- HonorHealth (AZ)
- …and Certifications Registered Nurse (RN) State And/Or Compact State Licensure - Required Certified Case Management (ACM) Case Management Certification - ... (such as timeliness and appropriateness of services). Collaborates with physicians, case managers, payers and others to appeal individual denials and trended… more
- AdventHealth (Parker, CO)
- …state of CO or compact nursing license **Preferred qualifications:** + Bachelor's of Nursing + Certified Case Manager (CCM) + Accredited Case Manager (ACM) + ... Experience in utilization management or case management This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination… more
- Hackensack Meridian Health (Edison, NJ)
- …Health Care Life Support HCP Certification. **Licenses and Certifications Preferred** : + Certified Case Manager or Accredited Case Manager Certification. If ... Health needs. The navigator is accountable for a designated case load determined by the careful daily selection of...of health care delivery system, utilization and review and case review procedures. + Knowledge of Social Determinants of… more
- Sutter Health (Modesto, CA)
- …+ RN-Registered Nurse of California + OR LCSW-Licensed Clinical Social Worker + CCM- Certified Case Manager **PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:** + ... (or current enrollment with completion within 2 years) in Case Management or Health Administration with relevant acute hospital...A broad knowledge base of health care delivery and case management within a managed care environment required. +… more
- Molina Healthcare (Coralville, IA)
- …waiver services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing ... enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in...Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or… more
- UnityPoint Health (Rock Island, IL)
- …services for medical needs. Qualifications Education: + Registered Nurse + CCM ( Certified Case Manager) License(s)/Certification(s): + Compact Nursing License / ... a difference with UnityPoint Health. Responsibilities + Performs utilization and case management reviews using established criteria to confirm medical necessity,… more
- Molina Healthcare (Rochester, NY)
- … Certified Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management ... (CPHM), Certified Professional in Healthcare Quality (CPHQ) or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more
- CONCIERGE CARE (Jacksonville Beach, FL)
- …| Weekly Pay | W-2 Role Concierge Care is hiring immediately for a home care case in Jacksonville Beach, FL. We're looking for a dependable CNA or HHA to assist a ... Apply today to start onboarding and be matched with this Jacksonville Beach case immediately. Flexible coverage options available! Please do not apply if you do… more
- Molina Healthcare (MI)
- …+ Active, unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... regulation or state board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral health settings. +… more
- Molina Healthcare (Cincinnati, OH)
- …* Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral ... members per regulated timelines and determines who may qualify for care coordination/ case management based on clinical judgment, changes in member health or… more