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Must be proficient working with multiple computer systems independently, including Windows-based applications * Must have good clinical acumen with experience working with a variety of patients with acute and complex medical conditions * If an internal Cigna employee, CMs requ...

Maintains professional relationships with provider community, internal and external customers, and state agencies as appropriate, while identifying opportunities for improvement. We are looking for a candidate with a NY RN, NY LMSW or NY LCSW licensure with strong organizational and time manageme...

The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services. Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordi...

Job Title: Case Manager (RN)Job Description. RN - Registered Nurse - State Licensure and/or Compact State Licensure. This is a fully remote position.

Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare service activities. Collates and reports on Care Access and Monitoring statistics including plan utilization, staff productivity, cost effective utilization of services, management of targete...

If you are located in New Jersey and willing to travel up to 25% of your time to Hudson County, NJ, you will have the flexibility to work remotely as you take on some tough challenges. Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and co...

The regional alignment combines resources and services across the care continuum – from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. Experience in a remote work setting.

If you are located in New Jersey and willing to travel up to 25% of your time to Hudson County, NJ, you will have the flexibility to work remotely as you take on some tough challenges. Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and co...

Requires an RN and minimum of 3 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience which would provide an equivalent background. LTSS...

In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. Certification in Case Management. The incumbent conducts outreach to members enrolled in case management...

In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: ...

Assists in identifying opportunities for alternative care options based on member needs and assessments. Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates ...

Have a designated work space and access to install secure high speed internet via cable/DSL in your home. All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, W...

We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental, and social needs - helping patients access and navigate care anytime and anywhere. Optum Home & Community Care, part of the UnitedHealth Group family of busin

RN) Non-Premium Oncology Nurse Case Manager Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey. Within four (4) years of hire a...

Assists in identifying opportunities for alternative care options based on member needs and assessments. Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates ...

Registered Nurse (RN) license in the state of New Jersey or a Compact RN License. We are seeking a highly skilled and compassionate Chronic Care Manager (RN) to join our team. This position offers the flexibility to work remotely.

If you are located in New Jersey and willing to travel up to 25% of your time to Hudson County, NJ, you will have the flexibility to work remotely as you take on some tough challenges. Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and co...

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division ...

The Manager for Case Management services reports to the Case Management Director and is responsible for promoting patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of responsibility in alignment with the goals of the Case Management Depa...

We are looking for a RN Care Review Clinician with Prior Authorization experience. Remote position with light travel- 10-15% for in person meeting at the Bronx office location. Must be able to travel within applicable state or locality with reliable transportation as required for internal meeting...

Licensed Registered Nurse (RN)** in the (appropriate state) with no disciplinary action. Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role).

Based in Northwest Arkansas, TRS Healthcare is an RN-founded, woman-owned, remote-operated company with team members in all 50 states. Exciting things are happening at TRS Healthcare! We just ...

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...