- McLaren Health Care (Bay City, MI)
- …+ **Three years of acute hospital care experience** _Preferred:_ + Experience in utilization management / case management , critical care, or patient ... **Department:** Case Management **Shift:** Days **Daily Work...Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management * Serve as the primary relationship manager and point… more
- Providence (Olympia, WA)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... as well as the standards of practice as outlined by the American Case Management Association Ensures ongoing professional development by remaining current with… more
- Providence (Olympia, WA)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... as well as the standards of practice as outlined by the American Case Management Association Ensures ongoing professional development by remaining current with… more
- Rush University Medical Center (Chicago, IL)
- …pediatric, adolescent, adult and /or geriatric patient, and expert knowledge in case management , discharge planning, social service, and criteria application. ... physician practices and inpatient teams to promote the effective utilization of services and coordination of patient centered care....1. Functions as an expert clinical practitioner within the Case Management team and serves as a… more
- Community Health Systems (Lufkin, TX)
- …responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role ... collaborative care planning. + Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions,… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with...work. On the job or formal training in certified case management , denial and appeals management… more
- UPMC (Pittsburgh, PA)
- …experience. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management required. ... Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Care Management Department...care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and… more
- Intermountain Health (Salt Lake City, UT)
- …Qualifications** + Care Management Certification + Demonstrated experience in case management , utilization review, or discharge planning. **Physical ... **Job Description:** The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management...**Education and Advocacy** : Educates healthcare team members about case management processes, appropriate referrals, and advocate… more
- Stony Brook University (Stony Brook, NY)
- …multidisciplinary care is provided to the patients. * Documents the case management plans such as clinical needs, barriers, utilization of resources via ... with barriers to care * Prior experience with Care Management or Utilization Management *..._ * _ _Bilingual_ _ * _ _Certified in Case Management , UM, Quality, Risk or MCG_… more