• Care Coordinator / Navigator - Springfield…

    Fallon Health (Springfield, MA)
    …about medical record documentation and able to recognize triggers requiring RN intervention required Experience with telephonic interviewing skills and ... 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
    Fallon Health (05/23/25)
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  • Transitional Care Nurse

    Beth Israel Lahey Health (Stoughton, MA)
    …accredited Nursing Program required. Bachelor's degree in Nursing preferred. + License Registered Nurse preferred., and American Heart Association - Basic Life ... remote schedule will be discussed with the Manager. The Transitional Care Nurse (TCN) ensures that identified Beth Israel Deaconess HealthCare (BIDHC) patients… more
    Beth Israel Lahey Health (05/25/25)
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  • Supplemental Care Manager- Remote

    Sharecare (Salt Lake City, UT)
    …effectively within a matrix organizational design. Qualifications: + Current multi-state compact Registered Nurse licensure in state of residence is required, ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The...technologies. + This position will be based from a home office which must satisfy all HIPAA requirementsand minimum… more
    Sharecare (04/17/25)
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  • Care Manager II

    AmeriHealth Caritas (Philadelphia, PA)
    …+ Bachelor's Degree in Nursing ( RN ) required. + Current and unrestricted Registered Nurse licensure in Pennsylvania required. + Candidate must reside in the ... + Minimum of 3 years clinical practice experience in med-surg and/or home care required. Experience with pediatrics and behavioral health desired. + Minimum… more
    AmeriHealth Caritas (05/31/25)
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  • Social Work Care Manager

    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
    Elderwood (04/30/25)
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  • Transitional Care Associate

    Banner Health (Tucson, AZ)
    …discharge plan under the delegated authority of a provider, licensed MSW, registered nurse or other licensed healthcare professional. Confers with ... of care such as skilled nursing facility, long-term acute care, inpatient rehabilitation, home infusion therapy, hospice and/or home care or community programs.… more
    Banner Health (05/17/25)
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  • Patient Health Advocate

    Somatus (Berlin, MD)
    …kidney disease to experience more days out of the hospital and healthier at home . It takes a village of passionate and tenacious innovators to revolutionize an ... the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding...taking this role will manage his/her caseload through in-person, telephonic and electronic means of communications and coordination. The… more
    Somatus (04/26/25)
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  • Remote Nurse Case Manager

    Actalent (Orlando, FL)
    …relevant field. + Must have and maintain a current, valid, and unrestricted Registered Nurse license. + Strong computer skills including Microsoft Office Suite. ... Case management and managed care experience. + Proficiency in telehealth and telephonic communication. + Acute care and care management expertise. Additional Skills… more
    Actalent (05/29/25)
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  • Clinical Admissions Facilitator for Sunnyview…

    Trinity Health (Schenectady, NY)
    …clinical assessment **What you will need:** **Must have Active Licensure as a Registered Nurse , Occupational Therapist, or Physical Therapist** **A minimum of 2 ... (IRF) setting. Incumbent will be working out of their home based in Western, New York and traveling to...resources. + Screening of clients through on site and/or telephonic assessment and record review in collaboration with physicians,… more
    Trinity Health (03/25/25)
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  • Behavioral Health Case Manager II

    Elevance Health (Lafayette, IN)
    …Case Manager II** is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health ... and Substance Abuse Disorders. This position will be 80% telephonic and 20% planned community visits. **How you will...an equivalent background. Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable… more
    Elevance Health (05/02/25)
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