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Telephonic Nurse Case Manager Jobs

Nurse Case Manager Jobs
By Actalent At Happy Valley, OR, United States
This position is remote* Must sit within 50 miles of Portland
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
DE&I Are Embedded Into Our Culture Through
Nurse Case Manager Jobs
By Actalent At Beaverton, OR, United States
Maintaining an inclusive environment through persistent self-reflection
Building a culture of care, engagement, and recognition with clear outcomes
Ensuring growth opportunities for our people
DE&I Are Embedded Into Our Culture Through
Field Nurse Case Manager
By EagleOne Case Management Solutions At Anaheim, CA, United States
Previous case management experience a plus
Understands and demonstrates the ability to apply Eagle One™ case management protocols
Utilizes appropriate cost management programs per account or company protocol (i.e., Pharmacy, DME, etc.)
Consults with Manager on case strategy as needed
Carbon copies the Manager on any documentation relating to initial assignment, claim barriers/complex cases or any case resolution issues
Alerts Manager of any requests to deviate from Eagle One™ or account specific protocols and obtains approval to proceed as necessary
Case Manager Nurse Jobs
By Clinical Management Consultants At Redondo Beach, CA, United States

A nearly 450 bed medical center in southern LA County is seeking a Nurse Case Manager. The RN Case Manager will enjoy the supportive environment at this hospital that is part of a regional healthcare ...

Nurse Consultant Telephonic Case Management
By Gallagher At , Rolling Meadows, 60008, Il

Click Here to review our U.S. Eligibility Requirements

Case Manager Nurse - Remote | Wfh
By Get It Recruit - Healthcare At Chattanooga, TN, United States

We are a dynamic and compassionate healthcare organization dedicated to providing exceptional care and support to our patients. Our team of professionals is committed to improving health outcomes and ...

Nurse Consultant Telephonic Case Management
By Gallagher At , Dallas, 75251, Tx

Click Here to review our U.S. Eligibility Requirements

Nurse Case Manager I
By Elevance Health At , Miami, Fl
Preferred Qualifications, Skills & Experiences:
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
Job Family: Medical and Clinical
Care Manager, Telephonic Nurse
By Humana At , Tampa, 33610, Fl
2 or more years of Telephonic care management experience
3 or more years of experience in a clinical setting to include Home Health, Med Surg, ICU, Rehab, and/or Hospice setting
Comprehensive knowledge of Microsoft Office applications including Word, Excel, and Outlook
Knowledge of Milliman or Interqual
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Care Manager, Telephonic Nurse 2
Nurse Case Manager - Remote - Temple, Tx
By UnitedHealth Group At , Temple, 76502, Tx
1+ years of utilization management experience
Disease state management experience with solid ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
Telephonic Oncology Nurse Navigator
By McKesson At , The Woodlands, 77380, Tx $40 - $45 an hour
Performs coordination of care during the full continuum of cancer care experience
Participates in community outreach and cancer prevention education
Knowledgeable of practice operations guidelines, practice organization and healthcare economics
Bachelor’s prepared Registered Nurse (BSN), Oncology Certification (OCN) preferred, Nurse Navigator Certification a plus
4+ years work experience as a Registered Nurse in an oncology practice or clinic
Demonstrated leadership, interpersonal and collaboration skills
Telephonic Nurse Case Manager - Workers' Compensation
By Athens Administrators At , Remote $91,000 - $109,200 a year
3+ years’ workers’ compensation case management experience or related field required
Maintains regular contact with all parties involved to facilitate communication and to provide medical and vocational management and coordination services.
Educates the employer on the tangible and intangible benefits of accommodating the injured worker to keep him in the work force.
Strong cost containment background, such as utilization review or managed care also useful
Well-developed verbal and written communication skills with strong attention to detail
Excellent organizational skills and ability to multi-task
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
Nurse Case Manager Jobs
By Halifax Health At Daytona Beach, FL, United States
Ability to prioritize assignments and effective time-management skills
Three years acute care experience in a hospital setting; one year as a utilization review nurse preferred
Demonstrates effective interpersonal and communication skills
Basic knowledge of clinical and psychosocial aspects of patient care
Demonstrates skills in planning, organizing, and managing multiple functions and complex processes
Excellent verbal and written communication skills required
Telephonic Nurse Case Manager - Workers Compensation
By Liberty Mutual At , Temple Terr, Fl $73,600 - $92,000 a year
Previous medical case management experience a plus
Strong communication skills in order to build relationships with injured employees, medical professionals, employers, field claims staff and others
Good negotiation skills to effectively establish target return to work dates and coordinate medical care
Knowledge of state, local and federal laws related to health care delivery preferred
Personal computer knowledge and proficiency in general computer applications such as Internet Explorer and Microsoft Office (including Word, Excel and Outlook)
Must have additional professional certifications, such as CCM, COHN, CRRN, etc
Nurse Case Manager - Remote - Saginaw, Mi
By UnitedHealth Group At , Saginaw, 48638, Mi
1+ years of Utilization Management experience
Disease state management experience with solid ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
Nurse Case Manager - Disease Management Pchp
By Parkland Health and Hospital System At , Dallas, 75201, Tx
Three years of experience nursing in a clinical, medical or disease specific management setting.
Ability to define care or disease management reporting requirements.
Three years of managed care case management experience is preferred.
May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.
Competent in application of case management standards.
Adept in use of case management software.
Nurse Case Manager - Northeast
By Argenx At ,
Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines
Provide direct educational training and support to patients and caregivers about gMG and prescribed argenx products
Will manage patient cases across regions as coverage and volume requires.
Collaborate with argenx Patient Access Specialist, Case Coordinator, and Field Reimbursement Manager teams to troubleshoot and resolve reimbursement-related issues
Provide patient-focused education to empower patients to advocate on their behalf
Develop relationships and manage multiple and complex challenges that patient and caregivers are facing
Nurse Case Manager- Remote
By Sentara Healthcare At , Glen Allen, 23060, Va
Keywords: nursing, discharge planning, managed care, case management, RN, nurse, health plan, health care, Indeed, Monster
Nursing experience 3 years required
This position is remote in Virginia.
Associates or Bachelor’s Degree in Nursing
Registered Nurse License (RN) - Compact/Multi-State License
Registered Nurse License (RN) - Virginia
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

