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Rn Care Manager Remote Jobs in Union, Arkansas

Rn Care Manager Jobs
By Careforth At United States
Minimum two (2) years of recent experience in direct care of elders or adults with disabilities
Proficiency in common software and web-based applications (e.g. MS Office, case management systems)
Trains, evaluates and supports Caregivers in conjunction with the care manager as needed on an on-going basis
Submits semi-annual health-status reports to each member’s PCP based on regulatory requirements
Additional state-specific qualifications may be required.
Completes and coordinates all applicable clinical assessments and clinical evaluations
Assistant Care Manager - Remote / Telecommute ($20.00 - $24.00 / Hour)
By Talentify.io At United States
Performs member or provider-related administrative support, including benefit verification, authorization management, and case documentation.
Screens and prioritizes members using targeted intervention business rules and processes to identify necessary services.
Transitions members to appropriate clinical resources/programs as necessary.
Provides general support and coordination services for the department, including answering telephone calls, taking messages, and assisting in problem-solving.
Assists with reporting, data tracking, gathering, organization, and dissemination of information.
Pay Range: $20/hr - $24/hr
Care Manager - 100% Remote
By nTech Workforce At United States
Performs member or provider related administrative support which may include benefit verification, authorization management and case documentation.
Must have a Laptop/computer with internet to work from home.
This position is 100% remote. The office is located in Baltimore, MD.
Excellent customer service skills to interact effectively with patients, families, healthcare professionals, and other team members.
Must be fully vaccinated (If not vaccinated, need an exemption letter)
Comfortable providing a Photo ID Copy
Rn Care Review Clinician - Prior Auth (Remote South Carolina)
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Identifies appropriate benefits and eligibility for requested treatments and/or procedures.
Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members.
Processes requests within required timelines.
Rn Care Coordinator - Remote For Residents Of Or, Wa, Id, Az, Fl, Tx & Ak
By Moda Health At United States
Investigates opportunities for health care alternatives and prepares cost effective plans to offer patients, families, and providers.
Refers appropriate cases to Case Manager RNs for assessment.
Must have 3 years recent hospital, home health, or acute care experience.
Strong analytical, problem solving, memory retention, organizational and detail-oriented skills.
Excellent communication skills with the ability to interact with all levels of staff, members and providers as needed.
Medical, Dental, Vision, Pharmacy, Life, & Disability
Care Manager I (Rn)
By Mindlance At United States
·Actively participate in integrated team care management rounds
·Identify related risk management quality concerns and report these scenarios to the appropriate resources
·Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
·Outreach and enroll members into the Care Management Program
Location:Remote : All over US
·Provide patient and provider education
Remote Care Manager Jobs
By Careforth At United States
Perform case conferences, summary reports, and incident management in compliance with applicable state and program regulatory and/or accreditation requirements
Solid understanding and experience in care planning/case management is required
Manage a caseload and leverage technology to enable effective coaching and information referral
4-6 years’ experience in health coaching and/or experience in health care/wellness
Comprehensive knowledge of industry concepts and principles; Ability to provide coaching support and consultation across a broad range of clinical topics
Exceptional active listening and communication skills with a focus on empathy
Rn Care Manager Jobs
By Phoebe Putney Health System At Albany, GA, United States
1 - 2 years Case management or utilization review experience in a hospital or related setting (Preferred)
Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
Preferred Certifications/Licensures: Certified Case Manager (CCM)
Performs all job responsibilities in alignment with the core values, mission and vision of the organization
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
2 - 3 years Recent acute care experience with relevant clinical experience in the assigned area. (Required)
Care Manager / Rn - Care Management
By DCH Health System At Tuscaloosa, AL, United States
Demonstrated working knowledge of data management/reporting practices.
Serves as a resource to patients, physicians, Administration, and other disciplines regarding care management functions and expertise.
Participates in defining, maintaining and interpreting care management standards of practice
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Knowledge of managed care, governmental payers, and third party reimbursement.
Provides counseling and support as needed. Identifies cases which would benefit from palliative care and elicits palliative consults as needed.
Rn Care Manager Jobs
By Careforth At Indianapolis, IN, United States
Minimum two (2) years of recent experience in direct care of elders or adults with disabilities
Proficiency in common software and web-based applications (e.g. MS Office, case management systems)
Trains, evaluates and supports Caregivers in conjunction with the care manager as needed on an on-going basis
Submits semi-annual health-status reports to each member’s PCP based on regulatory requirements
Additional state-specific qualifications may be required.
Completes and coordinates all applicable clinical assessments and clinical evaluations
Clinical Care Manager, Rn
By VNS Health At , Manhattan $90,700 - $113,400 a year

Overview Provides telephonic clinical care management services using evidence-based practices to ensure effective utilization of benefits, services, and care is provided to the patients ...

