- Sedgwick Government Solutions (Indianapolis, IN)
- Job Details Telephonic Medical Case Manager ( Remote ) 2025-1426 Indianapolis, IN, USA Medical Case Management Full Time Description Overview Are ... Medical Case Managers (MCM). Responsibilities As a Telephonic Medical Case Manager , you will work independently in your home office setting… more
- Henry Ford Health System (Troy, MI)
- REGISTERED NURSE CLIENT FOCUSED CASE MANAGER ( REMOTE ) - SUPPORTIVE CARE MANAGEMENT - 40 HOURS WEEKLY - DAY SHIFT - POPULANCE Full Time Benefit Eligible ... of the Clinical Success leadership team, the Client Focused Case Manager is responsible for the collaborative...DIFS, CMS, NCQA regulatory requirements required. * Knowledge of medical ethics and legal implications related to case… more
- Molina Healthcare (Rochester, NY)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- Amgen (New York, NY)
- …worldwide. Become the professional you are meant to be in this meaningful role. **Copay Case Manager - Rare Disease** **Live** **What you will do** Let's do ... Access Liaisons (PALs) and Specialty Pharmacy. The Copay Program Case Manager will work with patients and...Pharmacovigilance and report adverse events and product complaints through medical information + Maintain case history for… more
- Molina Healthcare (Mount Vernon, IL)
- **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a Remote Case Manager working with our Medicare members in south central Illinois ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (New York, NY)
- …disabled people who are eligible for Medicaid and Medicare. We are looking for a Case Manager with a LMSW or LCSW licensure. Experience with Long-term Services ... CCA, PEGA knowledge and proficient MS Excel experience. The Case Manager must have the ability to...Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical… more
- St. Catherine's Center for Children (Kingston, NY)
- CASE MANAGER , MID-HUDSON PRC -- REMOTE /HYBRID Program : Foster Care/ Mid-Hudson Region - Permanency Resource Center Location: Columbia, Greene and Delaware ... and kinship caregiving families. Working in a team environment, the PRC Case Manager participates in community outreach activities, completes monthly… more
- CVS Health (Des Moines, IA)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... RN licenses if needed, company will provide **Preferred Qualifications** + Certified Case Manager is preferred + Additional national professional certification… more
- CVS Health (Lansing, MI)
- …and every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse (RN). Case Managers serve as dedicated ... management activities. Your focus will be to evaluate members' medical needs and facilitate services that support their overall...nights, weekends, or holidays required. **Key Responsibilities of the Case Manager RN** (Includes but is not… more
- Ochsner Health (New Orleans, LA)
- …Registered Nurse license in state of practice. Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified ... specific care setting order by the physician and applies hospital approved medical necessity criteria to review appropriate admissions and levels of care. Documents… more
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