- University of Miami (Miami, FL)
- …Department of Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote . The incumbent conducts initial, ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
- Molina Healthcare (Spokane, WA)
- …will be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare ... Proficient knowledge of MS Suite is very helpful. The Case Manager must be able to work...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Waltham, MA)
- …funded health plans for members who reside in Massachusetts. We are looking for Registered Nurse Case Managers with strong organizational and time management ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Molina Healthcare (Bellevue, WA)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Behavioral Health experience** **SUD… more
- The Cigna Group (Bloomfield, CT)
- …maintain clinical expertise and certification as appropriate. **Minimum requirements:** Active unrestricted Registered Nurse ( RN ) license in state or ... of two years full-time direct patient care as an RN required. **Preferred requirements:** + . Complex Case...+ Within four (4) years of hire as a case manager will possess a URAC-recognized certification… more
- Molina Healthcare (Bronx, NY)
- …Supports (** **LTSS) is highly preferred. Strong organizational and time management skills. The Case Manager must have the ability to work in a high-volume ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
- Highmark Health (Harrisburg, PA)
- …AND CERTIFICATIONS** **Required** + Licensed Social Worker (LSW)-Non-Specific - State **(OR)** Registered Nurse - Non-Specific **Preferred** + None **Skills** + ... with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other interdepartmental… more
- Health Plans, Inc. (Portland, ME)
- …years' clinical experience in behavioral health + Active, current and unrestricted professional licensure Registered Nurse ( RN ) in MA, ME, NH, or state of ... Not just a job-a mission. What you'll do The Case Manager is responsible for the coordination...+ We offer our employees flexible work arrangements including remote and hybrid options (depending on the position) +… more
- CVS Health (Albany, NY)
- …on key questions and conversation. **Required Experience** + Must have active and unrestricted Registered Nurse licensure in the state of New York + Minimum 3+ ... in a compact licensure state, it is preferred that RN license is part of the compact. + Certified... license is part of the compact. + Certified Case Manager + Bilingual desired (English/Spanish or… more
- CVS Health (Atlanta, GA)
- …Planning and/or Home Healthcare Coordination experience **Preferred Experience** + Certified Case Manager + Excellent analytical and problem-solving skills + ... and expand DSNP into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and… more