- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... **Job Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management, Inpatient Status: Full Time Shift: 80 hours every two… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Case Manager - Behavioral Health Location: Remote Career Area: Health ... difference, join us. The Impact You Will Have The Case Manager is a critical component of...Experience * 1+ years of managed care experience; eg case management/health coach, utilization management and/or auditing… more
- CVS Health (Harrisburg, PA)
- …zone of residence **Preferred Qualifications** + Crisis intervention skills preferred Managed care/ utilization review experience preferred + Case management ... and discharge planning experience preferred + Managed care/ utilization review experience preferred **Education** Masters Degree in Social Work or Counseling… more
- Brockton Hospital (Brockton, MA)
- …accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison between ... of five years clinical experience in an acute care facility required. Prior experience in case management, utilization review or discharge planning required. more
- US Tech Solutions (MI)
- **Timing: M-F 8-5** **Job Description:** The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and ... with regulatory and accreditation guidelines and company policies and procedures **Skills:** + Utilization review + RN + Assure care + Clinical practice +… more
- CVS Health (Springfield, IL)
- …+ Case management and discharge planning experience. + Managed care/ utilization review experience. + Crisis intervention skills. + Strong analytical ... of network management, clinical coverage, and policies. **Position Summary** Our Case Managers use a collaborative process of assessment, planning, facilitation,… more
- HCA Healthcare (Kansas City, MO)
- …**Are you passionate about delivering patient-centered care?** Submit your application for RN Case Manager position and spend more time at the bedside with ... Research Medical Center! **Job Summary and Qualifications** The RN Case Manager , under the supervision of the...you will do in this role: + Responsible for utilization review , discharge planning and care coordination… more
- US Tech Solutions (Topeka, KS)
- …programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal ... Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that… more
- HCA Healthcare (Austin, TX)
- **Description** **Introduction** Do you have the career opportunities as a NICU Case Manager Austin Market Float Pool PRN you want in your current role? We ... review of patient medical records for purposes of utilization review , care coordination compliance with requirements...path, we encourage you to apply for our NICU Case Manager Austin Market Float Pool PRN… more