• Manager, CIC Advanced Practice Clinician - NP…

    Commonwealth Care Alliance (Boston, MA)
    …and health promotion and preventative approaches + Utilizes face to face, in- home , community based, virtual, telephonic , group and case conferencing visit ... record, (if applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer.… more
    Commonwealth Care Alliance (08/19/25)
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  • Care Coordinator / Navigator - Cape Cod

    Fallon Health (Barnstable, 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
    Fallon Health (08/08/25)
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  • Nurse Care Manager Per Diem

    Rush University Medical Center (Chicago, IL)
    …of each case. **Summary:** The Nurse Care Manager is an Illinois licensed Registered Nurse who provides care coordination services to Rush patients through a ... diverse role as a clinician, educator, care coordinator and advocate. The Nurse is an expert in chronic disease management, prevention, health maintenance, and… more
    Rush University Medical Center (07/11/25)
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  • R&E Nurse - Med Care Services- Expert

    Health Advocates Network (Harrisburg, PA)
    …hour *W2 Minimum Qualifications Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or ... non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one-year period as...services, long term care, utilization review, or knowledge of home care Knowledge of and familiarity with the following… more
    Health Advocates Network (08/28/25)
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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 (08/16/25)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... to review aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and individual Provider activities… more
    LA Care Health Plan (07/16/25)
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  • Transitional Care Associate

    Banner Health (Mesa, 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 (08/24/25)
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  • ER Experienced - Nurse Case Manager

    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
    Axiom Medical (08/29/25)
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  • Patient Health Advocate

    Somatus (Greenwood, IN)
    …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 (08/08/25)
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  • Clinical Care Manager

    WellSense (Manchester, NH)
    …background check + Current unrestricted, applicable, state license to practice as a Registered Nurse + Regular and reliable transportation and the ability to ... 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
    WellSense (08/22/25)
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