- Commonwealth Care Alliance (Boston, MA)
- …(must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years Utilization ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- Somatus (Honolulu, HI)
- …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... functions on-site or telephonically as the need arises. **This is a fully remote role where compact licensure is strongly preferred.** **The schedule for this… more
- Battelle Memorial Institute (Fort Benning, GA)
- …The Health Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager ** to join our team in support of our ... ensuring comprehensive support for those who serve. As a Nurse Case Manager , you will...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …this position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... to meet their complex needs\. As a Care Transition Case Manager , you will play a vital...their residence if the state is participating in the Nurse Licensure Compact Law\. _Experience_ + 3 years \-… more
- Cordis (Miami Lakes, FL)
- …scientific accuracy, regulatory compliance, and clinical relevance. The Manager partners cross-functionally with Clinical, Regulatory, Marketing, and Commercial ... initiatives. + Provide field support for keytraining events and live case demonstrations. + Evaluate program effectiveness through participant feedback, assessments,… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …18 month commitment before posting for other internal positions\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... **Join our team as a Clinical Review Manager \!** We are seeking a quick learner who...needs\. **Key Details** : + Fast\-paced environment with high case volume\. + Team members take incoming provider calls… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …lieu of a degree, have 5\+ years' experience as an independent Support Coordinator or case manager for service recipients in a 1915\(c\) HCBS Waiver and have ... tests may be required for this position\. **Job Qualifications** _Education_ + RN , with a preference that such individuals also have current Certification from… more
- Actalent (Orlando, FL)
- Remote RN Case Manager Job Description We are seeking a dedicated RN Case Manager to perform telephonic case management for Medicare ... new cases in Athena EMR. Responsibilities + Perform telephonic case management for Medicare Advantage members. + Coordinate care...new cases using Athena EMR. Essential Skills + Valid RN license in Florida. + Minimum of 2 years… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager - Remote Location: Remote Career Area: Health ... difference, join us. The Impact You Will Have The Case Manager is a critical component of...of care between settings. Required Skills and Experience * Registered Nurse with Psychiatric experience or Behavioral… more
