Care Manager

7 days ago


Montgomery, Alabama, United States CVS Health Full time
Job Summary

Care Managers at CVS Health play a vital role in improving the health outcomes of our members. As a member of the Care Team, you will be responsible for the care management of members with limited health conditions, working in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team.

Key Responsibilities
  • Interact with members via phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals, and interventions.
  • Create care plans for members to follow based on assessments and claims data.
  • Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the member's healthcare needs, barriers to care, and explore better outcomes for the member.
  • Identify and link members with health plan benefits and community resources.
  • Perform administrative work to maintain skills needed for job duties.
Requirements
  • 3+ years' experience in a health-related field.
  • 2+ years of customer service experience.
  • 2+ years of experience with claims.
Preferred Qualifications
  • Master's degree.
  • CRC, CDMS, CRRN, COHN, or CCM certification.
  • Medicare and Medicaid experience.
  • Managed care experience.
  • Experience working with geriatric special needs, behavioral health, and disable population.

  • Managed Care Biller

    2 weeks ago


    Montgomery, Alabama, United States Capitol Hill Healthcare Full time

    Job SummaryThe Managed Care Biller is a key member of our team at Capitol Hill Healthcare, responsible for managing the billing and accounts receivable process for residents covered by managed care plans within our Skilled Nursing Facility.Key ResponsibilitiesSubmit accurate and timely claims to managed care organizations for services provided to...

  • Managed Care Biller

    3 weeks ago


    Montgomery, Alabama, United States Capitol Hill Healthcare Full time

    Job SummaryThe Managed Care Biller is a critical role within our Skilled Nursing Facility, responsible for managing the billing and accounts receivable process for residents covered by managed care plans. This position involves working with managed care organizations, processing claims, and ensuring accurate and timely reimbursement.Key...

  • Nurse Care Manager

    2 weeks ago


    Montgomery, Alabama, United States Montgomery Full time

    Join Our Team as a Nurse Care ManagerWe are seeking a skilled and compassionate Nurse Care Manager to join our team at Right at Home in Montgomery. As a Nurse Care Manager, you will play a vital role in delivering high-quality care to our clients in the comfort of their own homes.About the RoleThis is a unique opportunity to work with a highly innovative...

  • Care Manager RN

    5 days ago


    Montgomery, Alabama, United States Area Agency on Aging, PSA2 Full time

    Job Title: Care Manager Registered NurseWe are seeking a compassionate and skilled Registered Nurse to join our team as a Care Manager. In this role, you will work closely with our consumers to provide personalized care and support, helping them to maintain their independence and dignity.About UsThe Area Agency on Aging, PSA 2 is a nonprofit organization...

  • Care Manager RN

    21 hours ago


    Montgomery, Alabama, United States Area Agency on Aging, PSA2 Full time

    Job Title: Registered Nurse Case ManagerWe are seeking a compassionate Registered Nurse to join our team as a Case Manager. As a Case Manager, you will work closely with our consumers to provide personalized care and support, helping them to maintain their independence and dignity.About UsThe Area Agency on Aging, PSA 2 is a nonprofit organization dedicated...


  • Montgomery, Alabama, United States Care Team Solutions Full time

    Job Title: Intensive Care Unit NurseCare Team Solutions is seeking a skilled Intensive Care Unit Nurse for a travel nursing opportunity in a dynamic healthcare setting.Job Summary:We are looking for a dedicated and compassionate Intensive Care Unit Nurse to join our team. As a travel nurse, you will have the opportunity to work in a new and challenging...


  • Montgomery, Alabama, United States Capitol Hill Healthcare Full time

    Job SummaryThe Managed Care Biller is responsible for managing the billing and accounts receivable process for residents covered by managed care plans within our Skilled Nursing Facility.Key ResponsibilitiesSubmit accurate and timely claims to managed care organizations for services provided to residents.Verify that all necessary documentation and...


  • Montgomery, Alabama, United States Care Team Solutions Full time

    Job Title: Intensive Care Unit NurseCare Team Solutions is seeking a skilled Intensive Care Unit Nurse for a travel nursing opportunity in a dynamic healthcare setting.Job Summary:We are looking for a dedicated and compassionate Intensive Care Unit Nurse to join our team. As a travel nurse, you will have the opportunity to work in a new and challenging...


