- UPMC (Pittsburgh, PA)
- …may be a perfect fit for you! UPMC Health Plan is hiring a full-time Pediatric Telephonic Care Manager to support the Medical Management Medicaid team. This ... but team members may reside anywhere in Pennsylvania. The Telephonic Care Manager is responsible...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… more
- Humana (Santa Fe, NM)
- …and Sunday once every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication ... and receives guidance where needed. Follows established guidelines/procedures The Care Manager Telephonic Nurse...Minimum of an Associate's degree in Nursing + Licensed Registered Nurse ( RN ) with no… more
- Humana (San Juan, PR)
- …in Puerto Rico. You must live in Puerto Rico for this position. The RN Care Manager works in a telephonic environment. They assess and evaluate members' ... appropriate for their care and wellbeing. The Care Manager , Telephonic Nurse...pass language proficiency tests in both languages) + Active RN license without restrictions in Puerto Rico + Active… more
- Humana (Oklahoma City, OK)
- …SDOH coordinators, and care management support assistants. The Care Manager , Telephonic Physical Health Nurse , work assignments are varied but ... with primarily physical health needs. The Care Manager , Telephonic Physical Health Nurse ,...**Required Qualifications** + Must reside in Oklahoma. + Active Registered Nurse ( RN ) license, Licensed… more
- CVS Health (Columbus, OH)
- …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 (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… 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
- 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
- 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
- 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
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