1637 telephonic case manager jobs found

Genex Service LLC Telephonic Case Manager US--Remote Job ID: 24-17284 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International, Inc. Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Responsibilities This is a full-time, flexible work from home position and can be located anywhere in the U.S. RN Compact license required Must have CCM or COHN Perks: Full and...

Genex Service LLC Telephonic Case Manager US-NV-Remote Job ID: 24-17283 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International, Inc. Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Responsibilities This is a full-time, flexible work from home position and can be located anywhere in the U.S. RN Compact with a CA license Perks: Full and comprehensive benefits...

Genex Service LLC Telephonic Case Manager US-NC-Remote Job ID: 24-17266 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International, Inc. Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Responsibilities This is a full-time, flexible work from home position and can be located anywhere in the U.S. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays...

Location: Virtual• Arizona, USA• Texas, USA Req Number: Req #1187 Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. We are seeking a bilingual (Spanish speaking) Telephonic Case Manager with compact and CA RN licenses. The Telephonic Case Manager provides remote medical case management services to injured individuals, many of whom were industrially injured. A Telephonic Case Manager assists consumers in their recovery so that they may return to the highest level of function...

Genex Service LLC Telephonic Case Manager US--Remote Job ID: 24-17267 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International, Inc. Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Responsibilities This is a full-time, remote position and can be located anywhere in the U.S. *If you are not a fit for any of our current Telephonic Case Manager positions, please apply here to be contacted...

Genex Service LLC Telephonic Case Manager US-GA-Remote Job ID: 24-17243 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International, Inc. Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Responsibilities This is a full-time, flexible work from home position and can be located anywhere in the U.S. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in...

Genex Service LLC Telephonic Case Manager US-OK-Remote Job ID: 24-17213 Type: Regular Full-Time # of Openings: 1 Category: Case Management Mitchell International, Inc. Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Responsibilities This is a full-time, flexible work from home position and can be located anywhere in the U.S. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays...

Location: Virtual• Arizona, USA• Texas, USA Req Number: Req #1187 Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. We are seeking a bilingual (Spanish speaking) Telephonic Case Manager with compact and CA RN licenses. The Telephonic Case Manager provides remote medical case management services to injured individuals, many of whom were industrially injured. A Telephonic Case Manager assists consumers in their recovery so that they may return to the highest level of function as...

Location: Tampa, FL, USA ? Walnut Creek, CA, USA Req Number: Req #1154 Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. Paradigm is an accountable specialty care management organization that has historically been focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the...

We are currently offering a $5,000 sign-on bonus! WHO YOU ARE You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You're excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change. Does this sound like you? If so, we should talk. WHO WE ARE Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving...

Position Scope Hours for the Position: Must be able to work an 8-hour-shift between the business hours of 9a-9p EST. Flexibility is required to meet business needs. Must be open to work evenings. Nurse Case managers are healthcare professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through the healthcare journey. Additionally, the candidate will be responsible for the adoption and demonstration of the Care Solutions cultural beliefs. They will be responsible for role modeling the six cultural beliefs to drive personal accountability and organizational results. Customer Strong: I deliver world-class experiences for all my customers. Me to We: I take accountability to trust, partner, and deliver. Own It: I see a need and deliver value because I care. Evolve and Adapt: I learn and adapt to meet evolving business needs. Be Bold: I pioneer and...

Description: About us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service. What we offer Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, and company paid life insurance. 401k plan with company match, fully vested after 1 year. Paid holidays and time off. Work-life balance. No weekends or holidays! Hybrid setting; up to 2 days per week remote. Overview Our Chronic Condition Manager role allows you to utilize your...

Description: About us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service. What we offer Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, and company paid life insurance. 401k plan with company match, fully vested after 1 year. Paid holidays and time off. Work-life balance. No weekends or holidays! Hybrid setting; up to 2 days per week remote. Overview Our Chronic Condition Manager role allows you to utilize your...

Description: About us Hines is a nationwide, independent leader in personalized managed health care, focused on what's important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.'s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service. What we offer Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, and company paid life insurance. 401k plan with company match, fully vested after 1 year. Paid holidays and time off. Work-life balance. No weekends or holidays! Hybrid setting; up to 2 days per week remote. Overview Our Chronic Condition Manager role allows you to utilize your...

Summary of Position: Evernorth Home Based Care (ENHB), a division of The Cigna Group, is the premier home-based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous growth nationwide. At ENHB our focus is comprehensive care at home to improve outcomes and reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers. A main focus of our practice is: Comprehensive Health Risk Assessments (HRA): health plans contract with ENHB to conduct in-home comprehensive health assessments in order to ensure patient's medical well-being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement. ENHB In Home Primary Care Program (Model 2): health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort improve...

REQUIRED WORK HOURS: Full time job with a minimum of forty hours per week five days a week. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends and holiday time. As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined care experience for customers. The CN&S team is the destination for customers identifying a clinical need by providing one unique entry to address in the moment needs of the customer. You will help customers navigate the mental health system, including utilization of benefits and accessing direct care services. As clinicians we support customers and families facing challenges big and small. We want to make sure accessing care is easy and sensible. You will help customers to process the unexpected from an evidence-based perspective, tapping into customer's strengths. Common situations include routine/acute/urgent/emergent need for...

Summary of Position: Evernorth Home Based Care (ENHB), a division of The Cigna Group, is the premier home-based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous growth nationwide. At ENHB our focus is comprehensive care at home to improve outcomes and reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers. A main focus of our practice is: Comprehensive Health Risk Assessments (HRA): health plans contract with ENHB to conduct in-home comprehensive health assessments in order to ensure patient's medical well-being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement. ENHB In Home Primary Care Program (Model 2): health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort improve...

Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time Fluent in Dari/ Pashto Language Required Work Hours: 9:00 a.m.-5:30 p.m. PST. Major Job Responsibilities and Required Results for CM: Obtains informed verbal consent and takes all steps to obtain written consent. Acts with speed and purpose to identify, support and resolve customer healthcare needs. Establishes a collaborative relationship with the Customer, client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care. Sets a plan for short-term and long-term goals, time frames for follow-up, resources available (internal and community), involves all appropriate parties (client, physician, providers, employers, etc), and identifies anticipated case results/outcomes and criteria for case closure. Promotes quality cost-effective outcomes managing care needs through...

Nurse Case Management Lead Analyst -Remote -Full-Time Bilingual in Dari or Pashto language Required Work Hours: 9:00 a.m.-5:30 p.m. PST. Major Job Responsibilities and Required Results for CM: Obtains informed verbal consent and takes all steps to obtain written consent. Acts with speed and purpose to identify, support and resolve customer healthcare needs. Establishes a collaborative relationship with the Customer, client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care. Sets a plan for short-term and long-term goals, time frames for follow-up, resources available (internal and community), involves all appropriate parties (client, physician, providers, employers, etc), and identifies anticipated case results/outcomes and criteria for case closure. Promotes quality cost-effective outcomes managing care needs through the...

Primary Function: Responsible for coordinating the delivery of cost-effective, quality -based health care services for health plan customers by development and implementation of alternative treatment plans that address individual needs of the customer, their benefit plan, and community resources. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinates, monitor and evaluates options and services in order to facilitate appropriate healthcare outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality of care is maintained. Provides clinical assessments, health education, and utilization management to customers. Performs community visits or telephonic outreach to customers that have been identified for case management. Nurse Case Managers also Ideal...