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Elevance Health
Overview
The RN Case Manager performs care management for members with complex and chronic needs by developing and monitoring individualized care plans. Responsibilities include conducting virtual and in-person assessments and coordinating internal and external resources to optimize member health.
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Compensation
Salary not listed
Posted
7 days ago
HealthCheck360
The RN Case Manager will assess, plan, and coordinate care for assigned consumers to ensure quality and cost-effective treatment. They will also serve as a liaison between consumers and benefit administrators while providing telephonic case management and utilization review.
9 days ago
Somatus, Inc.
Field Based Nurse Case Managers are responsible for outreaching and scheduling member face-to-face visits to support higher risk members. They develop trusting relationships with nephrology practices to improve members' health outcomes.
Herself Health
The RN provides exceptional care to women 65+ through Transitional Care Management and triage to reduce hospital readmissions. They collaborate with a multidisciplinary team to educate patients and manage health conditions within a value-based care model.
$35 / HOUR
1 month ago
RAS Companies
Coordinate and facilitate case management services to assist injured workers in achieving maximum medical improvement. Attend appointments with injured workers and medical providers while managing telephonic case management duties.
2 months ago
CorVel Corporation
The role involves providing in-person and telephonic Medical Case Management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending provider visits, and coordinating necessary care like durable medical equipment.
$63,739 - $95,264 / YEAR
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, utilizing clinical expertise to assess treatment plans and communicate with physicians. Responsibilities include providing medical case management, evaluating treatment appropriateness, implementing care coordination, and devising cost-effective medical strategies.
$66,941 - $101,258 / YEAR
The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and coordinating necessary care like durable medical equipment.
3 months ago
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness using clinical expertise and communicating directly with treating physicians to evaluate and recommend alternative care options.
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. Responsibilities include providing medical case management, assessing treatment plan appropriateness, and communicating recommendations to physicians and payers.
$52,306 - $93,123 / YEAR
UnitedHealth Group
The role involves implementing daily telephonic case management interventions for high-risk members by assessing needs and coordinating discharge plans with clinical teams while following members in the acute inpatient setting. Key duties include evaluating discharge needs, coordinating post-discharge care with providers, participating in rounds, and arranging necessary post-hospital services.
$60,200 - $107,400 / YEAR
AmTrust Financial Services, Inc.
The primary purpose is to provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider, and employer. Responsibilities include utilization review, pharmacy oversight, and care coordination while partnering with adjusters on a holistic approach for each claim.
$66,900 - $91,000 / YEAR
Community Health Plan of Washington
The Case Manager I is responsible for telephonic case management for members with acute, chronic, and complex needs, advocating on their behalf and facilitating resource coordination to achieve optimal functional levels. This role involves assessing, evaluating, planning, implementing, and documenting care within the clinical database system while collaborating with providers, members, and health plan partners to ensure positive health outcomes.
$78,960 - $122,390 / YEAR
4 months ago
The Case Manager I performs telephonic case management for members with acute, chronic, and complex needs, advocating on their behalf and coordinating resources to achieve optimal functional levels. Responsibilities include assessing, evaluating, planning, implementing, and documenting care within the clinical database system, ensuring access to appropriate services and collaborating with multidisciplinary teams.
6 months ago
