783 jobs found

Job DescriptionHelp us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.Acts as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.* Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of...

A health insurance company is searching for a person to fill their position for a Telecommute Utilization Management Nurse 2. Candidates will be responsible for the following: Facilitating optimal care and treatment Understanding department, segment, and organizational strategy and operating objectives Following established guidelines/procedures Required Skills: Active RN license in the state(s) in which the nurse is required to practice Prior clinical experience preferably in an acute care, post-acute, skilled or rehabilitation clinical setting Must have good typing skills and proficiency using MS Office Word, Excel and Outlook Ability to work independently under general instructions and with a team SDL2017

Are you...?Looking for a position that is challenging, will keep your clinical skills sharp, but being doing so from the comfort of homeCompassion-driven, self-motivated, high-performing registered nurseYour critical thinking and clinical skills are top-notchReady for a fast-paced position where you interact with patients through innovative channels, while keeping your clinical abilities sharpWant to work for an organization poised for unprecedented growth-that offers work-from-home optionsThen we should talk.Carenet Healthcare Services is seeking an RN Clinical Care Advisor to join our team of talented professionals who provide telehealth and virtual care clinical triage assessments, health education and other services to diverse populations of patients and health plan members.At Carenet Health, our nurses play an important role in helping healthcare consumers live their healthiest lives. You may not know our name, but odds are, our nurses or clinical staff have connected with you...

Job Description Part Time Saturday & Sunday: Weekends Only (2) 10hr shifts 8am-6:30pm This position is work from home eligible after 4-6 months of meeting productivity goals and adhering to DMG's attendance policy. Must work in the Lisle office during the training period. DuPage Medical Group is the largest independent, multi-specialty physician group in the Midwest. We offer services in more than 70 specialty areas across 120+ locations. Our team is comprised of more than 750 physicians and 5,000 dynamic individuals who work collaboratively to transform healthcare for the thousands of patients we serve each day. Are you a self-motivated, organized and compassionate RN? Do you thrive in a fast-paced, progressive work environment? If so, DuPage Medical Group wants you! SUMMARY: Under the direction of the , responsible for telephone assessment of patients needs. Work requires the application of a variety of procedures, policies,...

Job DescriptionThis position will be working from home and will require the employee to be licensed and located in New YorkHelp us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing,...

POSITION PURPOSE The Director of Nursing is responsible for supervising all client care activities to assure compliance with current standards of accepted nursing and medical practice, occasionally supervising and training our caregivers, and supporting the overall direction of our home health clinical services. Our Registered Nurses establishes, implements, and evaluates client care plans, while focusing on the goals and objectives for our home health services and ensuring that the agency continually meets and promotes high standards of quality and contributes to the total organization philosophy. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel Identifies and evaluates client needs and appropriateness of home care by performing and reviewing the initial intake screening form before assignment of staff Reviews and investigates clinical content, diagnoses, medical history,...

Nice to meet you, we're Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise. At Vesta Healthcare, we enable people with personal assistance to thrive at home, in their community by assuring the people they rely on, their caregivers, have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise. Our analytics help identify and target the right people and populations. Our technology creates real-time connectivity and actionable data out of observations. Our services connect to real people who can help when needs arise, and our healthcare...

Job DescriptionThis position will be working from home and will require the employee to be licensed and located in Florida, Georgia or North CarolinaActs as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services.Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid...

Job DescriptionActs as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services.Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.Communicates with...

Nice to meet you, we're Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise. At Vesta Healthcare, we enable people with personal assistance to thrive at home, in their community by assuring the people they rely on, their caregivers, have the resources, data, and support they need. We achieve this through a combination of analytics, technology, services, and deep healthcare expertise. Our analytics help identify and target the right people and populations. Our technology creates real-time connectivity and actionable data out of observations. Our services connect to real people who can help when needs arise, and our healthcare...

Job DescriptionHelp us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country.Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to...