Are you looking for an exciting opportunity to use your nursing skills to make a difference in people's lives? We are looking for a Telephonic Nurse Case Manager II to join our team! As a Telephonic Nurse Case Manager II, you will be responsible for providing telephonic case management services to our members. You will assess the members' needs, develop care plans, coordinate services, and monitor progress. If you are passionate about helping others and have excellent communication and problem-solving skills, then this is the job for you!

A Telephonic Nurse Case Manager II is responsible for providing telephonic case management services to patients. This includes assessing patient needs, developing care plans, coordinating services, and monitoring patient progress. They must have excellent communication and organizational skills, as well as knowledge of medical terminology and healthcare regulations. To become a Telephonic Nurse Case Manager II, you must have a valid nursing license and a minimum of two years of experience in case management. You must also have a strong understanding of medical terminology, healthcare regulations, and the ability to work with a variety of healthcare professionals.

Telephonic Nurse Case Manager II Skills:

• Excellent communication and interpersonal skills
• Knowledge of medical terminology and healthcare regulations
• Ability to assess patient needs and develop care plans
• Ability to coordinate services and monitor patient progress
• Ability to work with a variety of healthcare professionals
• Strong organizational and time management skills
• Knowledge of computer systems and software

What is Telephonic Nurse Case Manager II Knowledge?

• Knowledge of medical terminology and healthcare regulations
• Knowledge of computer systems and software
• Knowledge of case management principles and practices
• Knowledge of patient rights and confidentiality

What is Telephonic Nurse Case Manager II Responsibilities?

• Assess patient needs and develop care plans
• Coordinate services and monitor patient progress
• Communicate with healthcare professionals and other stakeholders
• Ensure patient rights and confidentiality are maintained
• Maintain accurate records and documentation
• Provide education and support to patients and families

What is Telephonic Nurse Case Manager II Experience?

• Minimum of two years of experience in case management
• Experience working with a variety of healthcare professionals
• Experience in patient assessment and care planning
• Experience in coordinating services and monitoring patient progress

What is Telephonic Nurse Case Manager II Qualifications?

• Valid nursing license
• Bachelor’s degree in nursing or related field
• Certification in case management

Telephonic Nurse Case Manager II Education:

• Bachelor’s degree in nursing or related field
• Certification in case management

Tools that help Telephonic Nurse Case Manager II work better:

• Electronic health records (EHR) systems
• Telemedicine software
• Online patient portals
• Communication and collaboration tools

Good tips to help Telephonic Nurse Case Manager II do more effectively:

• Stay up to date on healthcare regulations and best practices
• Develop strong relationships with healthcare professionals
• Utilize technology to streamline processes and improve efficiency
• Develop a system for tracking patient progress
• Provide education and support to patients and families

Common Telephonic Nurse Case Manager II Interview Questions:

• What experience do you have in case management?
• How do you ensure patient rights and confidentiality are maintained?
• What strategies do you use to coordinate services and monitor patient progress?
• How do you handle difficult conversations with patients and families?
• What challenges have you faced in your previous case management roles?