- Mirror (Newton, KS)
- …by the sites Regional Area Director . + Maintain a record of all case management and peer mentoring activities and documentation of the wellness plan within ... applicable laws and regulations. The AA/PCCM is responsible for handling clerical and case management duties at these locations, which include answering the… more
- CVS Health (Springfield, IL)
- …support and medical expertise and oversight to all areas within the clinical services including Care Management , Utilization Management , Population ... facilities to support the effective execution of medical services programs by the clinical teams. Support management of medically complicated care and lead… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **RN Manager - Case Management & Utilization Management ** **Location:** Holy Cross ... is seeking a dynamic and experienced **RN Manager - Case Management & Utilization Management **...care coordination and utilization review team. Reporting to the Director of Care Management , this role is… more
- UNC Health Care (Kinston, NC)
- …The Manager provides efficient and effective delivery of patient care through case management process. Works toward desirable patient outcomes with MD, ... care. Functions on a highly interactive level, demonstrating knowledge of care management , clinical expertise, understanding of community resources, and resource… more
- The Cigna Group (Bloomfield, CT)
- **Summary:** + The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization review ... criteria and renders a clinical opinion about the medical service under review while...attest to review qualifications as required. + Conduct weekly Case Conferences with nursing and social worker teams; discussing… more
- Outreach Development Corporation (Brentwood, NY)
- …health). The primary duties and responsibilities include, but are not limited to: + Provide clinical case - management supervision to case managers of the ... rewarding work environment. Outreach is seeking a qualified Community Residence Assistant Director to work in our Residential Program located at 998 Crooked Hill… more
- BrightStar Care (Naples, FL)
- …QI, quarterly and annually Audits * Ensure oversight of quality of care provided / Case Management * Incident report * Occurrence report * Joint Commissions / ... home health, we invite you to apply for the Director of Nursing position. Join us in making a...administrative duties in the office as well as providing clinical over-sight in the field. * Schedule - Monday… more
- Hunterdon Health Care System (Flemington, NJ)
- …Certificate and/or Advanced Specialized or Specialty Training in Care Coordination or Case Management . Minimum Years of Experience (Amount, Type and Variation): ... Required: ? Five years clinical experience 3-5 years management experience in...medical setting, to include direction of Care Coordination and/or Case Management . License, Registry or Certification: Required:… more
- Project Renewal, Inc. (Bronx, NY)
- …Manager, the Case Manager is responsible for providing the required assessment, case management , and counseling services to clients, enabling them to address ... Conducts intake and assessments, including psycho-social evaluations for assigned case load. + Provides case management...appointments. + Performs other duties as assigned by the Director of Social Services or the Senior Case… more
- Apex Health Solutions (Houston, TX)
- Summary Responsible for providing case management services and support to improve health outcomes via a coordinated approach. The Case Manager works in ... services appropriate to the member being served. Reports to: Director , Health Services Location: Houston, TX area; will consider...the state of Texas or Compact state. Certification in Case Management preferred (CCM or ACM) EXPERIENCE… more