- Guthrie (Sayre, PA)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Dartmouth Health (Bennington, VT)
- The Health Resource Manager is responsible for providing case management services for SVMC sub acute patients.The case manager is responsible for ... nursing experience required. Prior experience in utilization review, discharge planning and/or case management preferred. VT Nursing License required by date of… more
- Iowa Department of Administrative Services (Johnston, IA)
- …and ESF 6 agencies during a federal declaration with individual assistance and/or federal disaster case management . Must be fluent in the use of WebEOC incident ... Disaster Case Advocacy Program Coordinator (Emergency Management ...Disaster Case Advocacy Program Coordinator (Emergency Management Specialist 2) Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5169348) Apply Disaster… 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 ... to providing an inclusive, equitable and diverse place of employment. The Case Manager utilizes advanced nursing skills and knowledge of resource management… more
- Bozeman Health (Bozeman, MT)
- …+ Previous ICD-10 and CPT coding + Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job Functions: In ... are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77212050 Patient Access Management more
- CVS Health (Springfield, IL)
- …themselves. This role is responsible for assessing, planning, implementing, and coordinating case management activities to support members' overall health and ... techniques to engage members and assess health status. + Document case management activities in compliance with regulatory and company policies. **Travel… more
- Beth Israel Lahey Health (Boston, MA)
- …the care transitions team, working collaboratively with the Inpatient RN Case Managers. The Discharge Planning Assistant is responsible for performing administrative ... transition services + Provides direct support to the RN Case Manager in the clinical units + Verifies patient...vendors, rehabilitation facilities, etc. + Collaborates with the RN Case Manager to facilitate timely discharge to the next… more
- WellSpan Health (Waynesboro, PA)
- …**General Summary** Performs a variety of duties and applies utilization and care management techniques to determine the most efficient use of resources to support ... Provides leadership in the integration of utilization and care management principles throughout the hospital. **Duties and Responsibilities** **Essential… more
- Guthrie (Cortland, NY)
- Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert Packer ... Business Office, is responsible for the coordination of Utilization Management (UM) processes and requirements of prior authorization/certification for reimbursement… more
- State of Massachusetts (Bristol County, MA)
- …*Position Summary:* This position involves a high level of professional legal and case management work of complex difficulty. The employees in this position ... case calendars and Departmental Time Standards. * Conducts case management conferences and pretrial conferences as assigned by First Justice. Handles… more