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Triage 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 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, ...

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 Triage Registered Nurse (Rn) - Temporary
By Commonwealth Care Alliance At , Springfield, 01107
Case management or related experience, strongly preferred
Provide clinical care to members via telehealth technologies (video, chat, etc.) for a clinically appropriate clinical care and care management services.
Experience making quick decisions, based on sound base of critical thinking skills
Identifies emergent situations and effectively dispatches appropriate resources to manage life-threatening conditions per protocol
Demonstrates ability to make quick decisions, based on a sound base of critical thinking skills
5+ years’ experience in a variety of clinical settings inclusive of hospital accute care medical nursing, behavioral health a plus
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 Triage Nurse Jobs
By Gentiva At , San Jose, 95115, Ca
Employee must meet minimum requirements to be eligible for benefits
Current Registered Nurse (RN) licensure within a NLC Compact State, Three (3) years clinical experience
Must possess a minimum of two (2) years’ experience, either in oncology, long-term care, or hospice or home health
Prior experience with telephone triage
Prior experience using Electronic Medical Records (EMR) and Microsoft Office Suit including Word and Outlook
Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
Telephonic Triage Nurse Jobs
By Gentiva At , Mooresville, 28117, Nc
Employee must meet minimum requirements to be eligible for benefits
Current Registered Nurse (RN) licensure within a NLC Compact State, Three (3) years clinical experience
Must possess a minimum of two (2) years’ experience, either in oncology, long-term care, or hospice or home health
Prior experience with telephone triage
Prior experience using Electronic Medical Records (EMR) and Microsoft Office Suit including Word and Outlook
Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
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 Consultant Telephonic Case Management
By Gallagher At , Rolling Meadows, 60008, Il

Click Here to review our U.S. Eligibility Requirements

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
Telephonic Triage Nurse Jobs
By Memorial Hermann Health System At , Houston, 77024, Tx
Experience / Knowledge / Skills:
Minimum three (3) years of clinical experience in acute or ambulatory care
Excellent written, verbal, strong inbound and outbound telephonic and interpersonal communication skills
Superior nursing process, critical thinking and problem solving skills
Demonstrates thorough knowledge and use of the nursing process.
Performs data entry at time of call.
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