Blue Cross Careers – Nurse Case Manager I
Found in: beBee jobs US - 1 week ago
The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
[ads1]Job Responsibilities:
- Ensures member access to services appropriate to their health needs.
- Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
- Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.
- Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
- Coordinates internal and external resources to meet identified needs.
- Negotiates rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues.
- Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
- Certification as a Case Manager is preferred.
- Current, unrestricted RN license in applicable state(s) required. Multi-state licensure is required if this individual is providing services in multiple states.
- Requires a BA/BS in a health related field; 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Company: Anthem
Vacancy Type: Full Time
Job Location: Portsmouth, VA, US
Application Deadline: N/A
[ads2]Apply Here
careers-
-
Registered Nurse Oncology
Found in: beBee jobs US - 2 weeks ago
Portsmouth, Virginia, United States Bon Secours Full timeThank you for considering a career at Bon Secours• Experienced RN's are eligible for a $20,000.00 sign on bonus*Summary of Primary Function/General Purpose of PositionThe Registered Nurse Medical/Surgical functions as a care provider of a multidisciplinary care team responsible for the delivery of patient care through using the nursing process of...
-
IT Project Manager
Found in: beBee jobs US - 2 weeks ago
Portsmouth, Virginia, United States Sprague Operating Resources LLC Full timeSprague is passionate about delivering the diverse products and programs that warm, power and move the world. We keep homes warm through Northeastern winters and hospitals cool through summer. We help small businesses focus on serving their communities, and our renewable fuels keep our country's infrastructure running. From importing wind energy components...
-
Nurse / LVN/LPN Job in Portsmouth, New Hampshire / Travel. Job in Portsmouth Allied-IT Jobs
Found in: beBee jobs US - 1 week ago
Portsmouth, Virginia, United States MAS Medical Full timeGeriatric/Long-Term Care NurseNew HampshireCurrently looking for a Geriatric Nurse for a great opportunity in the New Hampshire area. The ideal candidate will hold a current nursing license and possess 1-2 years of long term care experience. This individual will work with elderly patients with diseases that affect aging adults.Responsibilities of the...
-
Student Trainee
Found in: beBee jobs US - 1 week ago
Portsmouth, Virginia, United States Department Of Homeland Security Full timeSummary This position is located in the Department of Homeland Security, U.S. Coast Guard (USCG), Deputy Commandant for Mission Support (DCMS), CG-6, C5I Service Center (C5ISC), Operations Information Systems Product Line in Portsmouth, Virginia. Duties Start your Information Technology career here with us at the C5I Service Center (C5ISC), Operations...
-
Staff Accountant, Financial Reporting
Found in: beBee jobs US - 2 weeks ago
Portsmouth, Virginia, United States Sprague Operating Resources LLC Full timeSprague is passionate about delivering the diverse products and programs that warm, power and move the world. We keep homes warm through Northeastern winters and hospitals cool through summer. We help small businesses focus on serving their communities, and our renewable fuels keep our country's infrastructure running. From importing wind energy components...
-
Warehouse Worker
Found in: beBee jobs US - 2 weeks ago
Portsmouth, Virginia, United States Abbott Laboratories Full timeAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.About...
-
Anthem Blue Cross Careers
Found in: beBee S US - 2 weeks ago
Portsmouth, United States Anthem Full timeJob Description: The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or...
-
Case Manager
2 weeks ago
Portsmouth, United States Anew Behavioral Health Full timeJob DescriptionJob DescriptionSalary: From $19.00 per hourJob descriptionAnew Behavioral Health is a mental health agency seeking a professional and compassionate Case Manager in our Portsmouth, Ohio office. We are a growing agency that offers positive, strength-based services to help clients struggling with mental health issues. Candidate should be...
-
Emergency Department
Found in: Lensa US P 2 C2 - 5 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Emergency Department
5 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Emergency Department
5 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Emergency Department
Found in: Lensa US P 2 C2 - 4 days ago
Portsmouth, United States Trusted Health Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the thousands...
-
Emergency Department
Found in: Lensa US P 2 C2 - 7 days ago
Portsmouth, United States Trusted Health Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Emergency Department
7 days ago
Portsmouth, United States Trusted Health Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Store Manager
Found in: Talent US C2 - 1 week ago
Portsmouth, United States 7-Eleven Full timeI don't know if my timing is right or not, but I am reaching out to you regarding a Store Manager opportunity in your area and wanted to see if you might be open to briefly discussing a different role at this time with the world’s largest convenience store chain (by a lot!).Most people know that 7-Eleven is everywhere in the US and wouldn’t be...
-
RN PCNT
3 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
RN PCNT
3 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
STEPDOWN/TELE - Registered Nurse
5 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
STEPDOWN/TELE - Registered Nurse
5 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Travel Nurse
Found in: Talent US A C2 - 6 days ago
Portsmouth, United States Coast Medical Service Full timeCoast Medical Service is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Portsmouth, NH. Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2259.61 / Week Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for...
-
Travel Nurse
Found in: Talent US A C2 - 1 week ago
Portsmouth, United States Coast Medical Service Full timeCoast Medical Service is seeking an experienced Stepdown Unit Registered Nurse for an exciting Travel Nursing job in Portsmouth, NH. Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2263 / Week Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the...
-
Interventional Cardiac Unit
3 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Interventional Cardiac Unit
3 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Registered Nurse
4 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Registered Nurse
4 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...
-
Progressive care neuro trauma
4 days ago
Portsmouth, United States Trusted Health Careers Full timeTrusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...