- CDPHP (Latham, NY)
- …Registered Nurse Case Manager is responsible and accountable for coordinating the care of CDPHP members who meet case management criteria across the continuum of ... fax machine and mail. The Medicaid Special Programs Case Manager typically works in the telephonic managed care...and education regarding plan requirements. + Demonstrated ability to review health care delivery against established criteria… more
- HCA Healthcare (Myrtle Beach, SC)
- …quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** ... career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of...encourage you to apply for our RN or LMSW Manager Case Management opening. We promptly review … more
- Bon Secours Mercy Health (Greenville, SC)
- …driver of network growth, retention, and utilization to improve the quality of care in our markets. The Network Manager supports and engages with affiliate ... At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Nursing 4 years nursing in an acute hospital or 2 years Case Management, Utilization Review , or Discharge Planning experience in an acute hospital PREFERRED ... of care . Their focus includes coordinating discharge needs, quality of care , and implementing the utilization management process for acute inpatients. Case… more
- HCA Healthcare (San Antonio, TX)
- …quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization . **Essential Job Functions:** 1. ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...growth, we encourage you to apply for our Nurse Manager of Case Management opening. We promptly review… more
- Immigration and Customs Enforcement (Washington, DC)
- …of command. Perform other duties and responsibilities as assigned. 16. Utilization review /management for inpatient behavioral health hospitalization for IHSC. ... Summary The Behavioral Health Case Manager is a non-supervisory role within. The incumbent coordinates behavioral health services for individuals in ICE custody,… more
- UCLA Health (Santa Monica, CA)
- …safe, high quality, efficient, and cost-effective care . You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... skills, you will be responsible for assessing and coordinating care for a diverse group of patients. You will...Knowledge of a large university teaching hospitals Preferred: Strong Utilization Review experience and understanding of CMS… more
- General Dynamics Information Technology (Hurlburt Field, FL)
- …proof of all training/certs/documentation. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential ... to analyze the full scope of problems associated with providing appropriate, cost-effective care to beneficiaries. **HOW A NURSE CASE MANAGER WILL MAKE AN… more
- Beth Israel Lahey Health (Cambridge, MA)
- … teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning for ... MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the Inpatient Case ...identifies and communicates to the team opportunities for providing care in the most appropriate setting. 2. The Case… more
- Dartmouth Health (Bennington, VT)
- …matriculated into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management preferred.3-5years of ... The Health Resource Manager is responsible for providing case management services...experience and BS required. BSN preferred. Prior experience in utilization review , discharge planning and/or case management… more