- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …that may encompass cross functional and strategic partners. * Acts as a clinical, care management , and business case consultant for leadership as they ... experience within insurance or health care setting in case /disease or utilization management * 3+ years of behavioral health experience * Bachelor's or… more
- Guthrie (Corning, NY)
- …reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) ... an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient...Essential Functions: 1. Assists to ensure that the right care is provided to patients in the right setting,… more
- Houston Methodist (Houston, TX)
- …treatment outcomes and affect positive patient and family outcomes. This position uses case management skills to help patients and their families address and ... FUNCTIONS** + Serves as a hospital/post acute-based leader for comprehensive case management activities including assessing high-risk patients and leading… more
- Community Health Systems (Bentonville, AR)
- … care . + Knowledge of federal, state, and accreditation standards related to case management and patient care . + Excellent communication and interpersonal ... years of clinical nursing experience required + Experience in utilization review, case management , or discharge planning preferred **Knowledge, Skills and… more
- Sharp HealthCare (La Mesa, CA)
- …the position, and employer business practices. **What You Will Do** The Case Management Social Worker provides appropriate patient/family counseling for issues ... work credentials in good standing.Complies with the Standards of Case Management Practice for Case ...to appropriately move the patient along the continuum of care . + Referral managementCollaborates with Case Manager… more
- Sutter Health (Modesto, CA)
- …2 years recent relevant experience. **SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care ... level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across… more
- Garnet Health (Middletown, NY)
- …other physicians involved in the critical care or surgery patient care units, nurses, case management , physical and occupational therapy ... physicians involved in the critical care or surgery patient care units, nurses, case management , physical and occupational therapy and with any other… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Care Facilitator Department: Case Management Location: Canton-Potsdam Hospital with floating to other hospital locations Hours Per Week: Per Diem ... of care and medical necessity in the Care Management Data base to support the... care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management … more
- Ascension Health (Glendale, WI)
- **Details** + **Department:** Case Management + **Schedule:** Full Time, Day Shift + **Hospital:** Columbia St Mary's + **Location:** Milwaukee and/or Glendale, ... salary range at the time of the offer._ **Responsibilities** Leads and directs case management services, workflow and resources. + Formulate and implement… more
- CommonSpirit Health (Englewood, CO)
- …II (PA) conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements and ... and efficient utilization of health care services. This individual meets with case management and health care team members to discuss selected cases and… more