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Clinical Nurse Case Manager Jobs

Nurse Case Manager Jobs
By Sentara Healthcare At , Norfolk, 23502
Experience in Commerical Managed Care
Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
Minimum 3 years experience working as a Registered Nurse
Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
Sentara Health Plans is currently hiring an Integrated Nurse Case Manager!
This is a Full Time position with Day shift hours and great benefits!
Manager, Clinical Programs / Case Mgt
By Premera Blue Cross At , Remote $82,700 - $140,700 a year
Participate in Total Quality Management activities and processes to assure operational compliance with regulatory requirements, including NCQA, NEMIS, HCFA, and OIC.
Certified in CCM (Certified Case Management) or obtain certification within 24 months of date of hire. (Required)
Five (5) years case management or health care experience. (Required)
Three (3) years management experience. (Required)
Experience managing case management teams and integrated case management model
Participate in the establishment and implementation of Care Management policies as required.
Co Clinical Nurse Manager
By Johns Hopkins University At , Baltimore, 21218 $84,810 - $148,390 a year

The Department of Gynecology and Obstetrics at the Johns Hopkins University School of Medicine is seeking applications for a CO Clinical Nurse Manager to serve in the Division of Reproductive ...

Case Manager, Nurse - Patient Case Management
By WakeMed At , Raleigh

About WakeMed: Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our ...

Clinical Nurse Manager Jobs
By Healogics, LLC. At Longview, TX, United States
Planning, organization, prioritization and time-management skills
Change management and demonstrated problem-solving skills
Required Knowledge, Skills And Abilities
Required Education, Experience And Credentials
One year experience as an RN required.Two (2) or more years’ experience preferred.
Strong interpersonal, oral and written communication skills, to include presentation skills
Nurse Case Manager Ii
By Elevance Health At , Atlanta, 30308 $73,836 - $110,754 a year
Preferred Skills, Capabilities, and Experiences:
Monitors and evaluates the effectiveness of the care management plan and modifies, it as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Assists with the development of utilization/care management policies and procedures.
Certification as a Case Manager is preferred.
Prior managed care experience is strongly preferred.
Nurse Case Manager Jobs
By Avalon Case Management At , Remote

fax a resume to 1-877-287-4890.

Clinical Nurse Manager Jobs
By BAXTER At , $68,000 - $156,000 a year
2+ years of experience in Cost Management, Product Standardization, and Clinical Resource Management, product education and implementation
Effective clinical selling, objection management, and negotiating skills
Maintaining expert knowledge of Baxter’s integrated solutions programs and the supporting administrative tasks associated with tracking savings, operational/clinical outcomes, and sales
BS degree (Nursing/Business) with 5 + years clinical experience with Business acumen and strong financial proficiency
Clinical background with in-depth knowledge of I.V. therapy
Driving clinical implementation and integration tasks and Connections Portfolio programs to key Baxter customers
Nurse Case Manager (Multiple Openings)
By MedCost LLC At , Remote
Prior case management, utilization review or disease management experience
Provide ongoing education to members regarding their health care needs, available benefits and services.
Evaluate the effectiveness of the case management process.
Advise all concerned parties when coverage may no longer be available due to cessation of medical necessity or benefit exhaustion.
A minimum of 3 years direct care experience in varied health care settings
Excellent oral and written communication skills
Clinical Case Manager Jobs
By The Village Network At Kettering, OH, United States
Excellent verbal and written communication skills; strong teamwork and organization/time management skills.
TVN offers a generous retirement contribution and contributed nearly $1.5 million into employee 403(b) accounts this fiscal year!
Bachelors Degree in Social Work, Counseling or related field required; LSW or LPC and two years previous experience desired.
Ability to comply with The Village Network requirements for using restraints including sufficient strength and completion of extensive training.
Job Title: Clinical Case Manager
Reports To: Clinical Supervisor, Program Supervisor or Program Manager
Nurse Case Manager I
By State of Vermont At , Saint Johnsbury, Vt $38.58 - $60.51 an hour
Case management experience/certification, knowledge and experience with working with systems of healthcare, prior work in an Insurance Company setting is ideal.
Case management certification within 2 years is a goal for this position.
Starting rate may be negotiable based on experience and qualifications.
Clinical experience and knowledge, knowledge of community, and community culture are necessary.
Experience working with people with substance abuse/mental health and home visiting experience and knowledge of community is preferred.
Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
Nurse (Case Manager) Jobs
By US Military Treatment Facilities under DHA At , Camp Pendleton, Ca $123,168 - $156,423 a year
See Qualifications section for education requirements.
If you are relying on your education to meet qualification requirements:
Identify and execute specific case management and care coordination activities.
Basic Requirement for Nurse (Case Manager):
Applicants must be able to fulfill non-privileged professional credential requirements.
Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
Nurse Medical Case Manager
By The Travelers Companies, Inc. At , Hunt Valley, 21031, Md $79,200 - $130,700 a year
Disability case management experience preferred.
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred.
Utilize internal Claim Platform Systems to manage all claim activities on a timely basis.
General Insurance Contract Knowledge: Ability to understand policies and contracts, as they apply to policy conditions.
Medical knowledge: Thorough knowledge of the nature and extent of injuries, periods of disability, and treatment needed.
Coordinate with medical providers to ensure the injured employee is actively participating in a viable treatment plan.
Cigna Medicare Case Management Nurse Case Manager
By The Cigna Group At , Hartford, 06152, Ct $65,700 - $109,500 a year

Under general supervision, responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost-effective, quality-based health care services for ...

Nurse Case Manager/Ukhc
By University of Kentucky At , Lexington, Ky $54,080 - $95,056 a year
Skills / Knowledge / Abilities
Nurse Case Manager - ELIGIBLE FOR RECRUITMENT BONUS
Does this position have supervisory responsibilities?
A minimum of three years of experience providing patient care as a BSN, RN.
Click here for more information about equivalencies:
Monday through Friday, (8:00 am – 4:30 pm); occasional weekends and/or holidays required.
Clinical Case Manager Jobs
By Voices for a Second Chance (VSC) At Washington DC-Baltimore Area, United States

Check website for position description

Nurse Case Manager I
By Elevance Health At Madison, WI, United States
Preferred Skills, Capabilities, And Experiences
Monitors and evaluates the 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.
Certification as a Case Manager is preferred.
Implements care plan by facilitating authorizations/referrals as appropriate within the benefits structure or through extra-contractual arrangements.
Job Family: Medical and Clinical
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
Clinical Case Coordinator Jobs
By University of Central Florida At Greater Orlando, United States
Serve as a supervisor for social work/mental health interns/medical students doing educational training rotations at UCF RESTORES.
Benefits packages, including Medical, Dental, Vision, Life Insurance, Flexible Spending, and Employee Assistance Program
And more…For more benefits information, go to the UCF Employee Benefits page and click here.
Are Benefits Important to You?
Provide daily updates regarding referrals to the UCF RESTORES Directors.
May perform other clinical or administrative duties as requested.