- AmeriHealth Caritas (Columbia, SC)
- **Role Overview;** The Care Manager II is responsible for managing and coordinating care, services, and social determinants of health for Members with acute, ... gaps in care and barriers to care. The Care Manager II develops a plan of care...electronic care management platforms where applicable + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- Sutter Health (Oakland, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... **CERTIFICATION & LICENSURE** + RN-Registered Nurse of California Required + Certified Case Manager (CCM) Preferred. **EXPERIENCE** + Minimum of 2 years… more
- Elevance Health (Richmond, VA)
- …unless an accommodation is granted as required by law The **Behavioral Health Care Manager II - Virginia** is responsible for managing psychiatric and substance ... a requirement for this position. + Previous experience in case management/ utilization management with a broad range...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …auditor within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** ;The Care Manager II is responsible for managing and coordinating care, services, and social determinants of health for medically fragile ... interactions in the electronic care management platforms. + Monitor appropriate utilization and coordinate services with other payer sources, make appropriate… more
- Elevance Health (Rocky Hill, CT)
- **JR168947 Behavioral Health Care Manager II ** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... professional treatment health benefits through telephonic or written review. The BH Care Manager (UM) job progression is primarily a provider facing role although it… more
- State of Massachusetts (Boston, MA)
- …is seeking an organized and dynamic individual for the position of Human Services Coordinator II (CYF Case Manager Supervisor) to join our Metro Boston ... II has the responsibility of monitoring performance and utilization of assigned Area-based CYF contracts and serving as...14 days.* Based on assignment as a Mental Health Case Manager or Forensic Transition Team Coordinator,… more
- HCR Home Care (Canton, NY)
- …the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. Essential Functions ... and short - term plans, when appropriate, including the utilization of community support with the goal of reducing...to success. + Prepare concise, accurate , and timely case notes which are incorporated into the client's records.… more
- Covenant Health Inc. (Lenoir City, TN)
- …excellent care to every patient, every time. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice into ... as a clinical resource and consultant to the health care team. The RN Care Manager II is responsible for promoting patient care coordination and quality through… more
- Highmark Health (Monroeville, PA)
- …**LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... to employees. Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville....- American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for … more