Remote Pediatric Nurse Case Manager
By Actalent At Greater Orlando, United States
Monitor referrals made to community based organizations, medical care and other services to support the members overall care management plan
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
Provide patient and provider education
Develop, assess and adjust, as necessary, the care plan and promote desired outcome
Remote - Virtual Registered Nurse
By One Medical At United States
Excellent clinical and communication skills
In the past 5 years, have at least 2 years of RN patient care experience
At least 2 years of RN experience seeing patients of all ages (Infant to Geriatric) required
Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
Full time (36 hours minimum including evenings and weekends)
Registered Nurse (Remote) Jobs
By NuvoAir At Boston, MA, United States
Remote assessment, advice, education, and triage of patients under our care
Certification or experience as asthma and/or COPD educator is preferred
Review medical records to identify patients who would benefit from additional care
Communicate with patients to understand their case and provide education to help improve outcomes
Both pediatric and adult experience is strongly preferred
Outstanding communication skills, including the ability to be personable and supportive of patients and communicate medical information to non-medical teams
Medical Case Manager (Remote)
By Highmark Inc. At , , Pa From $57,700 a year
Communicate and collaborate with other payers (when applicable) to create a collaborative approach to care management and benefit coordination.
Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
Case collaborate with peers, Case Management Specialists, Management Team, Physician Advisors and other interdepartmental contacts.
Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure, if applicable.
Bachelor’s degree in Social Work with five years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations
3-5 years of experience in working in Acute Care/Managed Care/Medicaid and Medicare populations.
Case Manager Nurse - Remote | Wfh
By Get It Recruit - Healthcare At Chattanooga, TN, United States

We are a dynamic and compassionate healthcare organization dedicated to providing exceptional care and support to our patients. Our team of professionals is committed to improving health outcomes and ...

Registered Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Jacksonville, FL, United States

Are you passionate about making a positive impact on patients' lives? We are seeking a dedicated Care Manager to join our team and provide exceptional care management services to our beneficiaries. As ...

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.
Remote And Visiting Case Manager
By Molina Healthcare At , Miami, Fl $24.00 - $46.81 an hour

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees:

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.
Nurse Case Manager - Remote - Temple, Tx
By UnitedHealth Group At , Temple, 76502, Tx
1+ years of utilization management experience
Disease state management experience with solid ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
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.
Nurse Case Manager - Remote - Indianapolis, In
By UnitedHealth Group At , Indianapolis, 46262, In
Case Management experience and CCM Certification
1+ years of Utilization Management experience desired
Disease state management experience with solid ability to educate patients on health and wellness
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 - Pediatrics - Remote
By UnitedHealth Group At , Fishkill, 12524, Ny $27.07 - $53.08 an hour
Provides self-management education in both group and individual visits
Provides support, teaching and ongoing management services to patients
Works with primary care providers throughout the organization to provide education and monitoring services for all referred patients
Works closely with the staff and providers to identify patients that require education and monitoring services
Manages a caseload of patients independently
Provides staff education for nurses or others at various sites as requested
Nurse Case Manager - Cleveland, Oh - Remote
By UnitedHealth Group At , Cleveland, 44102, Oh
1+ years of Utilization Management experience
Disease state management experience with strong ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
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
Legal Case Manager-Remote Jobs
By Adams & Martin Group At California, United States
(1) 3 - 5 years Bankruptcy experience
(2) 3-5+ years a banking case manager / Chapter 11 filing prep
If you have the experience required, please submit your resume for immediate consideration to:
• Chapter 11 filing preparation, including preparation of first day workbooks/service plans and mailing matrix
Temp Salary Range: up to $41/hr, DOE
Hours: 9AM – 6PM, M-F (OT as needed)
Investigative Jr Case Manager – Remote
By National Investigative Training Academy At , Kansas City, Ks
Experience as a private investigator or surveillance case manager
Comfortable using web-based technology, Microsoft Office, and a Customer Relationship Management (CRM) system
Client relations including intake and management
Helping to maintain an accurate customer relationship management system
Able to work independently from home and have flexible hours, which include some nights, weekends, and early mornings
Natural, poised, and motivating communicator with excellent interpersonal and written skills with a clear communication style
Nurse Case Manager - Part-Time - Remote In Cleveland Or Columbus, Oh
By UnitedHealth Group At , Columbus, 43201, Oh
1+ years of Utilization Management experience
Disease state management experience with solid ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
Nurse Case Manager - Remote - Saginaw, Mi
By UnitedHealth Group At , Saginaw, 48638, Mi
1+ years of Utilization Management experience
Disease state management experience with solid ability to educate patients on health and wellness
Proficient in patient-centered Care Plan creation and active management
Ability to manage and coordinate care and services within an Interdisciplinary Team
Manage incoming clinical calls to ensure patients’ medical concerns are addressed by the care team in a timely manner
Actively participates in Landmark meetings and education sessions
Registered Nurse - Remote | Wfh
By Get It Recruit - Healthcare At Seattle, WA, United States

We are seeking a passionate and compassionate healthcare professional to join our dedicated team as a Care Coordinator for our esteemed medical facility. In this role, you will have the opportunity to ...