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Telephonic Case Manager Rn Jobs in Bexar, Texas

Case Manager Rn Jobs
By CVS Health At , San Antonio, 78238 $58,760 - $125,840 a year
Reviews prior claims to address potential impact on current case management and eligibility.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Case Management in an integrated model
3 + years clinical practice experience as an RN required
1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications
Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Case Manager Rn Jobs
By CVS Health At , San Antonio, Tx $58,760 - $125,840 a year
Reviews prior claims to address potential impact on current case management and eligibility.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Case Management in an integrated model
3 + years clinical practice experience as an RN required
1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications
Assessments consider information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
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:

Rn Case Manager Jobs
By HarmonyCares At Irving, TX, United States
Tuition, Professional License and Certification Reimbursement
Update care plans on an ongoing basis; revise and resolve patient problems and goals as changes occur and/or recertification
Bonus potential of $2500+ per quarter!
Health, Dental, Vision, Disability & Life Insurance, and much more
401K Retirement Plan (with company match)
Paid Time Off, Holidays and Volunteer Time
Rn Case Manager Jobs
By Amcare Pro Home Health At Briarwood States, TX, United States
Should have at least two years nursing experience
IV infusion experience is a PLUS
Prior home health care experience is a PLUS
Must currently be licensed in the state of Texas
Should have Reliable Transportation & Car insurance
Must be able to pass background check & have valid CPR & TB test/Chest xray
Rn Case Manager Jobs
By Texas Health and Human Services At Richmond, TX, United States
Skill in time management and prioritization.
Skill in the care and treatment of patients.
Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members.
Skills in the use of computer/software and an electronic health record system.
Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications.
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).
Nurse Consultant Telephonic Case Management
By Gallagher At , Dallas, 75251, Tx

