- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, ... skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the...education for adult acute care . + Managed care experience. + Certified Case Manager (CCM).… more
- CenterWell (Frankfort, KY)
- … Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2. In this pivotal role, you will play a ... infectious diseases, cancer(s), and other rare ailments. As a Care Manager , Telephonic Nurse...of clinical acute care experience + **Licensed Registered Nurse ( RN )** in the… more
- CVS Health (Atlanta, GA)
- …of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social ... Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS)...regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the… more
- Humana (Denver, CO)
- …achieve desired clinical outcomes and to enhance quality of medical care . The ** Telephonic Nurse Case Manager ** will collect and document data to ... caring community and help us put health first** The Telephonic Nurse Case Manager will...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- Commonwealth Care Alliance (Boston, MA)
- …Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed ... Routine member engagement + Quality gap closures, including: + RN Clinical Care Manager +...Facing:** ☒ YES: The job has in-person contact (not telephonic /virtual) with CCA members or patients as part of… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …base to support the optimal health and wellness of the pediatric patient. Through telephonic outreach, the Licensed Care Manager will communicate with ... + GENERAL SUMMARY + The Fortify Licensed Care Manager has the opportunity to...regulatory and accreditation requirements. + LICENSES AND/OR CERTIFICATIONS + Registered Nurse with current, unrestricted Virginia license… more
- Ochsner Health (New Orleans, LA)
- …case management, care coordination or disease management. **Certifications** Required - Current Registered Nurse ( RN ) License in the state of practice. ... the healthcare needs of the enrollee, identify barriers to care , develop a comprehensive treatment plan complete with specific...Preferred - Certification as a Case Manager (CCM). **Knowledge Skills and Abilities (KSAs)** + Proficiency… more
- Belle (Atlanta, GA)
- …Role Belle is seeking a full-time, remote Telephonic Nurse Case Manager to help deliver high-quality, member-centered care . In this role, you will play ... satisfaction for both members and their caregivers. As a Nurse Case Manager , you will: + Review...the member experience Experience, Skills, & Personality + Active Registered Nurse ( RN ) license with… more
- Commonwealth Care Alliance (Boston, MA)
- …all assessments and ensuring timely submission to MassHealth. The department includes registered nurse assessors and reviewers. The assessors are organized into ... designed to improve outcomes for CCA members. The Assessment nurse reports to the Regional RN Supervisor....to escalate members with urgent needs to the Regional RN Supervisor and/or manager during or immediately… more
- CVS Health (Montgomery, AL)
- …more compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special ... + Meets regulatory requirements within specified timelines. + The Care Manager RN supports other...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse ( RN ) licensure in… more
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