- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …(BHPS) provides Case Management services to its clients. Cases are maintained by the Nurse Case manager . The Nurse Case Manager reports to the ... Manager of Case Management. Responsible for developing and managing the case management program and providing case management services to members. This… more
- Prime Healthcare (Elgin, IL)
- …Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators ... Responsibilities The working Manager of Case Management is responsible...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
- Dartmouth Health (Bennington, VT)
- …currently matriculated into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management ... Management Certification required within 2 years ofemployment The case manager is responsible for coordinating a...experience and BS required. BSN preferred. Prior experience in utilization review , discharge planning and/or case… more
- Cedars-Sinai (Marina Del Rey, CA)
- …America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...Current and valid California RN License (required). + Certified Case Manager (CCM) or Accredited Case… more
- UNC Health Care (Rocky Mount, NC)
- …and wellbeing. Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge ... of care, or may concentrate on one aspect of case management, depending on the area assigned. In collaboration...Medicare and Medicaid, in accordance with utilization review guidelines. Tactfully and effectively informs Manager … more
- Fedcap (Washington, DC)
- What You'll Do The Case Manager for the Washington, DC Temporary Assistance for Needy Families (TANF) Workforce Development program will serve as the main point ... recipients referred to Fedcap by the District of Columbia's Department of Human Services). The Case Manager will play a key role in coordinating all services to… more
- CVS Health (Chicago, IL)
- …and/or trainings in Downers Grove IL as needed/requested by Management.** BH Clinical Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs and behavioral health needs of the… more
- Ascension Health (Wichita, KS)
- …specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and ... Board obtained prior to hire date or job transfer date. + Case Manager credentialed from the American Case Management Association (ACMA) preferred.… more
- Tenet Healthcare (Commerce Township, MI)
- RN Case Manager - Clinical Res Mgmt...staff and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is ... is determined by employment status Job Summary The RN Case Manager is responsible to facilitate care...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- HCA Healthcare (Wichita, KS)
- …experience or 2 years of critical care experience is preferred + Certification in case management or utilization review is preferred + InterQual experience ... satisfaction and personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates… more