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Telephonic Nurse Case Manager Jobs

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
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!
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, ...

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.

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.
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.
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 Nurse Case Mgr Ii
By Elevance Health At , Costa Mesa, Ca $70,320 - $126,576 a year
Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
Monitors and evaluates 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 benefits structure or through extra-contractual arrangements.
Minimum 2 years’ experience in acute care setting.
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.
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

Are you looking for an exciting opportunity to use your nursing skills to make a difference in people's lives? We are looking for a Telephonic Nurse Case Manager II to join our team! As a Telephonic Nurse Case Manager II, you will be responsible for providing telephonic case management services to our members. You will assess the members' needs, develop care plans, coordinate services, and monitor progress. If you are passionate about helping others and have excellent communication and problem-solving skills, then this is the job for you!

A Telephonic Nurse Case Manager II is responsible for providing telephonic case management services to patients. This includes assessing patient needs, developing care plans, coordinating services, and monitoring patient progress. They must have excellent communication and organizational skills, as well as knowledge of medical terminology and healthcare regulations. To become a Telephonic Nurse Case Manager II, you must have a valid nursing license and a minimum of two years of experience in case management. You must also have a strong understanding of medical terminology, healthcare regulations, and the ability to work with a variety of healthcare professionals.

Telephonic Nurse Case Manager II Skills:

• Excellent communication and interpersonal skills
• Knowledge of medical terminology and healthcare regulations
• Ability to assess patient needs and develop care plans
• Ability to coordinate services and monitor patient progress
• Ability to work with a variety of healthcare professionals
• Strong organizational and time management skills
• Knowledge of computer systems and software

What is Telephonic Nurse Case Manager II Knowledge?

• Knowledge of medical terminology and healthcare regulations
• Knowledge of computer systems and software
• Knowledge of case management principles and practices
• Knowledge of patient rights and confidentiality

What is Telephonic Nurse Case Manager II Responsibilities?

• Assess patient needs and develop care plans
• Coordinate services and monitor patient progress
• Communicate with healthcare professionals and other stakeholders
• Ensure patient rights and confidentiality are maintained
• Maintain accurate records and documentation
• Provide education and support to patients and families

What is Telephonic Nurse Case Manager II Experience?

• Minimum of two years of experience in case management
• Experience working with a variety of healthcare professionals
• Experience in patient assessment and care planning
• Experience in coordinating services and monitoring patient progress

What is Telephonic Nurse Case Manager II Qualifications?

• Valid nursing license
• Bachelor’s degree in nursing or related field
• Certification in case management

Telephonic Nurse Case Manager II Education:

• Bachelor’s degree in nursing or related field
• Certification in case management

Tools that help Telephonic Nurse Case Manager II work better:

• Electronic health records (EHR) systems
• Telemedicine software
• Online patient portals
• Communication and collaboration tools

Good tips to help Telephonic Nurse Case Manager II do more effectively:

• Stay up to date on healthcare regulations and best practices
• Develop strong relationships with healthcare professionals
• Utilize technology to streamline processes and improve efficiency
• Develop a system for tracking patient progress
• Provide education and support to patients and families

Common Telephonic Nurse Case Manager II Interview Questions:

• What experience do you have in case management?
• How do you ensure patient rights and confidentiality are maintained?
• What strategies do you use to coordinate services and monitor patient progress?
• How do you handle difficult conversations with patients and families?
• What challenges have you faced in your previous case management roles?