- Highmark Health (Dover, DE)
- …Care Coordinator plays a pivotal role in ensuring members with complex medical , behavioral health, and social determinants of health (SDOH) needs receive timely ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- CVS Health (Dover, DE)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- Highmark Health (Dover, DE)
- …Inc. **Job Description :** **JOB SUMMARY** This job supervises a team of Case Manager Supervisors who are charged with promoting quality member outcomes, ... as necessary; may have budgetary responsibility and authority. + Manage a team of Case Manager Supervisors. + Oversee the development of, and updates to,… more
- Public Consulting Group (Dover, DE)
- …a team. + Proven working experience in case management, including as a nurse, medical , mental health care manager or a related job + Excellent knowledge of ... options + Develops effective working relations and cooperate with medical team throughout the entire case management...cooperate with medical team throughout the entire case management process + Interacts with patients to keep… more
- Elevance Health (Wilmington, DE)
- **Telephonic Nurse Case Manager II** **Sign On Bonus: $3000** **Location** : This role enables associates to work virtually full-time, with the exception of ... different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management… more
- Sedgwick (Dover, DE)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for ... experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical… more
- Otsuka America Pharmaceutical Inc. (Dover, DE)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- BAYADA Home Health Care (Dover, DE)
- …and skilled nursing to clients, affording them the opportunity to receive the medical care required to remain at home. **Registered Nurse (RN) Benefits:** + BAYADA ... the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct… more
- Cardinal Health (Dover, DE)
- …+ Knowledge of DME, MAC practices if preferred + Clear understanding of Medical , Supplemental, and pharmacy insurance benefit practices, preferred + 1-2 years of ... Pharmacy and/or Medical Claims billing and Coding work experience + 1-2...to Word, Outlook and preferred Excel capabilities + Previous medical experience is preferred + Adaptable and Flexible, preferred… more
- Cardinal Health (Dover, DE)
- …in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may ... offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off plan + Health savings account… more
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