- AmeriHealth Caritas (Dover, DE)
- …other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are ... for a member to remain in the program. The Clinical Case Manager will also...Physical health Care Coordination program **Education/Experience:** + Delaware licensed RN or LCSW required. + Valid driver's license required… more
- UPMC (Pittsburgh, PA)
- UPMC's Health Plan is hiring a Clinical Case Manager to support an external client. This is a predominantly remote position but may require onsite presence ... as part of the medical escalation process as per Nurse Case Manager criteria. Interact... Management strongly encouraged **Licensure, Certifications, and Clearances:** + Registered Nurse ( RN ) + Act… more
- Alight (NJ)
- …health case management, or utilization review. + 2+ years as a Clinical Case Manager . Additionally, possess a working knowledge of disability, ... (https://careers.alight.com/us/en) . **About the Role** This role will provide clinical expertise and serve as a critical link between...driving return to work process. **Requirements** + Be a Registered Nurse , Nurse Practitioner, or… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Clinical Case Manager 's primary responsibility is to facilitate patient care across the continuum of an assigned number of cases by ... for all patients within the unit/core service area. The Case Manager is integral to the team... or acute care, transitional care, or chronic care RN / case management experience OR Associates degree in… more
- CVS Health (Orlando, FL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Clinical Case Manager (CCM), Behavioral Health, is a work ... up to ensure members are receiving the appropriate services. + Adapts clinical guidelines, standardized case management procedures, and regulatory standards to… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Clinical Case Manager will facilitate the continuum of care for an assigned number of cases by managing, coordinating, facilitating and ... outcomes, utilization of services, and financial goals. The Clinical Case Manager oversees the... or acute care, transitional care, or chronic care RN / case management experience OR Associates degree in… more
- Penn State Health (Hershey, PA)
- …Applicants PDF for more detailed steps for assistance._ **Union:** Non Bargained **Position** Clinical Case Manager Medical Group - Orthopaedics Clinic ... nursing experience + Currently licensed to practice as a Registered Nurse by state of employment or...of orientation period **PREFERRED QUALIFICATION(S):** + Experience as a case manager , in discharge planning or insurance… more
- Open Systems Healthcare (Washington, DC)
- Clinical Case Manager - Open...from an accredited nursing program with a valid DC RN license (BSN preferred). + Experience: Minimum of 1 year ... assessments, and performance check-ins. + Develop and implement policies for case assignments and quality care management. + Coordinate client cases, maintain… more
- Penn State Health (Hershey, PA)
- …veteran status, and family medical or genetic information._ **Union:** Non Bargained **Position** Clinical Case Manager - VARIED SHIFT - Pediatric Care ... nursing experience + Currently licensed to practice as a Registered Nurse by state of employment or... by state of employment or holds a multistate RN license through the interstate Nurse Licensure… more
- Penn State Health (Hershey, PA)
- …veteran status, and family medical or genetic information._ **Union:** Non Bargained **Position** Clinical Case Manager - VARIED SHIFT - Pediatric Care ... nursing experience + Currently licensed to practice as a Registered Nurse by state of employment or... by state of employment or holds a multistate RN license through the interstate Nurse Licensure… more