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Rn Case Manager Behavioral Health Remote Jobs in Philadelphia, Pennsylvania

Behavioral Health Advocate (Remote)
By Independence Blue Cross At , Philadelphia, 19103
Utilizes critical thinking skills and asks probing questions to identify customer needs and support their healthcare and benefit journey.
Has working knowledge and experience in own discipline.
Develops and maintains a deep understanding of the organization and services offered to resolve more complex inquiries.
Adheres to organizational policies and procedures, including a designated quiet workspace and appropriate internet speed to work remotely.
Continues to build knowledge of the organization, processes, and customers.
2 – 4 years of experience related to customer advocacy.
Case Manager Behavioral Health (Remote)
By Independence Blue Cross At , Philadelphia, 19103, Pa
Strong computer skills and experience with Microsoft Office Suite.
Excellent assessment and engagement skills and ability to adapt clinical skills while using telephonic and virtual means.
Exceptional problem-solving and organizational skills required.
Provides appropriate clinical assessment, intervention and support to members who actively seek behavioral health support via inbound calls.
Active PA Registered Nurse (B.S.N. Preferred) LCSW, LSW or LPC required
Ability to work independently using critical thinking to resolve complex behavioral, medical, and psychosocial issues with our members.
Behavioral Health Compliance Specialist (Remote)
By Independence Blue Cross At , Philadelphia, 19103, Pa
Knowledge of utilization review processes and utilization management systems, moderate to strong knowledge of InterQual required.
Assures that clinical staff are documenting appropriately in medical management system so that member letters are clear and understandable.
Familiar with all aspects of operations in the Utilization Management Department.
Strong problem-solving abilities, organizational and planning skills.
Selects specific transactions and processes to be reviewed for compliance audits on a monthly basis and reports findings to Manager/supervisors.
Assists the director/ manager in identifying training needs and assists in departmental training and the onboarding of new hires.
Case Manager Behavioral Health - Remote
By Independence Blue Cross At , Philadelphia, 19103, Pa
Strong computer skills and experience with Microsoft Office Suite .
Excellent assessment and engagement skills and ability to adapt clinical skills while using telephonic and virtual means.
Exceptional problem-solving and organizational skills required.
Provides appropriate clinical assessment, intervention and support to members who actively seek behavioral health support via inbound calls.
Active PA Registered Nurse (B.S.N. Preferred) LCSW, LSW or LPC required
Ability to work independently using critical thinking to resolve complex behavioral, medical, and psychosocial issues with our members.
Pa-Behavioral Health Rn-Days/Eve - $2420/Weekly
By Lighthouse Medical Staffing At Danville, PA, United States

28 bed Inpatient psychiatric unit acute care crisis stabilization Caring for adult patients ages 18 years of age and older Care is provided to the following patients: with chronic mental illness, ...

Case Manager - Adolescent Behavioral Health - Full Time
By St. Luke's University Health Network At Easton, PA, United States
May assist in the utilization management of psychiatric cases in the absence of the utilization management coordinator.
Provides patient / family education and advocacy, as appropriate.
Maintains knowledge and awareness of mental health laws regarding patients' rights and voluntary/involuntary commitment proceedings, coordinating such proceedings with necessary personnel.
Facilitates insurance authorization, pre-certification, and concurrent reviews for assigned patients.
Facilitate individual sessions with patient, patient & family, and any other significant others according to therapeutic needs and program practices.
Demonstrates competence, as a responder to departmental Control Team, in responding to behavior of individuals requiring verbal de-escalation.
Outpatient Case Manager, Rn - Remote | Wfh
By Get It Recruit - Healthcare At Montebello, CA, United States

We are a dynamic healthcare organization dedicated to providing compassionate and comprehensive care to our patients. We are currently seeking a Nurse Case Manager to join our team. Overview Job ...

Travel Behavioral Health Rn Job In Roswell, Nm - Make $1939 To $2103/Week
By Aya Healthcare At Roswell, NM, United States
At least one year of experience required
Access to unlimited continuing education units online.
Shift: 3x12-Hour 07:00 - 19:00
Paid company housing (we’ll help you bring your pets along, too!) or a generous housing stipend.
The industry’s only clinical ladder program for RNs on assignment.
Licensure, relocation and other reimbursements, when applicable.
Rn Case Manager - Remote | Wfh
By Get.It Recruit - Administrative At San Antonio, TX, United States

Are you a dedicated Registered Nurse with a passion for patient care and case management? We have an exciting opportunity for a Remote RN Case Manager in the vibrant city of San Antonio, Texas. Join ...

Case Manager, Camba's Health Link Program - Remote | Wfh
By Get It Recruit - Transportation At New York, NY, United States

Are you passionate about making a positive impact on people's lives? Do you want to be part of a supportive and inclusive community that uplifts and empowers individuals and families? If so, we have ...

