field-based care management to inform and educate...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
- Guthrie (Big Flats, NY)
- Care Transitions RN Navigator - This is a hybrid position...Nurse Navigator must be licensed as a Professional Registered Nurse in both New York and ... for managing a patient's successful transition from hospital to home , providing disease management, care coordination, and patient triage....applicant must have a current license as a Professional Registered Nurse in their state of practice… more
- Centene Corporation (Columbia, SC)
- …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $26.50 - $47.59 ... fresh perspective on workplace flexibility. NOTE: This is a work-from- home , hybrid remote (up to 25% travel) role that...to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to… more
- Penn Medicine (Lancaster, PA)
- …requirements being one of the following: RN : Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. Bachelor's degree in ... to join their dynamic and patient-centered department. This role supports the Medical Home Program by identifying patients at risk for poor outcomes and coordinating… more
- Health Care Service Corporation (Chicago, IL)
- … and/or facilities to support complex and specialty populations. **JOB REQUIREMENTS** **:** + Registered Nurse ( RN ) with 2 years direct clinical care to ... is responsible to provide care coordination to members via telephonic and/or field based care management to inform and...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
- Fallon Health (Plymouth, MA)
- …about medical record documentation and able to recognize triggers requiring RN intervention required + Experience with telephonic interviewing skills ... member and their status. The Navigator seeks to establish telephonic and face to face (depending upon product and...advocate for member needs, the Navigator may make in home or facility visits (depending upon the product and… more
- Elderwood (Buffalo, NY)
- …Responsibilities In the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are ... of whether the needed services are covered Elderwood IPA. + Direct telephonic and in-person engagement with individuals with chronic medical illness or mental… more
- Axiom Medical (The Woodlands, TX)
- …with Axiom's clients. It is the responsibility of the NCM to maintain their home state RN /BSN license and obtain/maintain additional licenses as requested by ... in-services Qualifications: The successful candidate should have an active RN or BSN license in good standing plus a...ER, acute injury, triage management or related fields. Previous nurse case management or telephonic case management… more
- WellSense (NH)
- …background check + Current unrestricted, applicable, state license to practice as a Registered Nurse in New Hampshire + Regular and reliable transportation and ... experience with the health care delivery system. Utilizing both telephonic outreach and face to face member visits and...is made with the PCP or Specialist; assessing for home health services, DME needs, and transportation issues; performing… more
- Penn Medicine (East Petersburg, PA)
- …to triage workflows. **MINIMUM REQUIRED QUALIFICATIONS:** + Current licensure as a Licensed Practical Nurse , or Registered Nurse , issued by the PA State ... General Health Physicians) and/or partnering practices. Responsible for the telephonic /electronic intake, assessment, planning, coordination, and implementation of standardized… more