- Highmark Health (Harrisburg, PA)
- …Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Sedgwick Government Solutions (Tampa, FL)
- Job Details Telephonic Triage Nurse Case Manager ( Remote ) 2025-1436 Tampa, FL, USA Medical Case Management Full Time Description **Overview** ... **Telephonic Triage Nurse Case ** ** Manager Remote (New York/Florida)**...database the patient's improvement goal. You will implement integrated medical disability case management services to prevent,… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …The Remote Patient Monitoring (RPM) Home Telehealth (HT) Nurse Case Manager executes position responsibilities that demonstrate leadership, experience, and ... is not a remote position. Registered Nurse - Remote Patient Monitoring-Home Telehealth Case Manager...to or restorative of life and well-being; and executing medical regimens. Follows procedures per established policies and guidelines.… more
- Mindoula Health (Knoxville, TN)
- Our team is seeking a Case Manager to work with us in Tennessee. Locations: Nashville, Knoxville Case Managers are one of Mindoula's key front-line roles in ... delivering our Population Health Program. Our Case Manager works closely with Mindoula's members...members in the community to understand their behavioral and medical health conditions, as well as their social determinants… more
- Alight (IL)
- …at careers.alight.com (https://careers.alight.com/us/en) . **About the Role** The Behavioral Health Case Manager provides clinical oversight to behavioral health ... clear duration of psychiatric conditions and limitations impacting disability. Assists the case manager in determining claim liability and proactive return to… more
- CVS Health (Richmond, VA)
- …CVS Health Aetna has an opportunity for a full-time Behavioral Health Clinical Case Manager . You will administer processes to coordinate and facilitate ... Identifies opportunities to develop training programs for the clinical case manager to ensure a thorough understanding...to monitor the input and output of the clinical case department. ** Remote Work Expectations** + This… more
- St. Catherine's Center for Children (Kingston, NY)
- CASE MANAGER , MID-HUDSON PRC -- REMOTE /HYBRID Location: (1) Columbia/Greene County and (1) Delaware County - New York Program : Foster Care/ Mid-Hudson ... a flexible schedule These two (2) open positions are REMOTE /HYBRID, 40 hours weekly, 9-5pm with flexibility to work...caregiving families. Working in a team environment, the PRC Case Manager participates in community outreach activities,… more
- Health Plans, Inc. (Manchester, NH)
- Case Manager Oncology at HPI Do you...to help you lead a happy, healthy life, including: Medical , Dental and Vision and Prescription Drug Coverage + Fitness ... access resources, and navigate care confidence. What you'll do: As an HPI Case Manager , you'll be dedicated to helping members achieve the best possible health… more
- Fallon Health (Worcester, MA)
- …and service and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral and ... assessments with members and forward results to the Nurse Case Manager or PCP as indicated. Documents...the need * Attends and participates in team's monthly medical rounds case presentations **Qualifications** **Education:** Master's… more
- Actalent (Santa Barbara, CA)
- …+ Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote opportunity + Gain experience with a leading healthcare organization Description: The ... units include, but are not limited to, the Utilization Management, Case Management, Enhanced Care Management, Disease Management, Pediatric-Whole Child Model, and… more
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