• Telephonic Nurse Case…

    ICW Group (Philadelphia, PA)
    …perform clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and ... reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,...unrestricted Registered Nurse (RN) or Licensed Vocational Nurse (LVN) required. Certification in case management,… more
    ICW Group (09/17/25)
    - Related Jobs

  • Care Manager , Telephonic Compact…

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and ... for the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
    Humana (09/26/25)
    - Related Jobs

  • Telephonic Case Manager

    Sedgwick (Harrisburg, PA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… more
    Sedgwick (09/19/25)
    - Related Jobs

  • Case Manager , Registered…

    CVS Health (PA)
    …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... in Pediatrics, Oncology or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or … more
    CVS Health (10/02/25)
    - Related Jobs

  • Care Manager , Registered Nurse…

    Sharecare (Harrisburg, PA)
    …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
    Sharecare (08/28/25)
    - Related Jobs

  • Disease Management Nurse - Remote

    Sharecare (Harrisburg, PA)
    …according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare ... 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
    Sharecare (09/13/25)
    - Related Jobs

  • Bilingual RN Care Manager - Remote,…

    Humana (Harrisburg, PA)
    **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 and ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering… more
    Humana (09/26/25)
    - Related Jobs

  • Clinical Care Manager (RN) - Shadyside

    UPMC (Pittsburgh, PA)
    …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse (RN) + Act 33 with ... use your nursing background in outpatient, home health, or case management? Do you have an interest in health...UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician practices.… more
    UPMC (07/19/25)
    - Related Jobs

  • Care Manager

    AmeriHealth Caritas (Philadelphia, PA)
    …Experience with behavioral health desired + Minimum of three years of experience as a case manager , preferably providing telephonic case management + ... Nursing (RN) required **Licensure** + Current and unrestricted Registered Nurse licensure in Pennsylvania required + Valid driver's license...Certification as a case manager preferred **Skills and Abilities** + Proficiency using MS… more
    AmeriHealth Caritas (10/01/25)
    - Related Jobs

  • Cost Containment Analyst

    ICW Group (Philadelphia, PA)
    …claims department and vendors. + Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and vendors. Reviews ... management and utilization review. + Works closely with Case Management Manager and Director to perform...Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case Management, and… more
    ICW Group (09/22/25)
    - Related Jobs