A healthcare company is seeking a Telecommute Registered Nurse Care Manager. Candidates will be responsible for the following: Deliver coordinated, patient-centered virtual Care Management by telephone and/or video Generate impactful care plans and help members achieve the desired goals Help members navigate complex medical conditions and the healthcare system in general Applicants must meet the following qualifications: Registered Nurse, licensed and in good standing with the nursing board of their state Reside and have an active license in a state covered by the Nurse Licensure Compact Willingness to become licensed in multiple states 2+ years experience working in Complex Care and Acute Case Management Comfortable discussing a wide variety of medical conditions Experience with Adult Care/Case Management SDL2017 Associated topics: ambulatory, asn, care unit, domiciliary, mhb, nurse, psychiatric, recovery, surgical, unit

A health insurance company has a current position open for a Telecommute Nurse Care Manager II. Candidates will be responsible for the following: Perform care management within the scope of licensure for members Assess, develop, implement, coordinate, monitor, and evaluate care plans Perform duties telephonically for discharge planning Must meet the following requirements for consideration: Requires 3 years of case management experience OR any combination of education and experience, which would provide an equivalent background Current, unrestricted RN license in applicable state(s) required Multi-state licensure is required if this individual is providing services in multiple states Home health/discharge planning experience preferred Certification as a Case Manager is preferred SDL2017

Job DescriptionThis position will be working from home and will require the employee to be licensed and located in New YorkHelp us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing,...

Description SHIFT: Work From Home SCHEDULE: Full-time Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join the nation's largest provider of healthcare services with HCA Healthcare We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program andemployee stock purchase program. We would love to talk to you about this fantastic opportunity. We value your contributions. Our employee recognition programs encourage our teams to raise the bar. We are currently seeking a work from home Data Abstractor IIto join our team. Come be a part of the change! As a Data Abstractor you will be responsible for abstraction of data for complex Congenital Heart services. What you will do in this role:...

Registered Nurses in the Optum at Home program work with patients primarily in their home setting. They perform as part of a care team including a Nurse Practitioner, Behavioral Health Advocate, Care Navigator and other supporting team members. They deliver role appropriate patient care through in-home visits, telephonic outreach and consultations, and interdisciplinary team activities. The Registered Nurse may perform care and counsel of the ill, injured, or infirm, in the promotion and maintenance of health with individuals, groups, or both throughout the life span. They help to manage health problems and coordinate health care for the Optum at Home patients in accordance with State and Federal rules and regulations and the nursing standards of care. This includes (but is not limited to) assessment of health status, development and implementation of plan of care, and ongoing evaluation of patient status and response to the plan of care. Clinical management is conducted in...

Job DescriptionActs as a liaison with member/client /family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services.Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate.Communicates with...

Job DescriptionThis position will be working from home and will require the employee to be licensed and located in FloridaHelp us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing,...

The ideal Certified Nursing Assistant (CNA) or Medical Assistant (MA) teammate would be A customer focused Certified Nursing Assistant (CNA) or Medical Assistant (MA) responsible for assisting the team in coordinating the care of members enrolled in Medicare's chronic care management program during each calendar month. This will primarily entail periodic telephonic outreach calls to members, caregivers, and other care team members as directed with documentation in the appropriate platform to ensure compliance. The Care Coordinator will collaborate with the supervising provider and staff to conduct outreach, assessment and service planning to coordinate care for the CCM patients. This Certified Nursing Assistant (CNA) or Medical Assistant (MA) will also provide administrative support to the team, preparing charts, organizing data, and supporting the operations of the team. The ideal teammate would be able to: Provide practice support including: contacting members,...

Come grow with us at AccessNurse! Are you looking for an exciting alternative to traditional nursing? Are you tired of 12 hour shifts and the physical wear and tear of working in the hospital? AccessNurse has an opportunity for you! The AccessNurse-TeamHealth Medical Call Center is a 24/7 Call Center offering telephone triage and Health Information services to Hospitals, Physician Offices, and Insurance Plans across the country. If you want to be a part of a growing industry and work from home, contact us today! We are searching for registered nurses of all backgrounds and levels of experience who are seeking an exciting and rewarding alternative to traditional nursing. If you are looking for a way to continue to care for patients without the wear and tear of working in a hospital you should send your resume today! We offer a wonderful work environment, excellent benefits, competitive pay and paid time off. Weekend and evening shifts are currently available. Now also...