- Seattle Children's (University Place, WA)
- …from 1:30-5:30pm. This is a remote position, with residence required in Washington state. The RN Care Manager works to improve the health of and reduce the cost ... of care for children. The Care Manager is responsible for assuring program-specific transitional care, ED...community outreach and collaboration with care teams. Experience in case management serving complex children and families. Per the… more
- Luke Staffing (Agana Heights, GU)
- …social work and social work CM services. . Provide patient referrals. Interface with the MTF RN Case Manager (s) in the development and implementation of the ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER ** **SITE OF SERVICE:** ....on Social Work Education (CSWE). . **Cardiac Certifications** : Must have the following hands-on certification through the American… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …18 month commitment before posting for other internal positions\. **Job Qualifications** _License_ + Registered Nurse \( RN \) with active license in the state ... the BlueCare team at BCBST as a Clinical Review Manager \!** In this role, you will complete medical reviews...opportunity to collaborate with the BlueCare Utilization Management team, Case Managers, and other departments\. The ideal candidate for… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting centralized clinical review and authorization creation for… more
- BeOne Medicines (San Mateo, CA)
- …and compliant manner. The position requires an experienced and confident manager who can collaborate with multiple stakeholders internally and externally ensure ... if necessary + Collaborate with GPS functions to ensure alignment among case intake, submission, reconciliation training and any other PV activities + Conduct… more
- Luke Staffing (Yigo, GU)
- …+ **Licensure:** Current, full, active, and unrestricted license to practice as a Practical OR Registered Nurse in any one of the 50 States, the District of ... ** NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** +...active duty, reserve/guard admissions to civilian hospitals and notifies case manager and Patient Administration Element daily.… more
- Commonwealth Care Alliance (Springfield, MA)
- …across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports. ... + Document all visits with focus on clear, comprehensive, and concise charting. Must be able to document in English. + Identify, document, and execute a… more
- Commonwealth Care Alliance (Springfield, MA)
- …and meet his/her needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not have direct reports. ... + Documents all visits with focus on clear, comprehensive, and concise charting. Must be able to document in English. + Completion of all tasks within… more
- BlueCross BlueShield of Tennessee (Lawrenceburg, TN)
- …lieu of a degree, have 5\+ years' experience as an independent Support Coordinator or case manager for service recipients in a 1915\(c\) HCBS Waiver and have ... an 8:00am - 5:00pm \(no on call\) schedule\. + Must live within 50 miles of Lawrenceburg area; ideal...be required for this position\. **Job Qualifications** _Education_ + RN , with a preference that such individuals also have… more
