Rn Specialist Complex Case Manager- Remote
By Blue Cross and Blue Shield of Minnesota At , Eagan, Mn
All relevant experience including work, education, transferable skills, and military experience will be considered.
Understands the strategic and financial goals of the department, complex care management teams, and the enterprise
Knowledgeable of health plan operations (e.g. networks, eligibility, benefits)
3 years relevant clinical care experience
Strong resiliency and flexibility skills
Excellent research, analytical, and creative problem-solving skills
Telephonic Psychiatric Rn Care Manager
By Humana At , Meridian, 83642, Id
Experience with case management, discharge planning and patient education for adult acute care
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Effective communication and interpersonal skills
Effective problem solving and appropriate application of clinical knowledge
Experience working with disabled population
Knowledge of Milliman or Interqual
Remote Clinical Case Manager (Rn) - Transitions Of Care Hub
By UTHealth Houston At , Houston, Tx
Remote Clinical Case Manager (RN)
100% paid medical premiums for our full-time employees
The longer you stay, the more vacation you’ll accrue!
Longevity Pay (Monthly payments after two years of service)
Build your future with our awesome retirement/pension plan!
Free financial and legal counseling
Clinical Program Coordinator Rn: Case Management (Remote)
By Providence Health Plan At , Beaverton, 97005, Or
Experience working with physicians in collaboration and management of patient care
Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease
Current nursing experience in on of or a combination of the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education
Providence is calling a Clinical Program Coordinator RN: Case Management who will:
Provide care coordination, case management & care management services to Providence Health Plans(PHP) members.
5 years clinical nursing experience
Nurse Consultant Telephonic Case Management
By Gallagher At , Dallas, 75251, Tx

Click Here to review our U.S. Eligibility Requirements

Telephonic Psychiatric Rn Care Manager
By Humana At , Colorado Springs, 80920, Co
Experience with case management, discharge planning and patient education for adult acute care
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Effective communication and interpersonal skills
Effective problem solving and appropriate application of clinical knowledge
Experience working with disabled population
Knowledge of Milliman or Interqual
Telephonic Psychiatric Rn Care Manager
By Humana At , Anchorage, 99501, Ak
Experience with case management, discharge planning and patient education for adult acute care
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Effective communication and interpersonal skills
Effective problem solving and appropriate application of clinical knowledge
Experience working with disabled population
Knowledge of Milliman or Interqual
Clinical Program Coordinator Rn: Case Management (Remote)
By Providence Health Plan At , , Or
Experience working with physicians in collaboration and management of patient care
Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease
Current nursing experience in on of or a combination of the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education
Providence is calling a Clinical Program Coordinator RN: Case Management who will:
Provide care coordination, case management & care management services to Providence Health Plans(PHP) members.
5 years clinical nursing experience
(Remote) Telephonic Intake Claims Assistant
By Sun Life At , Wellesley Hills, 02481, Ma
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Rn Case Manager - Remote Must Live In Las Vegas
By UnitedHealth Group At , Las Vegas, 89102, Nv $27.07 - $53.08 an hour
2+ years of varied clinical and/or case management experience
Advanced knowledge of anticoagulant therapy including management, indications, and INR responses
Proficiently demonstrate the skills of RN Case Management and excellent clinical skills with particular emphasis on anticoagulation therapies
Provides telephonic patient care and management of anticoagulation therapy patients enrolled in the Anticoagulation Clinic
Collaborates with OptumCare Primary Care and Network Physicians to ensure appropriate and safe anticoagulation therapy management
Coordination and quality of care of Anticoagulation Clinic patients
(Remote) Telephonic Intake Claims Assistant
By Sun Life At United States

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their ...

Case Manager Utilization Review Rn Ca Licensed - Remote Local Contract
By Tenet Regional Resource Pool At , Homewood, Al

This position is 20 - 40 hours a week and you can flex these hours.

Telephonic Nurse Case Manager Rn - Compact State, Remote
By UnitedHealth Group At , Houston, 77002, Tx $56,300 - $110,400 a year
Provide patient education to assist with self-management
3+ years of experience in a hospital setting, acute care, direct care, or as a Case Manager at an insurance company
Access to install secure, high-speed internet and a dedicated workspace at home
Experience with / exposure to discharge planning
Make outbound calls to assess members' current health status
Identify gaps or barriers in treatment plans
Rn Remote - Eligible
By Johns Hopkins Community Physicians At , Baltimore, 21201, Md
Current, unrestricted, RN licensure in Maryland and/or other jurisdictions as required. Current BLS for HealthCare Providers certification.
Two years relevant clinical experience. Outpatient/ambulatory care or call center triage experience preferred.
Baccalaureate Degree or Associate Degree from an Accredited School of Nursing.
Ability to triage patients based on all pertinent available data through the use of nursing process and clinical expertise
Assess and classify the urgency of symptoms Provide patient advice and instruction
Advise appropriate disposition. Follow-up as appropriate
Investigative Jr Case Manager – Remote
By National Investigative Training Academy At , Kansas City, Ks
Experience as a private investigator or surveillance case manager
Comfortable using web-based technology, Microsoft Office, and a Customer Relationship Management (CRM) system
Client relations including intake and management
Helping to maintain an accurate customer relationship management system
Able to work independently from home and have flexible hours, which include some nights, weekends, and early mornings
Natural, poised, and motivating communicator with excellent interpersonal and written skills with a clear communication style
Telephonic Nurse Case Manager
By Berkley At , Scottsdale, 85260, Az $80,000 - $90,000 a year
Coordinate and implement medical case management to facilitate case closure
Engage and participate in special projects as assigned by case management manager
Demonstrate evidence of self-motivation and the ability to perform case management duties independently
Applicable state certifications and/or licensures in the state where job duties are performed
Earn Continuing Education Units to maintain certifications and licensures
Minimum of 2-years of experience in insurance rehabilitation and medical/vocational rehabilitation preferred
(Remote) Telephonic Intake Representative
By Sun Life At United States
Ability to multitask, be detail oriented, organized, and exercise good time management skills
Other duties and responsibilities as assigned
Minimum 1 year work experience required, 1 year customer service experience preferred
Excellent communication skills, both written and verbal, with a pleasant and professional communication style
Strong interpersonal skills and customer service focus
Must possess basic contract knowledge and have the ability to interpret and communicate various provisions
Director, Case Management - Rn, Remote
By Trustmark At United States
Leads the design and implementation of the Quality Improvement plans and initiatives in Case Management
Leads relationship management with guideline vendors
Prio Supervisory experience in a remote setting preferred.
Leads the team of senior nurse manager and case managers to deliver an industry leading CM program performance.
Makes recommendations for system/process enhancement to improve the program from case managers’ perspective.
Serves as the champion for the career track, talent and skill development and professional growth of the CM team.
Rn Intake Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Los Angeles, CA, United States

JOB SUMMARY: We are looking for a Registered Nurse who is passionate about providing exceptional care to patients in California. As a Registered Nurse, you will be responsible for using the nursing ...

Rn Case Manager - Peds (Must Reside In Arizona) - Remote | Wfh
By Get It Recruit - Healthcare At Long Beach, CA, United States

We are looking for a passionate and dedicated Registered Nurse to join our team as a Case Manager. As a Case Manager, you will work with members, providers, and other healthcare professionals to ...