A company is looking for a Remote Case Manager, RN to advocate for patients and enhance their quality of care. Key Responsibilities:Monitor utilization patterns and facilitate appropriate health care delivery for membersConduct comprehensive assessments of members' health status and needsCollaborate...
The Bilingual Dental Clinical Case Manager is responsible for overseeing the coordination, delivery, and quality of dental services within the company's and our provider network. The Dental Clinical Case Manager plays a vital role in improving member satisfaction, managing clinical operations, and p...
We are looking for a full-time Aftercare Case Manager to add to our team! All you need is a bachelor's degree in human services and a valid driver's license. A Day in The Life as a Case Manager. As an Aftercare Case Manager, we provide support and services to children and families that have ...
We are looking for a full-time Aftercare Case Manager to add to our team! All you need is a bachelor's degree in human services and a valid driver's license. A Day in The Life as a Case Manager. As an Aftercare Case Manager, we provide support and services to children and families that have achieved...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
RNs provide consultation, recommendations and education as appropriate to non-RN case managers. Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM)Behavioral Health experienceTo all current Molina employees: If you are interested in applying for this positi...
Extensive healthcare experience in case management or nephrology/dialysis/patient care may be considered in lieu of Bachelor degree) EXPERIENCE AND REQUIRED SKILLS: * 3-4 years relevant healthcare experience * 2-3 years of Customer Service or Marketing experience ...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
Handles more complex, high acuity cases, and/or account sensitive cases involving largest reserves. Manages own caseload and coordinates all assigned cases. The Financial RN Case Management Lead Analyst role supports our PACE (Precision, Care, Agility and Engagement) program initiative by providing ...
CASE MANAGER REGISTERED NURSE for our CALIFORNIA Health Plan. Ambulatory Case Management, OB GYN Case Management or Disease Management preferred. Case Manager RN will work in remote and field settings our Medicaid Population assisting with transition from inpatient admission to next steps. This role...
Incredible Growth Opportunities.World Class Mentors and Leaderships Teams.AO is looking for overachievers that pride themselves on developing incredible working and client relationships, have outstanding self determination and are looking to grow within their careers.Company Incentives: • Ince...
Post Release Services (PRS) Case Manager Level 2. PRS Case Managers must have knowledge of local community social services and specialized experience working with immigrant populations. PRS case managers provide Level Two (2) PRS and may also provide Level One (1) PRS. Carry a minimum caseload of 15...
As a Telephonic Case Manager RN with UnitedHealth Group, you’ll support a diverse member population with education, advocacy, and connections to the resources they need to feel better and get well. Certified Case Manager (CCM) or the ability to obtain certification within 18 months of employment. Re...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
Nurse Care Manager is responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Consults with supervisor and others in overcoming barriers in meeting goals a...
Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual’s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. Render opinions regarding case costs, treatment plan, outcom...
The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. LTSS ( Long Term Services & Support) RN Case Manager . Care Staffing is currently seeking RN Case Managers to provide outstanding services to our client in the capital distric...
We are looking for Case Managers with a New York LMSW or LCSW licensure. The Case Manager must have the ability and be comfortable to working in a high-volume environment. Ability to manage a high case load, up to 200 cases. Active and unrestricted Certified Case Manager (CCM). ...
Utilization Review Case Manager. The Utilization Review Case Manager will submit accurate utilization reviews on an extremely tight timeline. Work to build a case for medical necessity for potential clients. File appeals for denied cases and follow through on that process. ...
The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure member’s receive services and r...
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you ...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: dev...
DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in. Registered Nurse (RN) Case Manager. Case Management or Chronic Care Management. ...
Aptive Resources is seeking a dedicated and compassionate Registered Nurse Case Manager to support the Teleconology Division at the Veterans Health Services. ...