- CenterWell (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Associate Director , Home Health Telephonic Care, in a telephonic environment, ... with resources appropriate for the care and wellbeing of members. The Home Health Telephonic Care Nursing Associate Director requires a solid understanding… more
- Actalent (Tampa, FL)
- …of PAC LPN's/Nurses - Remote!Job Description The PAC Nurse is a telephonic position responsible for recommending discharge plans, assisting with the transition of ... a timely discharge plan. Responsibilities + Collaborate with the PAC Medical Director as needed to ensure proper medical necessity decisions are being rendered.… more
- LA Care Health Plan (Los Angeles, CA)
- …Care's ECM network. The position reports to the Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management. The ... Enhanced Care Management Clinical Specialist II Job Category: Clinical ...aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and… more
- Actalent (Cincinnati, OH)
- …as long as you hold a compact nursing license Job Description The Post-Acute Clinical Review Nurse (PAC Nurse) is a telephonic position responsible for ... Job Title: Post-Acute Clinical Review Nurse (PAC Nurse). This is a...timely discharge plans. + Work with the PAC Medical Director to ensure proper medical necessity decisions are being… more
- ChenMed (New Orleans, LA)
- …+ Establishes a trusting relationship with patients and their caregivers. + Collaborates with clinical staff in the development and execution of the plan of care and ... facilities. + In conjunction with the PCP, Hospitalist, Medical Director , insurance case manager and the hospital case manager,...onsite and EMR access at priority facilities. + Maintains clinical and progress notes for each patient receiving care… more
- CVS Health (Albany, NY)
- …(CCM) + Managed Care experience + Telephonic case management and/or telephonic customer service center experience **Education:** + Associate Degree in ... the case management plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has… more
- CVS Health (Raleigh, NC)
- …Certified Case Manager (CCM) - Telephonic case management and/or telephonic experience **Education:** Associate Degree required BSN preferred **Anticipated ... the case management plan, monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has… more
- US Tech Solutions (Columbia, SC)
- …and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is preferred. + A typical day would like in this ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Commonwealth Care Alliance (Boston, MA)
- 022310 Clin Alli-instED Clinicians **Position Summary:** Reporting to the CMO/Medical Director and Associate Medical Director of instED, the Virtual Medical ... clinical care to patients via various telehealth technologies ( telephonic , video, direct messaging) + Maintain necessary professional licenses and credentials… more
- Nuvance Health (Poughkeepsie, NY)
- …through various affiliates, Position Summary: Under the general supervision of the Director , The Nurse Case Manager role provide clinically-based case management to ... stay and level of care using a combination of clinical information, clinical criteria, and third party...stay criteria with third party payers (including onsite and telephonic Case Managers) as well as Primary Care and… more