- CVS Health (Oklahoma City, OK)
- …discharge, appropriate follow-up care , and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... each and every day. CVS Aetna takes a team-based approach to providing outstanding patient care . Transitional Care Manager is an integral part of the team.… more
- ChenMed (Cleveland, OH)
- …+ Facilitates interdisciplinary patient care rounds and/or conferences to review treatment goals, optimize resource utilization , provide family education and ... and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent in this role adheres… more
- Swedish Health Services (Seattle, WA)
- **Description** ** Care Manager RN - Emergency Department @ Swedish First Hill** **Full time** **Night Shift** **Fantastic benefits and compensation package ... what really matters - our patients.** The nurse case manager coordinates the care and service of...internal and external to the organization, to improve patient care through effective utilization and monitoring of… more
- Community Health Systems (Naples, FL)
- … Management is responsible for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, ... and aligned with patient needs and organizational goals. The Manager leads the daily operations of the Care...effectively, and in compliance with organizational standards. + Oversees utilization review and discharge planning processes to… more
- University of Southern California (Arcadia, CA)
- …timely and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The ... to support the physician and interdisciplinary team in the provision of patient care , with the underlying objective of enhancing the quality of clinical outcomes and… more
- UPMC (Delmont, PA)
- …healthcare resource utilization , case management interventions. Update the plan of care following review and communicate recommendations to the member and ... for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with... provider that promotes healthy lifestyles, closes gaps in care , and reduces unnecessary ER utilization and… more
- Commonwealth Care Alliance (Boston, MA)
- …supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager , and ... teams to ensure a seamless provider experience and consistent delivery of quality care . The BH Provider Engagement Program Manager reports to the Director… more
- Penn Medicine (Lancaster, PA)
- …license and daily access to an insured vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits ... _The Ambulatory Care Management team is actively seeking a new Ambulatory Care Manager to join their dynamic and patient-centered department. This role… more
- Trinity Health (Columbus, OH)
- …Case Management extender would work under the direction of the RN Care Managers, Utilization Review Care Manager and the Social Workers. This ... position functions with his/her peers and other care providers for problem solving and facilitating in-patient and...in HealthQuest + Communicate information received from payers to utilization review nurse. + Transmit continued stay… more
- Community Health Systems (Tucson, AZ)
- …Center in Tucson, AZ** **$5k sign on bonus offered to eligible experienced Care Manager RNs** **What You'll do:** Coordinates services through an ... activities of clinical review , discharge planning, resource utilization and utilization review . Acts...experience, prior case management experience preferred.** **Job Summary** The Care Manager - RN is responsible for… more