Rn - Kootenai Behavioral Health
By Kootenai Health At , Coeur D'alene, 83814
Promotes patient's independence by establishing patient care goals and teaching patient and family to understand the condition, medications, and self-care skills
RN with at least 3 years’ patient-facing nursing experience at time of hire, ADN or diploma required; BSN or higher preferred
A tuition assistance program available after 90 days. If you want to further your education, we'll help you pay for it
As your next employer, we are excited to offer you:
Evaluates, plans, implements, and documents nursing care for an assigned patient population
Assists physician during examinations and procedures
Behavioral Health Case Manager
By The Hartford At ,
Preference for case management and discharge experience
Organizational and Change Management Skills
Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, home assessments, etc.
Collaborates with Ability Benefits Manager and other key players (Vocational Rehabilitation, Consultants, Medical Nurse
Preference for managed care/utilization review/insurance experience
Manages risk and resources on highly complex behavioral health claims
Cham Behavioral Coaching And Support Case Manager - Evernorth Health Services - Remote
By The Cigna Group At , Hartford, 06152 $62,400 - $104,000 a year

Behavioral Coaching and Support Case Manager -Custom High Acuity Model (CHAM) Team The specialty case management programs help individuals make the behavioral changes and first steps necessary to ...

Rn Case Manager - Healthy First Steps Program - Remote - Fl
By UnitedHealthcare At , Gainesville, 32602
Providing patient education to assist with self-management
Case Management, Utilization Review, discharge planning or other managed care experience
Proven solid organizational skills and multitasking abilities
3+ years of experience in a hospital setting, acute care, direct care experience (OB and / or Maternity)
Proficient level of experience with Microsoft Office including Word, Excel and Outlook, with the ability to navigate a Windows environment.
Proven solid critical thinking skills
Rn- Behavioral Health (0.6 Fte)
By Bozeman Health At Bozeman, MT, United States
Attains knowledge and competency that reflects current nursing practice.
Strong emotional intelligence, interpersonal and teamwork skills
Current Montana Licensure (Registered Nurse)
American Heart Association ACLS within 4 months of hire
Competence and ability to practice modified primary nursing
Preferred: Bachelor’s Degree in Nursing
Licensed Behavioral Health Case Manager - Remote
By Optum At , Detroit, 48202
1+ year of case management experience
Proficient computer skills and good working knowledge of Microsoft Word
Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Facilitate member education and involvement of caregiver in the delivery of interventions
Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
Rn - Behavioral Health
By HealthPartners At , Inver Grove Heights
Teaches techniques or knowledge necessary for prevention, self-care management or rehabilitation.
Uses population management tools such as registries to identify high risk patients and track, monitor and follow-up with their care
Strongly demonstrated written and oral communication skills
Participates in patient care conferences, in-services and educational programs.
Demonstrates positive verbal and written communication and effective listening skills with internal and external customers.
Provides current health education about diagnostic and prescribed treatments
Telephonic Case Manager Rn - Arizona - Remote
By Optum At , Phoenix, 85040
Provide patient education to assist with self-management
Experience in utilization review, concurrent review and/or risk management
Certified Case Manager (CCM) or the ability to obtain certification within 18 months of employment
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Identify gaps or barriers in treatment plans
Interact with Medical Directors on challenging cases
Rn Behavioral Health Jobs
By Lakewood Health System At , Staples, 56479 $38.25 an hour
Increases based on certifications, experience, or additional duties (i.e. charge nurse)
Maintain CPR Certification on a bi-annual basis
Have questions on organizational culture, team fit or day-to-day experience?
Establish a compassionate environment by providing emotional and psychological support to patients, families, and friends
Obtain accurate histories and complete nursing assessments at admission and reassess routinely throughout the patient’s stay
Plan, implement, and coordinate nursing care activities and individualized treatment plans
Case Manager - Behavioral Health
By Superior HealthPlan At , Dallas
Comply with established referral, pre-certification and authorization policies, procedures and processes by related medical management staff.
Experience in field-based case management roles
Update database regularly with most recent Service Management Plan of Care.
Coordinate service management functions with other departmental functions.
Proficient computer skills and experience working within large databases or provider information systems and Microsoft Office applications.
Experience working in managed care environment (Federal and State Sponsored Govt Programs)
Behavioral Health Case Manager
By UnifyWork At , Cleveland
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Rn - Behavioral/Mental Health Staff Nurse - 0.8 Fte Remote Hybrid - Mix Of Clinic And Onsite Factoria Wa 10K Sog
By Kaiser Permanente At , Bellevue, 98004, Wa $34.81 - $53.18 an hour
Primary nursing or case management experience.
Communication, problem-solving, leadership and decision-making skills.
Associates degree in Nursing from an accredited program.
Registered Nurse License (Washington) required at hire
Basic Life Support required at hire
Bachelor of science in Nursing (BSN).