- Atlantic Health System (Pompton Plains, NJ)
- …of selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary ... patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill sets and tools. ... Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual...Fluent bilingual Spanish speaker * 1+ years of managed care experience; eg case management/health coach, utilization … more
- Atlantic Health System (Summit, NJ)
- …of selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary ... assessment, including SDOH and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities… more
- City of Durham (Durham, NC)
- …had to maintain HIPAA/Confidentiality standards? + Yes + No 08 Do you have experience with utilization review , and data management? + Yes + No 09 Do you have ... Care Navigation Program Manager Print (https://www.governmentjobs.com/careers/durhamnc/jobs/newprint/5151436) Apply Care Navigation Program Manager … more
- UPMC (Pittsburgh, PA)
- …UPMC, it will be a contract role employed by Strategic Consulting Partners (SCP). The Care Manager Associate (CMA) position will be part of the UPMC Health ... the CMA's collaborations, practical comprehension and hands-on experience in clinical care / utilization management will result by collecting and assisting with… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Social Work Care Manager Per Diem **Location** US:IL:Chicago **Req ID** 23388 ... promote the effective utilization of services and coordination of patient centered care . The CM contributes to the team's effectiveness by reviewing plans of … more
- Intermountain Health (Miles City, MT)
- …+ At least five (5) years of nursing experience- Prior knowledge of managed care / utilization review **Physical Requirements:** Ongoing need for employee ... responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing... with other health team members. **As a Case Manager RN you need to know how to:** +… more
- Magellan Health Services (Albuquerque, NM)
- …supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing ... in the development and on-going management of designated staff. + Performs care management review activities consistent with Magellan policies, procedures, and… more
- Mental Health Association of SCK (Wichita, KS)
- Overview: The Care Manager will work with the One...at the completion of initial HAP and at each review update. + Completes and submits the HAP through the ... to recruit, enroll and coordinate cases for OCK. The Care Manager is responsible for coordination of...with clients, families, and the community. + Ensures proper utilization of supplies and resources. + Assists with transitioning… more
- CareFirst (Baltimore, MD)
- …related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review , Disease Management or other direct patient care ... & Qualifications** **PURPOSE:** We are looking for an experienced Care Manager to support our Maryland Medicare...determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical… more