  • Montgomery, Alabama, United States Care Team Solutions Full time

    Job Title: Intensive Care Unit NurseCare Team Solutions is seeking a skilled Intensive Care Unit Nurse for a travel nursing opportunity in a dynamic healthcare setting.Job Summary:We are looking for a dedicated and compassionate Intensive Care Unit Nurse to join our team. As a travel nurse, you will have the opportunity to work in a new and challenging...


  • Montgomery, Alabama, United States Care Team Solutions Full time

    Job Title: Intensive Care Unit NurseCare Team Solutions is seeking a skilled Intensive Care Unit Nurse for a travel nursing opportunity in a dynamic healthcare setting.Job Summary:We are looking for a dedicated and compassionate Intensive Care Unit Nurse to join our team. As a travel nurse, you will have the opportunity to work in a new and challenging...


  • Montgomery, Alabama, United States Care Team Solutions Full time

    Job DescriptionJob Title: Intensive Care Unit Registered NurseJob Summary:We are seeking a highly skilled and experienced Intensive Care Unit Registered Nurse to join our team at Care Team Solutions. As a critical care nurse, you will be responsible for providing high-quality patient care to critically ill patients in a fast-paced and dynamic...


  • Montgomery, Alabama, United States Care Team Solutions Full time

    We're seeking a skilled Intensive Care Unit Registered Nurse to join our team at Care Team Solutions. As a travel ICU RN, you'll have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care and collaborating with a talented team of healthcare professionals.Key Responsibilities:Provide direct patient care in the...


  • Montgomery, Alabama, United States Wise Medical Staffing Home Care Full time

    Job SummaryWe are seeking a compassionate and skilled Personal Care Aide to join our team at Wise Medical Staffing Home Care. As a Personal Care Aide, you will provide essential care and support to individuals in their homes, promoting their independence and well-being.ResponsibilitiesPersonal Care: Assist clients with daily living activities, including...


  • Montgomery, Alabama, United States Humana Full time

    About the RoleWe are seeking a highly skilled and compassionate Care Management Support Assistant to join our team at Humana. As a Care Management Support Assistant, you will play a critical role in supporting our members in achieving their optimal health and well-being.Key ResponsibilitiesComplete comprehensive Health Risk Assessments with Humana members...


  • Montgomery, Alabama, United States Baptist Health Full time

    About Baptist HealthBaptist Health is a leading healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in the region.Job SummaryThe Pharmacist shall be responsible for medication order entry, preparation, and distribution for patients. This role requires a high level of...


  • Montgomery, Alabama, United States Wise Medical Staffing Home Care Full time

    Job Title: PCA (Personal Care Aide)At Wise Medical Staffing Home Care, we are seeking a compassionate and dedicated PCA (Personal Care Aide) to join our team.Responsibilities:Provide personalized care and assistance to individuals in their homes, promoting independence and dignity.Assist with daily living activities, including bathing, dressing, grooming,...


  • Montgomery, Alabama, United States Griswold Home Care for North Houston Full time

    Job OpportunityWe are seeking highly qualified caregivers to provide personalized care to our clients in their homes.Key Responsibilities:Provide hands-on care to clients in their homesAssist with daily living activities, such as bathing, dressing, and groomingPrepare meals and snacksAssist with medication managementProvide companionship and emotional...

  • Nurse Care Manager

    4 weeks ago


    Montgomery, Alabama, United States Right at Home Montgomery Full time

    About Right at Home MontgomeryWe are a leading provider of in-home health care services, dedicated to delivering high-quality care to our clients in the comfort of their own homes. Our team of experienced professionals is committed to making a positive impact on the lives of our clients and their families.Job SummaryWe are seeking a skilled and compassionate...

  • Nurse Care Manager

    3 weeks ago


    Montgomery, Alabama, United States Montgomery Full time

    Unlock Your Nursing Potential with Right at HomeWe're seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Nurse Care Manager - Private Duty. As a key member of our home care team, you'll have the opportunity to make a meaningful difference in the lives of our clients and their families.About the RoleAs a Nurse Care Manager,...


  • Montgomery, Alabama, United States Wise Medical Staffing Home Care Full time

    Job SummaryWe are seeking a compassionate and skilled Personal Care Aide to join our team at Wise Medical Staffing Home Care. As a Personal Care Aide, you will provide essential care and support to individuals in their homes, promoting their independence and well-being.Key ResponsibilitiesPersonal Care Assistance: Assist clients with daily living activities,...