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Registered Nurse Telephonic Case Manager Jobs

Registered Nurse Case Manager
By VNA PHILADELPHIA At Philadelphia, PA, United States
Knowledge of case management standards and protocols for delivery of care and other needed services.
Demonstrates knowledge of and applies professional nursing practice and principles to patients in the home.
Ability to maintain CPR certification; must be active prior to start date.
Excellent interpersonal, verbal & written communication skills and organizational skills required.
Able to work independently and demonstrates critical thinking skills.
Provides comprehensive assessment, planning, implementation, and evaluation for a caseload of home care patient as the primary nurse.
Nurse Consultant Telephonic Case Management
By Gallagher At , Dallas, 75251, Tx

Click Here to review our U.S. Eligibility Requirements

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
Registered Nurse Case Manager (Rn) - Population Health
By University of Maryland Medical System At , Glen Burnie, 21061, Md
Identifies self-management resources including health education classes and support groups to achieve care plan goals.
Assesses the patient’s risk factors and needs for care coordination, clinical utilization management services, discharge planning and identifies appropriate preventative services.
Collaborates with the interdisciplinary team to identify patients most likely to benefit from care coordination services.
Three (3) years of Clinical nursing experience required.
Develops a care plan and treatment goals with the patient and/or family.
Models' effective customer service behaviors. Identifies and acts on opportunities to understand and respond to customers.
Case Manager, Registered Nurse
By Sutter Health At , Sacramento, Ca $69.15 - $90.15 an hour
NCQA standards and application, state and federal requirements as apply to managed care, utilization management criteria and its application.
Demonstrated , positive interpersonal relationship skills, to include presentations to small groups, and skill in time management.
Graduate of an accredited school of nursing. or equivalent education/experience
2 years recent relevant experience.
Interpersonal skills collaborating with physicians, patients, families, care givers, service providers, and health care team.
This position is work from home eligible.
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
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
Registered Nurse (Rn) - Case Manager Visits
By Bayhealth At Smyrna, DE, United States
Accurately document observations, interventions, and evaluations pertaining to client care management and services provided, utilizing a state-of-the-art touch pad tablet
Develop your skills with training and scholarship opportunities.
Monitor clients' conditions; reporting changes to Clinical or Client Services Manager
Flexible, Daytime Schedule, Competitive Pay, Benefits And Mileage
Qualifications For a Registered Nurse (RN)
Comprehensive training plus mileage reimbursement
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
Registered Nurse- Rn Case Manager
By Healthtalentpro At Terre Haute, IN, United States

ProMedica Senior Care, formerly HCR ManorCare is one of the leading providers of Hospice, Home Care Skilled Nursing, Memory Care, Palliative Care, and Assisted & Independent Living. Heartland, ...

Telephonic Registered Nurse (Rn) Case Manager - Remote
By Commonwealth Care Alliance At , Boston, 02108, Ma
Provide regularly scheduled telephonic calls to support the management of chronic disease or end of life.
Provide services via telehealth technologies (video, chat, etc.) for clinically appropriate clinical care and care management services.
Assist the member with understanding their CCA Health Benefit package.
Coordinate a host of benefits such as transportation, community resources, interpreter services, hospice services, and more.
Manage panel-wide and member-specific utilization trends.
Participate in activities and education to maintain and advance competency.
Telephonic Workers Compensation Nurse Case Manager
By Liberty Mutual At , Rocklin, 95765, Ca $78,200 - $97,700 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., where required by WC law.
Telephonic Nurse Care Manager - Remote In Fort Myers, Fl
By UnitedHealth Group At , Fort Myers, 33901, Fl
Case Management experience and CCM Certification
1+ years of Utilization Management experience
Disease state management experience with strong ability to educate patients on health and wellness highly
Proficient in patient-centered Care Plan creation and active management
Manages and coordinates care and services within an Interdisciplinary Team
Manages incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Registered Nurse Case Manager
By Northwell Health At , Manhasset, 11030, Ny $52.26 - $79.74 an hour
Facilitates patient management throughout hospitalization.
Performs concurrent utilization management using evidence based medical necessity criteria.
Submits data to management regarding case management and/or quality initiatives.
Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
Telephonic Registered Nurse Ii- Accredo
By Cigna At , Hartford, 06152, Ct $29 - $49 an hour
Take ownership of patient experience via telephone :
2-5 years of relevant experience with a BSN degree OR:
5-8 years of relevant experience with an ASN degree OR:
Your Benefits as an Accredo Telephonic Registered Nurse (RN):
How you’ll make a difference:
Registered Nurse, Case Manager- Santa Monica
By ISYS SOLUTIONS INC At , Santa Monica, 90401, Ca $120,000 - $180,000 a year
Always do the right thing
Deliver excellence in everything we do
Encourage a Hug Your Customer® philosophy
Be honest, authentic, grateful, and humble
Promote individual and economic liberty
( Field based position servicing Santa Monica and surrounding areas)
Case Manager - Registered Nurse, Ft ( 40 Hours A Week)
By Dartmouth Health At Lebanon, NH, United States
Recognizes situations that require referrals to Quality, Risk Management, or Patient and Family Relations and discusses with leadership.
Recent acute care hospital experience preferred.
Communicates information to the health care team and those involved in the treatment and patient’s care.
Works with the clinical research to coordinate care for patients on complex protocols.
Performs other duties as required or assigned
Graduate from an accredited Nursing Program required.
Telephonic Registered Nurse (Rn) Care Partner - Remote
By Commonwealth Care Alliance At , Boston, 02108, Ma
Provide regularly scheduled telephonic calls to support the management of chronic disease or end of life.
Provide services via telehealth technologies (video, chat, etc.) for clinically appropriate clinical care and care management services.
Assist the member with understanding their CCA Health Benefit package.
Coordinate a host of benefits such as transportation, community resources, interpreter services, hospice services, and more.
Manage panel-wide and member-specific utilization trends.
Participate in activities and education to maintain and advance competency.
Registered Nurse - (Case Manager - Rn) - $17,800 Hiring Incentives
By MASC Medical Recruitment Firm At Fort Myers, FL, United States
1 years of recent In Patient Case Management Experience-Required
Get Patient ready for discharge
Registered Nurse in the State of Florida-Required upon hire
M-F 8 to 5 hours
Health, Dental and Vision Insurance
Short Term, Long Term and Life Insurance