- CVS Health (Phoenix, AZ)
- …it all with heart, each and every day. **Position Summary** + The ** Case Management Coordinator** is a work-at-home position, working with contracted providers ... utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members… more
- State of Minnesota (St. Paul, MN)
- …providing administrative support in areas including data practices, document management , litigation management , or case management for a legal group or ... legal services, such as data practices, document management , litigation management , or case management for a legal group or division + Experience… more
- CVS Health (Austin, TX)
- …staff for further evaluation, and recognize triggers for referral into Aetna's Case Management programs to support continuity of care. Other responsibilities ... of claims payment issues - Supports the administration of the hospital care, case management and quality management processes in compliance with various law… more
- Kaleida Health (Buffalo, NY)
- …criteria as tools. Must possess working knowledge of Inpatient / payer / community case management , inpatient, outpatient, and the home health continuum, as well ... of care. Incumbent must maintain their knowledge of leading practices in case management , transition planning to post-acute setting, population health, clinical… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …providing inpatient and outpatient services. These services include intake, assessment, case management , advocacy, treatment, coordination of care and discharge ... group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management interventions used in the treatment of veterans with… more
- Baylor Scott & White Health (Dallas, TX)
- …care function of Baylor Scott and White Health (BSWH), which may include case management , social services, coordination of patient care, patient access, ... utilization management , and discharge planning. Directs the management and analysis of case management and comprehensive care of patients to improve… more
- UC Health (Cincinnati, OH)
- …limited to clinical effectiveness, discharge planning, care coordination, and clinical resource management . The Case Manager interacts with Medical, Nursing and ... The Case Manager utilizes advanced nursing skills and knowledge of resource management and fiscal responsibility to coordinate the clinical care for a designated… more
- Swedish Health Services (Edmonds, WA)
- …+ Upon hire: Washington Registered Nurse License + 6 years of experience in Case Management . + 2 years of Supervisory/ management experience, preferably in ... Case Management . + Case Management and supervisory/ management experience in an acute care hospital. + Nursing experience within a variety of complex… more
- CVS Health (Jefferson City, MO)
- …that include intake and outgoing calls for medical services. We work closely with both case management team and utilization management team. * The Care ... Stay) to clinical staff. * Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty Programs. *… more
- LA Care Health Plan (Los Angeles, CA)
- …California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - ... Care Management Specialist II Job Category: Clinical Department: Care...interactions and interventions with members, vendors, and providers. Maintains case information in the member's clinical records to promote… more