Click Here to review our U.S. Eligibility Requirements

Hybrid Community Registed Nurse (Rn) Case Manager - Framingham And Surrounding Area
By Commonwealth Care Alliance At , Boston, 02108, Ma
Meaningful clinical experience in primary care or care management, including:
Provide clinical care to members via telehealth technologies (video, chat, etc.) for a clinically appropriate clinical care and care management services.
Provides education to member and family, as appropriate
Demonstrate an understanding of the benefits of CCA's product lines
Demonstrates an understanding of the benefits of each program
Is able to complete and update a Care Plan that meets CCA requirements
Case Manager (Rn)- Case Management- P/T Day Shift Includes Weekends
By UC Irvine Health At , Orange, Ca $121,710 - $160,609 a year
Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
CCM, ACM or Case Management credentialing
Knowledge of California Children's Services benefits authorization process (CCS)
Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload
Familiarity of Joint Commission, CMS, CDPH and CCS requirements
Must demonstrate customer service skills appropriate to the job
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
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 Rn Or Licsw 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.
Clinical Case Manager - Rn
By Aveanna Healthcare At Fayetteville, NC, United States
Internal case management, evaluation and development of nursing talent 
Growth and Inclusion- Career and Skillset Advancement Opportunities  
Must have at least 1 year of hands-on nursing experience 
Current CPR certification from AHA or ARC 
Must be willing to supervise nurses providing in home skilled nursing care to infants, children, adolescents and/or adults 
Promote and manage expectations and satisfaction with internal and external customers
Clinical Case Manager (Rn)
By Aveanna Healthcare At Houston, TX, United States
Internal case management, evaluation and development of nursing talent 
Growth and Inclusion- Career and Skillset Advancement Opportunities  
Must have at least 1 year of hands-on nursing experience 
Current CPR certification from AHA or ARC 
Must be willing to supervise nurses providing in home skilled nursing care to infants, children, adolescents and/or adults 
Compassion and Purpose- E mpower nurses to reach their full potential 
Rn Case Manager. Fulltime, Part Time And Prn
By Georgia Health Services Network At , Atlanta, Ga
Email resumes to [email protected]. Subject: RN/LPN Case Manager Position
This position does not require any hands on care of clients.
Please do not contact office directly. Questions about the position should be directed to
Rn Case Manager Jobs
By Serenity Hospice Care At Essex County, NJ, United States
Strong communication and interpersonal skills.
Complete an initial assessment of patient and family to determine hospice care needs
Regularly re-evaluates the patients nursing needs
Use assessment data to determine care plan needs
RN counsels the patient and family in meeting end of life needs
Registered Nurse initiates appropriate preventative nursing procedures
Rn Case Manager, Western Cuyahoga
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting, preferred.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience, preferred.
Rn Case Manager, Eastern Cuyahoga County
By VNA of Central Jersey At Ohio, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Rn Case Manager, Eastern Cuyahoga County
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Case Manager - Rn, Canonsburg
By Allegheny Health Network At Canonsburg, PA, United States
Actively seeks professional development opportunities through professional certification, mentoring/precepting, and/or participation on department/hospital/system committees.5%
Adheres to the policies, procedures, rules, regulations, and requirements of hospitals and other clinical settings. 5%
Discharge planning and community resource knowledge preferred.
Care facilitation and utilization review experience preferred.
Coordinates the clinical care with the patient, family, provider(s), and members of the interdisciplinary team.25%
3 years in a clinical nursing role
Case Manager Rn Jobs
By AHMC HealthCare At Anaheim, CA, United States
2 years Utilization Management/Case Management experience preferred in acute care setting.
Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills.
Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care is required.
Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria.
Working knowledge of Title XVII and Title XIX.
Working knowledge of community resources.
Rn Case Manager (Exempt)
By Infirmary Health At Mobile, AL, United States
Some background in management, clinical education or case management
Working knowledge of acute care, rehabilitation, or home care
National certification applicable to area of clinical practice
Current Multi State RN License in accordance with Nurse Licensure Compact (NLC) for Alabama*
BSN preferred; Master's degree in a clinical specialty desirable
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 Scheduler - A
By illumifin At , Eden Prairie, 55344
Work From Home (WFH) Employees must have high speed internet connectivity and an analog or digital phone line.
Education: Associate's Degree or Bachelor's Degree in Business Administration.
1-2 years Auto Dialer experience.
1-2 years Call Center experience.
Monitor Requirements: 1680 x 1050 Resolution
Phone that has headset connection capabilities
Rn/Case Manager - East Cuyahoga County
By VNA of Central Jersey At Greater Cleveland, United States
Demonstrates nursing knowledge and skills in the implementation of prevention, therapeutic and rehabilitative nursing care.
Experience in home health care.
Strong planning and organizational skills.
1-2 years’ experience in Med Surg or hospital setting.
Completion of an accredited RN education program with a diploma, Associate’s or Bachelor's degree. Bachelor's degree in Nursing preferred.
Experience in home health care and 1 year experience in medical-surgical nursing. In addition to Acute Care experience.
Rn Case Manager- Msu Clinic
By Mercy At , Springfield, 65807
Demonstrates knowledge of the legal and ethical issues related to confidentiality when working in case management, and with various health plans.
Certification/Registration: CCM or RN-BC professional case management certification preferred or attained within 36 months of hire.
Advocates for the individuals health care needs with emphasis on responsible health practices, self-care management, and patient safety.
Works closely with the inpatient care management teams for effective patient handoffs.
Documents case management activities timely and according to departmental policies and other nationally established standards.
Tuition reimbursement up to $2,000 for continuing education
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 Jobs
By Morgan Stephens At Hamilton, OH, United States

MUST BE LOCAL TO HAMILTON, OH About Us Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and ...

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
Case Manager Rn Jobs
By US Veterans Health Administration At , Augusta, 30904 $67,545 - $124,603 a year
If you are relying on your education to meet qualification requirements:
Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Case Manager/Rn Jobs
By Sutter Health At , San Francisco $73.93 - $100.06 an hour

Equivalent experience will be accepted in lieu of the required degree or diploma.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.