- Dignity Health (Glendale, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
- Sevita (Stillwater, MN)
- …care, advocacy, stakeholder relations, regulatory compliance, staffing, training, financial management and maintenance of the physical environment. **ESSENTIAL JOB ... to satisfactorily perform each essential function listed below: **Staff Management :** Oversees implementation of human resource practices including recruitment,… more
- Corewell Health (Grand Rapids, MI)
- …problem solving issues/concerns third party payer may have. Reports reviews needed to case manager . Qualifications Required + High School Diploma or equivalent + ... Primary Location SITE - 4700 60th St - Grand Rapids Department Name Utilization Management - Grand Rapids Hosp Employment Type Full time Shift Day (United States… more
- Elevance Health (Tampa, FL)
- **Medical Management Clinician** - Licensed Nurse **Locations:** Tampa, FL **Hybrid 1** : This role requires associates to be in-office 1-2 days a month, fostering ... : Monday - Friday, 8:00AM - 5:00PM Eastern Time The **Medical Management Clinician** is responsible for ensuring appropriate, consistent administration of plan… more
- Molina Healthcare (Grand Rapids, MI)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical… more
- Covenant Health Inc. (Lenoir City, TN)
- …givers and chart findings to ensure patient is meeting daily objectives. + Modifies the case management plan to meet the changing needs of the patient's clinical ... Overview Registered Nurse Care Manager , Quality Management PRN/OCC,Hours and Shifts...area of assigned responsibility.RN with 1 year acute hospital case management experience preferred. Licensure Requirement: Current… more
- CareFirst (Baltimore, MD)
- …and Grievances in a healthcare payor organization. 2 years' experience in Medical Review, Utilization Management or Case Management at CareFirst ... State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred + LNCC...regulatory and accreditation requirements, understanding of appeals process and utilization management , and systems software used in… more
- Albany Medical Center (Albany, NY)
- …and accurately. The Core Tech will support an integrated SPD/Sterile core/Supply Chain Management function in the operating room. Functions in the OR setting under ... the direction of the OR RN clinical manager (s). Assures surgeons' needs as identified on the surgical...as a liaison between the Surgery departments, SPD, Materials Management , and Clinical Engineering departments as necessary to assure… more
- HCA Healthcare (Ocala, FL)
- …of day as assigned by Manager /Director. + First line resource to Case Managers, Utilization Review, and Medical Social Workers. Elevates issues as ... Qualifications** The Social Worker is part of the integrated Case Management Team who collaborates patients and...Case Manages based on appropriate level of care, utilization of services and plan of care. Ensures equitable… more
- Immigration and Customs Enforcement (Washington, DC)
- …Regional Section Chiefs (RSCs) with effective management of unit operations and case management of patients in the non-IHSC facilities, ensuring timely and ... or evaluation of public health programs. Four years of case management experience and Incumbent must be...a Certified Managed Care Nurse, ANCC Board Certified Nurse Case Manager or a Certified Case… more