- University of Miami (Miami, FL)
- …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- Actalent (Round Rock, TX)
- "Urgent Hiring for RN Case Manager in Austin, Texas" *Must be located in Texas* Job Description: . Complete medical necessity and level of care reviews for ... experience with in Home Health/managed care/hospital setting as an RN is Mandatory ( Case Manager ...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... BlueCross BlueShield of Tennessee seeks an experienced RN to provide compassionate, member\-centered care for women...Community is required _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain… more
- CVS Health (Midland Park, NJ)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Technical Skills** + ... and/or Warren County New Jersey** **Position Summary** The care manager is responsible for assessing and evaluating members with...State of New Jersey - **Would be assigned a case load based on your location.** + 3+ years'… more
- CVS Health (Trenton, NJ)
- …community. + Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN ... all with heart, each and every day. **_Field Based RN role in Northern New Jersey-Preference to residents of...of Essex and Mercer Counties._** **Position Summary** The care manager is responsible for assessing and evaluating members with… more
- CVS Health (Harrisburg, PA)
- …every day. **Position Summary** CVS Health Aetna has an opportunity for a full-time Case Manager , Registered Nurse ( RN ). Case Managers serve as ... nights, weekends, or holidays required. **Key Responsibilities of the Case Manager RN ** (Includes but...or business needs. **Required Qualifications** + Must be a Registered Nurse with an active state license… more
- Maxim Healthcare (Indianapolis, IN)
- RN Home Health Case Manager ( Remote residing in Indianapolis) Location: Indianapolis, Indiana Salary Range: $70,000 - $80,000 + $5,000 Annual Bonus ... Bedside? Maxim Healthcare is seeking an experienced and passionate Registered Nurse to join our team as... to join our team as a Home Health Case Manager . This unique role blends clinical… more
- CVS Health (Columbus, OH)
- …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 Needs Plan (SNP) ... Meets regulatory requirements within specified timelines. + The Care Manager RN supports other members of the...skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About Blue Cross ... and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will...and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and… more
- CVS Health (Lincoln, NE)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more