- HCA Healthcare (Dallas, TX)
- …a formal pre-admission assessment for acute inpatient rehab through their assigned case manager . + Once Case Management has completed the Patient Choice ... placement through clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical… more
- ChenMed (Cleveland, OH)
- …identified by the patient's SDoH Wellness Screening. + Works with patient, family, and case manager to facilitate applications for higher level of care. + Works ... team including the PCP, other Medical Specialists, LCSW/BHS, and Case Managers. The incumbent in this role is responsible...to provide self- management support and ongoing phone contact with patients. +… more
- AdventHealth (Maitland, FL)
- …Support) certification **LICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED:** + Case Management certification Accredited Case Manager (ACM) + Certified ... high risk for readmission or for high emergency room utilization . Follows up with patients at location of post...hospital discharge planning + One year of Experience Nursing, Case Management , and/or Social work **EDUCATION AND… more
- HCA Healthcare (Waycross, GA)
- …formal pre-admission assessment for acute inpatient rehab through their assigned case manager . Once Case Management has completed the Patient Choice ... placement through clinical screening and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical… more
- US Tech Solutions (Columbia, SC)
- …onsite. + A typical day would like in this role: Employee will be providing telephonic case management and utilization management for our members. The ... to 60 members per month. + Strong communication skills required to provide telephonic case management to patients and to coordinate with team, providers, and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Coordination Specialist provides administrative support for any of the programs of Utilization Management , Behavioral Health, Quality Management , or Member ... tasks under pressure. + Demonstrates proficiency in basic navigation and utilization of department specific applications: care management system, department… more
- Dignity Health (Merced, CA)
- …effectively with multiple stakeholders + Professional communication skills + Understand how utilization management and case management programs ... + At least five (5) years of nursing experience + Certified Case Manager (CCM), + Accredited Case Management (ACM-RN), or UM Certification preferred… more
- Saint Luke's (Lees Summit, MO)
- …days a week + Call Every Other Weekend + Minimum of 3 years in case management , discharge planning, or utilization review. **The Opportunity:** The ... responsible for providing day-to-day operational oversight and leadership for Case Management and Social Work activities across... Manager - RN - National Board for Case Management (NBCM), Basic Life Support -… more
- Danaher Corporation (Houston, TX)
- …that includes some of the following: infection detection/control, sepsis care, decision support, utilization management , case management , ED patient ... leaders from nursing, emergency medicine, pharmacy, quality, patient safety, risk management , IT, infection control, laboratory, and administration is required. This… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role BHPS provides Utilization Management (UM) services to its clients, ensuring high-quality, clinically sound decision-making. The Clinical Appeal ... accurate decisions + Ensure strict adherence to Appeals and Utilization Management (UM) processes and regulatory and...accuracy expectations and turnaround time requirements + Accurately enter case details in medical management platform +… more
Recent Jobs
-
Harm Reduction Specialist I/II
- Adams County Government (Westminster, CO)