Rn Care Manager- Contract
By San Bernardino County At , Colton, 92324 $83,262 - $113,339 a year
Perform medication management based upon standing orders and protocols.
Provide patient education, coaching and counseling to patients and families by providing community resources to optimize health outcomes.
Utilize patient disease registry, ensure documentation and reports produced and processed comply with state regulations and/or accrediting body requirements.
Registered Nurse (RN) Care Manager
Position Duties and Responsibilities include, but are not limited to, the following:
AFL 21-34.3 Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)
Episode Care Coordinator (Ecc) Remote Rn
By Sentara Healthcare At , Chesapeake, 23320 $37.49 an hour
Case Management certification based on specialty area required within one year of eligibility.
2 years' experience in Home Health, Hospice or Infusion
Registered Nurse associates or BSN preffered
Registered Nurse License (RN) - Arkansas - Arkansas
Registered Nurse License (RN) - Colorado - Colorado
Registered Nurse License (RN) - Delaware - Delaware
Care Rn Manager (Ft)
By Luskin Orthopaedic Institute for Children At Los Angeles, CA, United States

Position: Urgent Care RN Manager SUMMARY: Responsible for direction of patient care that promotes safety and well-being of all patients in the Urgent Care Department. Plans, directs, coordinates and ...

Care Manager Rn 1 Qa
By Baylor Scott & White Health At , Waxahachie, 75165
Assists patients with self-management through education, visits and telephonic engagement; encourages and helps patient adherence to their care plans.
Knowledge of care management, resource and utilization management.
Skilled in care management and patient assessments.
Establishes patient care management plans, interventions, treatment goals and self-management goals.
Assesses the health care, educational and psychosocial needs of the patient and family.
Excellent verbal and written communication skills required.
Manager, Clinical Care Services - Remote
By Magellan Health At , From $77,785 a year
Assists clinical management in the development and on-going management of designated staff.
Performs care management review activities consistent with Magellan policies, procedures, and standards.
Supervises care management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary.
Coordinates quality improvement activities under the direction of clinical management.
Assists management in the development of strategic and operational goals and plans.
Assists management in the identification and coordination of the necessary clinical and client service training needs.
Care Manager Rn- Field
By CVS Health At , , Oh $58,760 - $125,840 a year
3+ years of clinical experience
Computer Skills (Microsoft office such as: Word, Excel, and outlook)
Must possess active and unrestricted RN licensure in the state of OH
Rn - Ltss Care Manager - Remote
By EmblemHealth At , New York, Ny $125,000 - $235,000 a year
Relevant Work Experience, Knowledge, Skills, and Abilities
Certification in utilization or care management preferred.
Experience in case management/care coordination, managed care, and/or utilization management. (P).
Assist the entire Care Management interdisciplinary team in managing members with Care Management needs.
Research evidence-based guidelines, medical protocols, provider networks, and on-line resources in making care management recommendations.
Maintain an understanding of Care Management principles, program objectives and design, implementation, management, monitoring, and reporting.
Rn - Clinical Care Manager
By Gentiva Hospice At Greenville, NC, United States
Employee must meet minimum requirements to be eligible for benefits
Managing the site in the absence of the Executive Director, Administrator, or Senior/Executive Patient Care Manager.
Participate in on-call nursing schedule and providing direct skilled bedside nursing care in patients homes
Bachelor degree in nursing from an accredited school of nursing. Unless superseded by requirements listed in the state-specific section
Knowledge of terminally ill patients and their families along with an understanding of the hospice concept
Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
Care Manager Rn Jobs
By CVS Health At , , Pa $58,760 - $125,840 a year
Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.
Minimum 3+ years clinical practical experience
Minimum 2+ years CM, discharge planning and/or home health care coordination experience
Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
Must have active and unrestricted RN licensure in the state of PA.