- CVS Health (Austin, TX)
- …and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of ... Members: Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the… more
- Dartmouth Health (Bennington, VT)
- …eligible) Three-Five years of clinical nursing experience required. Prior experience in utilization review , discharge planning and/or case management ... for providing case management services for SVMC sub acute patients.The case manager is responsible for coordinating a patient-centered plan of care to meet… more
- Amergis (Hyannis, MA)
- Position: RN - Case Manager Location: Hyannis, MA Facility...last 5 years - Exp in discharge planning & utilization review - Knowledge of InterQual or ... similar system The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of… more
- HCA Healthcare (Tallahassee, FL)
- …your next step in your career path, we encourage you to apply for our Manager Case Management opening. We review all applications. Qualified candidates will ... **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters… more
- Sutter Health (Berkeley, CA)
- …case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Working ... working with multidisciplinary treatment team. The position coordinates the utilization management, resource management, discharge planning, post-acute care referrals… more
- BJC HealthCare (Belleville, IL)
- …nursery, medical and surgical services plus critical care. Care Management includes Utilization Management ( Utilization Review ), Discharge Planning, Social ... **City/State:** Belleville, Illinois **Categories:** Case Coordination **Job Status:** PRN **Req ID** : 96667 **Pay Range:** $32.80 - $50.39 / hour (Salary or hourly… more
- BJC HealthCare (St. Louis, MO)
- …Park. Care Coordination consist of Case Management, Social Services and Utilization Review . The personnel in this office are responsible for discharge ... **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** PRN **Req ID** : 97669 **Pay Range:** $32.80 - $50.39 / hour (Salary or… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members and families of ... and any barriers to care. The Team The RN Case Manager is part of a highly...follow and appropriately document comprehensive care management plans. + Review medication list and educate members with complex pharmacy… more
- Sharp HealthCare (La Mesa, CA)
- …Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ... position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving… more