A company is looking for a Remote RN Case Manager to manage transition of care for Medicaid members. ...
Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions. Supports nurse care manager, behavioral health care manager, nurse...
A company is looking for a Case Manager RN to provide telephonic case management and support for a diverse member population. ...
Manage an active caseload which involves monitoring and evaluating options and services to meet an individual's health needs;. Responsible to maintain ongoing communication internally and with caseload;. Responsible for holding a caseload of 70-80 participants;. ...
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...
Preferred requirements:Experience working with NICU populationMust have an active and unencumbered RN LicenseWithin four (4) years of hire as a case manager will possess a URAC-recognized certification in case management. Position ScopeCase managers are healthcare professionals, who serve as custome...
In addition to identifying the appropriate clinical interventions and referrals, the incumbent manages an active case load of members in their panel that are enrolled in case management. Pediatric Complex Case Management. The incumbent conducts outreach to members enrolled in case management includi...
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 ...
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 ...
We are seeking an experienced and dynamic Sourcing Manager specializing in case goods to join our team. This is a unique opportunity to be one of the first hires in a newly established function, where you will play a critical role in shaping our sourcing strategy for the case goods category. The ide...
Manulife’s Canadian Disability and Group Life team is looking for bilingual Disability Case Managers. As a Disability Case Manager, you’d support our plan members across Canada managing their claim through illness, recovery and return to work. Our Disability Case Managers work on teams that manage A...
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...
Post Release Services (PRS) Intensive Case Manager Level 3. The PRS Intensive Case Manager Level 3 will additionally connect with community-based services to address concerns that require long-term care. As needed PRS Intensive Case Managers may also provide Level Two (2) and Level (1) post release ...
This includes case management, coordination of care and medical management consulting within an interdisciplinary team. ...
The ideal candidate for the Senior Complex Case Manager (Temporary) role is someone who has managed care plan and teleworking experience. Having Pediatrics case management, any case management or insurance experience is a plus. The Pediatric Complex Case Management team is a collaborative, multi-dis...
Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsi...
Case Manager Home Study and Post Release Services- Bilingual English/Spanish- Remote in Indiana. The Post Release Services (PRS), Case Manager is primarily responsible for Post Release Services (PRS) for Unaccompanied Children (UC) and families. Effectively maintain case capacity and trending of all...
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...
Workers Compensation Telephonic Nurse Case Manager. The Workers Compensation Telephonic Nurse Case Manager. Certified Case Manager (CCM) certification a plus. Close collaboration with the claims and medical team to achieve individual case and department goals is a critical component of the position....
The Community Partners Home Based Case Manager provides supportive case management services to families within the home or community-based setting with the goal of preventing child abuse or neglect. Community Partners Home Based Case Manager. Community Partners Home Based Case Manager helps to addre...
Upon completeness of the application and suitability/underwriting approval, you will process the case and create a contract for delivery. ...
The Case Manager must be able to work in a high-volume environment. Collaborates with RN case managers/supervisors as needed or required. Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed. Local travel of up to 40%...
Coordinates care with central departments on assigned patient caseload, including inpatient, long-term care facilities, adult family homes, and home health agencies. Participates in training all new care managers. ...
Preferred requirements: * Transplant experience strongly preferred * Must have an active and unencumbered RN License in the State of (Insert Non-Standard State Requirement) * Within four (4) years of hire as a case manager will possess a URAC-recognized certification in...