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Case Manager
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North Star Fertility Partners LLC Remote, United StatesJob Description · Job DescriptionDonor Concierge is seeking a highly motivated individual to join the case management team to work Full or Part Time. A Case Manager is responsible for helping Intended Parents find an egg donor, sperm donor, or surrogate. We are looking for candid ...
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Manager -Case Management
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MyPlanAdvocate Remote, United States Full timePosition: Manager - Case Management · Department: Finance · Reporting to: Director of Finance · Compensation: Salary $70,000 · About Us · At MyPlanAdvocate, we are hard at work developing a customer and employee experience that endeavors to improve the lives of everyone we wor ...
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Healthcare - Case Manager II Case Manager II
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APN Consulting, Inc Remote, United StatesHealthcare - Case Manager II · Remote · 3 months · Job Description: 100% remote - must work PST hours. · Candidates with previous experience with the same client are highly preferred, If they are licensed it must be in CA. · Description · Job Summary · Healthcare Services (HCS) w ...
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Enrollment Case Manager
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Maximus Remote, United States· General information · Job Posting Title · Enrollment Case Manager - For Pennsylvania Residents · Date · Wednesday, May 22, 2024 · City · Remote · Country · United States · Working time · Full-time · Description & Requirements · Please note: Pennsylvania residency is required. ...
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Case Management Analyst-3
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The Cigna Group Remote, United States OTHERThe job profile for this position is Case Management Analyst, which is a Band 2 Senior Contributor Career Track Role.Excited to grow your career? · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting ne ...
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Case Management Senior Analyst
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The Cigna Group Remote, United States OTHERThe job profile for this position is Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career? · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recrui ...
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Apex Innovations Langlois, United StatesThe city of Essen is looking for two case managers to support the integration of immigrants in the local integration center as part of the state initiative "Municipal Integration Management". This is a full-time, permanent position in salary group S 12 TVöD. The application deadl ...
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Nurse Case Management Lead Analyst
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The Cigna Group Remote, United States OTHERThe job profile for this position is Nurse Case Management Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career? · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before re ...
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RN Nurse Case Management Senior Analyst
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The Cigna Group Remote, United States OTHERDelivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, ...
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Oncology Nurse Case Management Lead Analyst
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The Cigna Group Remote, United States OTHERHours: Monday-Friday. Day shift with one evening shift per week. · 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 jour ...
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RN Nurse Case Management Senior Analyst
2 weeks ago
The Cigna Group Remote, United States OTHERDelivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, ...
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Insurance Inspection Field Support Specialist
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Signature Companies Remote, United StatesThis is a remote position. · Signature is looking to add a Customer and Field Support Specialist to our Operations Team. · Signature Companies is a High Value Insurance information provider, dedicated to superior customer service, quality, and time service. Signature Companies ( ...
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The Cigna Group Remote, United States OTHERThe job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career? · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before ...
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The Cigna Group Remote, United States OTHERJob DescriptionFor this position, Nurse Case Manager Senior Analyst, through the case management process, will: · Promote the improvement of health outcomes to members. · Assist those members experiencing the burdens of illness and injury. · Assess, plan, implement, coordinate, m ...
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The Cigna Group Remote, United States OTHERThe job profile for this position is Nurse Case Management Senior Analyst, which is a Band 3 Senior Contributor Career Track Role.Excited to grow your career? · We value our talented employees, and whenever possible strive to help one of our associates grow professionally before ...
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The Cigna Group Remote, United States OTHERUnder general supervision, responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost-effective, quality-based health care services for health plan members by development and implementation of alternative treatment plans ...
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Registered Nurse Case Manager
2 weeks ago
Favorite Healthcare Staffing Coos Bay, United StatesJob Description · Job DescriptionA facility located in Coos Bay, OR is currently seeking a Registered Nurse Case Manager to join their team full timeCheck out the details below: · Title: Registered Nurse Case Manager · Job Type: Permanent / Direct Hire · Setting: Hospice · Locati ...
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Registered Nurse Case Manager
2 weeks ago
Favorite Healthcare Staffing Coos Bay, United StatesJob Description · Job DescriptionA facility located in Coos Bay, OR is currently seeking a Registered Nurse Case Manager to join their team full timeCheck out the details below: · Title: Registered Nurse Case Manager · Job Type: Permanent / Direct Hire · Setting: Hospice · Locati ...
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Lead Software QA Automation Engineer
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Symbotic Remote, United States Full timeWho we are · With its A.I.-powered robotic technology platform, Symbotic is changing the way consumer goods move through the supply chain. Intelligent software orchestrates advanced robots in a high-density, end-to-end system - reinventing warehouse automation for increased effic ...
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Medical Director
3 weeks ago
The Cigna Group Remote, United States OTHERPulmonologist with Critical Care · Position scope: · Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna, & CareAllies. · Market and Regional level case work for Cigna Medicare. · Summary description of position: A Medical Principal performs medi ...
Medical Case Manager I - Remote, United States - CorVel Corporation
Description
CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Bilingual Medical Case Manager position.
Work from home, and on the road. Monday – Friday, regular business hours.
As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.
This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Provides Medical Case Management to individuals through in person and telephonic communications with the patient, physician, other health care providers, employer and others.
Utilizes their medical and nursing knowledge to discuss the current treatment plan with the physician and discuss alternate treatment plans.
Evaluates patient's treatment plan for appropriateness, medical necessity, and cost effectiveness.Provides assessment, planning, implementation and evaluation of patient's progress.
Attends doctors, other providers, home and in some cases, attorney's visits.
Attends hospital and/or long-term facility discharge planning conferences, et cetera for the purpose of determining appropriateness of care and developing an effective long-term care strategy.
Initial home visit for initial evaluation.Implements care such as negotiation the delivery of durable medical equipment and nursing services.
This role requires regular travel, dependent on the injured worker's injuries and needs. The employee must be available for local travel up to approximately 60% of the work week/month
This role may require overnight travel.
KNOWLEDGE & SKILLS:
Effective communication and multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
Experience as a RN, Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or rehabilitation is preferred.
Ability to meet with the patient, their physicians, other healthcare providers, attorneys, and advisors/clients and coworkers.A cost containment background, such as utilization review or managed care is helpful.
Strong interpersonal, time management and organizational skills.
Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
Ability to work both independently and within a team environment.
Bilingual preferred
EDUCATION & EXPERIENCE:
Graduate of accredited school of nursing.
Current RN Licensure in state of operation. May need to obtain license in future if not already obtained.
Certification as a CCM, CIRS, or other Case Management certifications are preferred.
A valid driver's license, reliable transportation, and ability to travel to assigned locations is required.
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.
Pay rates are established taking into account the following factors:
federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Pay Range:
$60,846 – $90,940
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
About CorVel – Medical Case Managers
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991.Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.
We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.#LI-Remote
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