Telephonic Clinical Case Manager

Anticipated End Date: Position Title:Telephonic Nurse Case Manager llJob Description:Telephonic Nurse Case Manager IILocation:This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Hours:Monday - Friday 9:00am to 5:30pm EST and 1 late evening 11:30am to 8:00pm EST. This position will service members in...

Job SummaryResponsible for carrying out utilization review, quality review and discharge planning on inpatient admissions at facilities without QRM review staff onsite according to policy. The activities will include telephonic initial admission and concurrent review for inpatient admissions, discharge planning, identification of patients for case...

Job SummaryThe Nurse Care Coordinator collaborates with other members of the case management and healthcare teams to ensure optimal patient outcomes. This role utilizes professional nursing skills to:Assist patients in achieving optimal health and wellness.Ensure appropriate use of healthcare resources.Facilitate and coordinate timely care along the...

About the RoleWe are seeking a skilled Nurse Case Manager II - Care Coordinator to join our team at Elevance Health. As a key member of our care management team, you will play a critical role in ensuring our members receive high-quality, patient-centered care.Key ResponsibilitiesAssess and Develop Care Plans: Conduct thorough assessments to identify...

About DeKalb Community Service BoardDeKalb Community Service Board (CSB) is a pioneering organization dedicated to providing community-based behavioral health and developmental disabilities services in the Atlanta metropolitan area. We cater to over 11,000 individuals annually, focusing on those who are uninsured and underinsured, and offer a comprehensive...

About DeKalb Community Service BoardDeKalb Community Service Board (CSB) is a pioneering organization dedicated to providing community-oriented behavioral health and developmental disabilities services in the Atlanta metropolitan area. We serve over 11,000 individuals annually, focusing on those who are uninsured or underinsured, and offer a comprehensive...

This position is a fulltime telework Case Manager RN position.Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.Community Care Case Manager use a collaborative process of assessment, planning, facilitation,...

About DeKalb Community Service BoardDeKalb Community Service Board (CSB) is a pioneering organization dedicated to providing community-based behavioral health and developmental disabilities services in the Atlanta metropolitan area. We cater to over 11,000 individuals each year, focusing on those who are uninsured or underinsured, and offer a comprehensive...

DeKalb Community Service Board (CSB) is a forward-thinking, community-oriented organization dedicated to providing behavioral health and developmental disabilities services in the Atlanta metropolitan area. We serve over 11,000 individuals each year, focusing on those who are uninsured or underinsured.As a public, not-for-profit entity, DeKalb CSB operates...

Job DescriptionSUMMARY The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to:assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care...

Join CVS Health and Make a DifferenceAt CVS Health, we are united by a common mission: to enhance every moment of your health. Our commitment to delivering personalized, human-centric healthcare is at the heart of everything we do.Position OverviewThe Registered Nurse Case Coordinator role is part of Aetna's National Medical Excellence (NME) team and offers...

Join CVS Health and Make a DifferenceAt CVS Health, we are united by a clear mission: to bring compassion to every aspect of health care. Our commitment to providing personalized, human-centric health solutions is at the heart of everything we do.Position OverviewThe Registered Nurse Case Coordinator role is part of Aetna's National Medical Excellence (NME)...

Shift - Standard | Mon to Fri Location – Remote (Case Manager – specializing in serious diagnoses for children with disabilities.) Job Overview: This role entails delivering case management services for TRICARE beneficiaries enrolled in the Extended Care Health Option (ECHO). The ECHO program is designed to supplement the TRICARE Basic...

Shift - Standard | Mon to Fri Location – Remote (Case Manager – serious diagnoses. Children/Pediatric with down syndrome, serious disabilities, physical disabilities.) Job Overview: This role involves delivering case management services to TRICARE beneficiaries enrolled in the Extended Care Health Option (ECHO). The ECHO program supplements...

Position Overview:As a Telephonic Sales Representative, you will be responsible for managing room service orders via telephone. Your role will involve addressing inquiries related to menu options and collaborating with kitchen personnel to ensure timely service.Key Responsibilities:1. Handle room service requests efficiently and accurately over the phone.2....

Shift - Standard | Mon to Fri Location – Remote (Case Manager – focusing on complex conditions in children, including Down syndrome and other significant disabilities.) Position Overview: This role involves delivering case management services to TRICARE beneficiaries enrolled in the Extended Care Health Option (ECHO). The ECHO program...

About the RolePacer Staffing is seeking a skilled RN Case Manager to join our team in a Disease Management role. As a key member of our healthcare team, you will be responsible for providing high-quality care to our patients with chronic conditions.Key ResponsibilitiesAssess patients to identify medical, physical, and psychosocial needs to support their...

20.3 miles from Marietta(Only QUALIFIED Healthcare Professionals accepted)Case Manager - RN Care ManagerAtlanta Sandy Springs Marietta, Georgia The RN Case Manager is responsible for systematic collection and review of patient activities related to appropriateness of level of care, timely and appropriate length of stay and services rendered, and...

Job SummaryWe are seeking a highly skilled Utilization Management Representative to join our team at Elevance Health. As a key member of our organization, you will play a critical role in coordinating cases for precertification and prior authorization review.Key ResponsibilitiesManage incoming calls and post-service claims work, ensuring timely and accurate...

Job Description**Job Summary:**We are seeking a highly skilled Clinical Logistics Nurse to join our team at Core Clinical Management LLC. As a Clinical Logistics Nurse, you will play a critical role in improving the quality and efficiency of care for hospitalized patients.Key Responsibilities:Process Improvement: Collaborate with Medical Directors to develop...