15 Case Manager jobs

Remote Insurance Case Manager Kelly Services is currently seeking a Remote Insurance Case Manager for one of our top clients in Nashville, Tennessee. As a Remote Insurance Case Manager placed with Kelly Services, you will serve as an integral member of our client s Life Insurance team. Primary responsibilities will include completing large volume of emails and outbound calls to collect information (no cold calling). In this position, you will be able to work from home after one month of training. Additional Job Responsibilities Include: Multitasking, prioritizing and maintaining an efficient organization system Maintaining a high level of customer focus Become a liaison between life insurance clients and insurance companies while the life application is in underwriting Job Requirements: Previous customer service experience in a high-volume call center Typing at least 45 words per minute Required equipment: high speed internet, computer or laptop with 8G of...

Great full time Case Management Opportunity in Modesto! RN license and prior Case Management experience within an acute care hospital setting is required. Position: RN Case Manager Location: Modesto, CA Pay: $43-50/hr. + Full Benefits Total Positions Open : 2 Contract Details: Starting as an 8-week contract. Getting permanent offer is not guaranteed, however getting your foot in the door with this company could leave to other positions, contract extension, etc. Job Duties: The RN Case Manager assists the organization by facilitating processes to support that the right care is provided at the right place and at the right time. To accomplish these goals, the RN Case Manager uses established criteria to evaluate the appropriateness of admission, level of care, and readiness for discharge; assures the timely movement of patients throughout the continuum of care by conducting concurrent reviews and proactively resolving delays as necessary; proactively assesses...

Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care . This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company. You will be given the training and equipment to work from a home office. You must have a high speed internet connection. As a Social Work Case Manager , this role is responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness. Primary duties may include, but are not limited to: Utilizes available community, government, and/or client resources needed to address participant's limitations or support interventions in the management...

YourTalent. Our Vision. At Amerigroup , a proud member of the Anthem, Inc.family of companies focused on serving Medicaid, Medicare and uninsured individuals,it's a powerfulcombination. It's the foundation uponwhich we're creating greater access to care for our members, greater value forour customers and greater health for our communities. Join us and together wewill drive the future of health care . Thisis an exceptional opportunity to do innovative work that means more to you andthose we serve. Nurse Case Manager I/II Responsible for caremanagement within the scope of licensure for members with complex and chroniccare needs by assessing, developing, implementing, coordinating, monitoring,and evaluating care plans designed to optimize member health care across the carecontinuum. Performs duties telephonicallyor on-site such as at hospitals for discharge planning. Primary duties mayinclude, but are not limited to: Ensures member access to services appropriate totheir...

Position Description United Healthcare is committed to improving the health and well-being for all of our members, including pregnant women and children enrolled in our managed Medicaid health plans. The Healthy First Steps Program is designed specifically to address the needs of these vulnerable populations through an integrated, holistic approach across the continuum of care. The program focuses on the importance of prenatal and postpartum care in addition to the social determinants of health. The High Risk Pregnancy Case Manager will work closely with an inter-disciplinary team to serve as the single point of contact for our high risk pregnant members. They will provide education, care coordination, and consult with Obstetric and Pediatric practitioners to optimize the health of our members. If you are located in Houston or surrounding areas, you will have the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: Make...

YOU MUST APPLY USING YOUR LEGAL NAME. CURRENT WORKERS/CONTINGENT WORKERS/CONTRACTORS: APPLY WITH YOUR EXISTING WORKER ACCOUNT (WORKDAY) FROM THE ENTERPRISE NETWORK. (DO NOT APPLY FROM THIS SITE - APPLY INTERNALLY ONLY)DO WHAT YOU LOVE. LOVE WHAT YOU DOTake the steps to start your career at Arkansas Blue Cross and Blue Shield.01 USAble Mutual Insurance CompanyJob Description Summary: *** This is remote position based out of Arkansas supporting the Eastern part of the state. ***This position reports to and collaborates with the Quality Program Manager (or designee). This position is responsible for initiating a collaborative process with the member. This process assesses plans, implements, advocates, coordinates, monitors and evaluates the options and services required to meet an individual's health needs across all levels of the healthcare continuum. The incumbent will utilize effective communication skills and available resources to promote quality effective outcomes, member...

