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.
(Remote) Telephonic Intake Claims Assistant
By Sun Life At United States

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their ...

(Remote) Telephonic Intake Representative
By Sun Life At United States
Ability to multitask, be detail oriented, organized, and exercise good time management skills
Other duties and responsibilities as assigned
Minimum 1 year work experience required, 1 year customer service experience preferred
Excellent communication skills, both written and verbal, with a pleasant and professional communication style
Strong interpersonal skills and customer service focus
Must possess basic contract knowledge and have the ability to interpret and communicate various provisions
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.
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 ...

Telephonic Case Manager Rn - Richardson, Tx
By Optum At , Richardson, 75081
Provide patient education to assist with self-management
Experience in a leadership, account management or client facing role
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
3+ years of experience in a hospital, acute care or direct care setting
Experience or exposure to discharge planning
Experience in discharge planning or utilization review
Telephonic Nurse Case-Manager – Rn Or Lpn – Workers’ Compensation
By Brown & Brown Insurance At ,
Case-management experience desired – Workers’ Comp preferred.
Developing case management care plan.
Managing the file proactively, utilizing all appropriate case management tools.
Ensuring education is provided to the injured employee.
RN or LPN with a minimum of three years clinical experience (medical-surgical, orthopedic, neurological, ICCU, industrial, ER or occupational).
Maintains knowledge of current trends, standards and law changes.
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, ...

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
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
Telephonic Nurse Case Manager
By ICW Group At ,
Certification in case management, rehabilitation nursing or a related specialty is strongly preferred.
Creates a case management plan based on the assessment with measurable goals and objectives utilizing evidence-based criteria.
Implements plan through case management interventions and communication with all parties to reach desired goals and objectives.
Maintains accurate record of management including costs, savings and demographic data.
Equivalent combination of education and experience may be considered.
Minimum 2 years of professional experience providing direct clinical care required.
Telephonic Case Manager (Rn) - Tx Only
By Molina Healthcare At , Dallas, Tx $26.41 - $51.49 an hour

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

To all current Molina employees:

Telephonic Case Manager Jobs
By Sedgwick At , Salt Lake City, Ut
We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.
Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor.
Telephonic Registered Nurse (Rn) Case Manager - Remote
By Commonwealth Care Alliance At , Providence, 02903, Ri
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.
Rn Field Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Sioux Falls, SD, United States

Are you an experienced Worker's Compensation RN looking for a rewarding and fulfilling career? Look no further! We are a dynamic and compassionate team in the healthcare industry, dedicated to helping ...

Hospice Rn Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Hackettstown, NJ, United States

We are seeking a dedicated and empathetic Registered Nurse to fulfill a rewarding role in providing supportive care to patients and their loved ones/caregivers. As a key member of our team, you'll ...