Case Management Assistant (Cma)(Remote) ($19.08 - $29.04 / Hour)
By Talentify.io At United States
Maintain up-to-date list of contractual requirements and contact information for payers, distributing new information to care management staff and leaders
Perform various clerical tasks to support care management services, such as preparing reports, scheduling appointments, and distributing requests
Comprehensive benefits package that covers a wide range of programs to support your overall well-being
Competitive compensation and hourly rate based on experience
Communicate utilization review needs, days authorized, denials, and other payer communication to care managers and physician advisors
1 year of experience working in a clinical healthcare setting
Medical Assistant (Case Management - Remote) ($18.00 - $20.00 / Hour)
By Talentify.io At United States
Experience with electronic health records (EHR) and basic computer skills
Access to specialized experts in engineering and science
Opportunities for professional growth and development
Collaboration with visionary companies on innovative initiatives
A culture that values diversity, equity, and inclusion
A global network of clients and consultants
Case Manager (Remote) Jobs
By Trustmark At United States
Case Management or Utilization Management experience preferred.
Excellent time management, interpersonal, communication, documentation and customer service skills
Identifies potential candidates for individual case management services and executes the screening and case management process.
Supports utilization management decisions with nationally recognized medical management criteria.
Provides individual client focused reports accentuating Case Management activity and outcome.
Facilitates the flow of claims through the Healthcare Management Department.
Case Manager Rn -Remote
By Florida Blue At United States
Provide education and tools to promote self-management.
Experience Working With Managed Care Products, Benefits, And Services
Income protection benefits: life insurance, Short- and long-term disability programs;
Additional voluntary benefits available; and
What are your key responsibilities?
Facilitate access to care and resources to meet the member’s health care needs.
Medical Case Manager (Rn) - Remote
By Synectics Inc. At United States
National certification in case management or related field preferred
Solicits the employee's interest and consent, if necessary, for participation in case management activities and documents oral and/or written consent
The Medical Case Manager role does require an active RN license in the state they live in.
3+ years of clinical experience as a Registered Nurse
Experience in Behavioral Health Chronic Medical Conditions or Oncology preferred,
Bachelors in Science Nursing or Associate in Nursing (ASN) or Nursing Diploma.
Case Management Assistant- Prn (Remote)
By Inova Health System At United States
Addresses/solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned.
Anticipates needs of department and performs various duties to assist with the flow and management of patient care.
Education: HS Diploma or GED
Experience: 2 year of customer service
Conducts timely arrangements of services to meet customer requirements, as evidenced by measurement of turnaround time (request to completion).
Performs support services including faxing, data entry, filing and reception in order to assist with patient transition.
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.
Remote Leave Of Absence Case Manager
By Synergy Interactive At United States
Registered Nurse, Nurse Practitioner, or comparable license with experience, with working knowledge of disability, client processes, and case management.
Minimum of 5 years of medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review.
Minimum of 2 years as a Clinical Case Manager.
Dedicated to providing high-quality customer service, using diplomacy, patient advocacy, and professional competency.
Must show evidence of appropriate degree and licensure.
Must be available for occasional escalations outside of normal business hours (max 8-10 occasions/year).
Patient Services, Case Manager / Field/Remote Role
By Glaukos Corporation At United States
Bachelor’s Degree OR 8-10 years patient services/case management experience.
Assess benefit plans for coverage and limitations and documents necessary information for provider education.
Demonstrates effective management of CRM system while documenting pertinent information as required by standard operating procedures.
Will interpret benefit verifications including PA requirements and drug acquisition options for specific patients enrolled in GPS.
Provides coverage and benefits on specialty pharmacy and buy & bill acquisition options.
High comprehension of scientific knowledge and the ability to communicate with patients in a compliant and compassionate manner.
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 ...

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 ...

Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Chappells, SC, United States

Compassionate Care Coordination: Utilize your exceptional clinical expertise and superb organizational skills to assess patient needs, develop comprehensive care plans, and coordinate all aspects of ...

Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Cayce, SC, United States

As a Remote RN Case Management Specialist, you'll play an integral role in orchestrating and advocating for the comprehensive care needs of patients. By delivering outstanding medical services, ...

Case Management Assistant (Cma)(Remote)
By Intermountain Health At Las Vegas, NV, United States
Requests and retrieves medical records from the Health Information Management for retrospective utilization or quality assurance review.
Promptly communicates utilization review needs, days authorized, denials, and other communication from the payers to care managers and physician advisors.
Collaborates with the revenue cycle staff and others to research payment sources.
Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
Consistently documents all communication, actions, and information.
Promptly reports issues and concerns to the departmental chain-of-command.
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
Case Manager - Entry Level - Remote | Wfh
By Get It Recruit - Healthcare At Miami, FL, United States

Join our team as a Long-Term Care Coordinator and make a positive impact on the lives of healthcare members with long-term care needs. We are seeking a dedicated professional who thrives on helping ...

Case Manager Supervisor - Remote | Wfh
By Get It Recruit - Healthcare At Ann Arbor, MI, United States

This position offers on-site opportunities. At this time, remote work options are not available for this role due to the specific requirements of the job. Qualifications Education: A Master’s ...

Manager, Hospital Case Management Performance Improvement - Remote
By Optum At , Eden Prairie, 55346
Communicate clear direction and delegate responsibilities to team members when needed, providing management and coaching
5+ years of experience in management consulting and hospital operations and/or project management in Hospital Case Management Audit & Compliance
Experience with Hospital Case Management and Utilization Management
Team Lead and/or Management experience
Experience with data management tools and/or BI tools (e.g., Tableau, MicroStrategy)
Proven to have excellent time management, organizational, and prioritization skills
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