Position Description United Healthcare is committed to improving the health and well-being for all of our members, including pregnant women and children enrolled in our managed Medicaid health plans. The Healthy First Steps Program is designed specifically to address the needs of these vulnerable populations through an integrated, holistic approach across the continuum of care. The program focuses on the importance of prenatal and postpartum care in addition to the social determinants of health. The High Risk NICU Discharge Case Manager will work closely with an inter-disciplinary team to serve as the single point of contact for the caregiver of our youngest and highest risk members. They will provide education, care coordination, and consult with Pediatric practitioners to optimize the health of our most fragile members. If you are located in Houston or surrounding areas, you will have the flexibility to telecommute* as you take on some tough challenges. Primary...

Description MUST BE BI-LINGUAL: KOREAN/ENGLISH (written and spoken proficiency) The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and well being of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Responsibilities The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands...

Position Description For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work. (sm) As a member of this dynamic team, you will manage a caseload of physical therapy treatment plans for consumers though health care providers. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. ***Monday through Friday - Standard business hours*** Primary Responsibilities: Make determinations of medical necessity/clinical appropriateness of treatment Assist in the development and implementation of clinical policy, guidelines and applications Regularly contact providers whose treatment determinations indicate a trend that varies with their peers and community Be knowledgeable on and apply all necessary regulatory...

Position Description UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) As a Nurse Case Manager RN, you will drive positive outcomes by supporting a diverse member population with education, advocacy and the connections to the resources they need. If you are located in the Virginia Beach, Virginia area , you will have the flexibility to telecommute* as you take on some tough challenges. This position will be majority field and some telephonic and will require field visits as needed to Approximately 80% field and 20% telephonic. Primary Responsibilities: Make outbound calls to assess members' current health status Collaborate with Community Health Workers and Behavioral Health...

Job Description This position will be working from home, and will require the employee to be licensed and located in West Virginia. Program Overview Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for...

Possibly weekly classes to meet up to 200 people Length of assignment-3 months+ Looking for high level CSR/Case Manager Initially will need to respond to 100K backlog of emails-(will need writing samples) and then will move to phones and may continue to email Fingerprints possibly needed-Maximus is confirming this with Client More details to come Requires minimum 1 year previous healthcare customer service experience with consistent tenure OR 3+ years of strong call center customer service experience with consistent tenure About Aerotek: We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing ® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250...

Remote Insurance Case Manager Kelly Services is currently seeking a Remote Insurance Case Manager for one of our top clients in Nashville, Tennessee. As a Remote Insurance Case Manager placed with Kelly Services, you will serve as an integral member of our client's Life Insurance team. Primary responsibilities will include completing large volume of emails and outbound calls to collect information (no cold calling). In this position, you will be able to work from home after one month of training. Additional Job Responsibilities Include: • Multitasking, prioritizing and maintaining an efficient organization system • Maintaining a high level of customer focus • Become a liaison between life insurance clients and insurance companies while the life application is in underwriting Job Requirements: • Previous customer service experience in a high-volume call center • Typing at least 45 words per minute • Required equipment: high speed internet, computer or laptop with 8G...

Primary Duties and Responsibilities: Conducts a comprehensive F2F (Nursing Facility assessments) 4 times per year with Members residing in a Skilled Nursing Facility. Attends and actively participates in Nursing Facility care plan meetings for assigned Members to collaborate with nursing facility staff to mitigate barriers to care and prevent hospitalizations. Collaborates with transition team to create a viable discharge plan for members expressing desire to return to the community through MFP process. Works with member, member's family, nursing facility and providers to develop a comprehensive Individualized service plan. Uses clinical judgment to identify physical and behavioral health needs and works with the member and caregiver to establish an appropriate plan of care to ensure needs are met. Works with member to close functional, clinical, and pharmacy gaps. Acts as a liaison and facilitates the coordination of benefits, resources, healthcare providers, and...

Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact. As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities. Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life. If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare. Pursue purpose. Champion innovation. Earn trust. Be agile. Include all. Empower Your Future. Make a Difference. What will I be responsible for in this job? This position is required to perform case management activities for health plan members. The activities will include assessing...