- Elevance Health (Norfolk, VA)
- ** Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager Senior** is responsible for care management within… more
- Elevance Health (Atlanta, GA)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Telephonic Nurse Case Manager II** is responsible for care management… more
- Elevance Health (GA)
- ** Telephonic Nurse Case Manager II** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... the assessment within 48 hours of receipt and meet the criteria._** The ** Telephonic Nurse Case Manager II** is responsible for care management within the… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan's Community HealthChoices team is looking for a Telephonic Care Manager to join the team! Community HealthChoices (CHC) is Pennsylvania's managed ... Coordination with Nursing Facility Transitions and the Complex Case Unit. The Telephonic Care Manager is responsible for care coordination and health education for… more
- Humana (Hallandale Beach, FL)
- …ensure interaction between the company and members are optimized. The Telephonic Behavioral Health Care Manager Internship provides transitioning service members ... requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or families… more
- Sedgwick (Raleigh, NC)
- …line of business experience in telephonic case management (TCM) and/or utilization review or equivalent combination of education and experience required. ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical and… more
- Sharecare (Nashville, TN)
- … utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification ... To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the… more
- Health Advocates Network (Harrisburg, PA)
- …setting, behavioral health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience; or An ... R&E Nurse - Med Care Services- Expert **Pay Rate:** $32...(MA), health care services, human services, long term care, utilization review , or knowledge of home care… more
- CVS Health (Austin, TX)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Luke Staffing (Montgomery, AL)
- …Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health ... **REGISTERED NURSE - CASE MANAGER** **SITE OF SERVICE** **:**...and implement local strategies using inpatient, outpatient, onsite and telephonic CM . Develop and implement tools to support… more
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