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Centene Corp.
Newark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in Morris and/or Essex County NJ Develop, assess and adju
Job Source: Centene Corp.Village Care
New York
Job Description Job Description RN - Care Manager MLTC/MAP/DSNP *Fully Remote* Join our team at Village Care as a Full Time RN- Care Manager! This exciting position offers the opportunity to work remotely, providing care and support to our members in the greater NYC area. As an integral part of our team, you will have the chance to showcase you
Job Source: Village CareIntegris Health
New York
INTEGRIS Health Baptist Medical Center, Oklahoma's largest not-for-profit health system has a great opportunity for a RN Care Manager in Oklahoma City, OK. In this position, you'll work 8a-4p, Full-time, with our Cardiology team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of par
Job Source: Integris HealthWellcare New Jersey
Newark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in Morris and/or Essex County NJ Responsibilities: Devel
Job Source: Wellcare New JerseyAtlantiCare
Atlantic City, NJ, United States
Job Description POSITION SUMMARY The Nurse Care Manager utilizes expert clinical skills and a disease specific knowledge base to assist identified patients through the continuum of care in an effort to provide appropriate, quality care in a cost-effective manner. The Nurse Care Manager conducts daily assessments to identify high risk patients and
Job Source: AtlantiCareCentene Corporation
Newark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in Essex and/or Hudson County NJ Develop, assess and adju
Job Source: Centene CorporationOklahoma Complete Health
Newark, NJ, United States
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must reside in Essex and/or Hudson County NJ Develop, assess and adju
Job Source: Oklahoma Complete HealthANS Home Health Services, Inc.
, ID, United States
Chose ANS as Your Next Employerto be aRNCare Manager for My Choice Family Care What’s different about a career in Nursing (RN) Care Management? It gives you the ability to serve a wide variety of clients It’s a departure from traditional nursing with opportunity to help others understand their diagnoses, manage their health, and improve their liv
Job Source: ANS Home Health Services, Inc., NY, United States
Immediate need for a talented Care Manager I RN . This is a 03+ Months contract opportunity with long-term potential and is located in EST, but Must have NY licensure (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID: 24-19306
Pay Range: $38 - $42/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Remote telephonic case management, Care manager (CM) follows model of care to assist member in managing health care needs.
Conducts initial assessments, medication review, develops care plan with member, identifies member needs and connects member with appropriate resources to meet health care needs.
Interacts with members care team, community services, vendors.
Follows up with member every 30 days at minimum to review conditions, progress toward goals, and ensure member is receiving requested information and/or services.
Provides education on member health plan and coverage and management of identified health conditions.
Describe the performance expectations/metrics for this individual and their team:
CM caseload expectation is 75 actively managed members, Audit score of 90%or greater, Case duration 90 days.
Tell me about what their first day looks like:
First day is usually corporate HR training, Setting up company issued equipment and access necessary to perform role specific duties.
Key Requirements and Technology Experience:
Registered Nurse, 5 plus years clinical RN experience
Compact License
What previous job titles or background work will in this role?
RN, experience in case management preferred, clinical nursing background of 5 years or more.
Preferred Skills:
Medicare Case management experience
CCM certification
Education Requirement: RN
Software Skills Required : Computer literacy, needs to be able to work independently
Required Certifications: RN
Our client is a leading Healthcare organization, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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Care Manager I RN jobs in , NY, United States
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