- 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
- UCLA Health (Santa Monica, CA)
- …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... teams + Knowledge of a large university teaching hospitals Preferred: Strong Utilization Review experience and understanding of CMS and other regulatory… more
- Arms Acres (Bronx, NY)
- Case Manager Bronx, NY (http://maps.google.com/maps?q=3584+Jerome+Avenue+Bronx+NY+USA+10467) Apply Description CASAC-T, CASAC, LMSW, LMHC l Supporting clients ... as identified in patient treatment plans and requested by program director. Performs utilization review , provides progress reports and develop aftercare plans in… more
- Penn Medicine (Philadelphia, PA)
- …Canopy concurrently + Accounts for all patient days accurately in Canopy + Enters review indicating "pending" status of case if outcome not determined and ... quality data collection and risk management referral. **Responsibilities:** + Utilization management activities: monitor appropriate use of internal resources,… more
- Garnet Health (Harris, NY)
- …both city and rural life, we invite to make your career home with us as a Case Manager on our Case Management team at/in Garnet Health Medical Center Grover ... Swing Bed, Acute, and Emergency Department Patients. Responsible for discharge planning, utilization review , team conferences and unit-based rounds. Acts as a… more
- CVS Health (Baton Rouge, LA)
- …reimbursement policy. **Preferred Qualifications** + Behavioral health experience + Managed care/ utilization review experience + Medicaid experience + Waiver ... experience + Crisis intervention skills + Certified Case Manager (CCM) certification + Familiarity with QuickBase **Education** + Associate's degree in nursing… more
- St. Luke's University Health Network (Allentown, PA)
- …appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge, ... physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management. + Facilitates… more
- Amergis (Hyannis, MA)
- Amergis Healthcare has an exciting contract opportunity for an RN Case Manager in Hyannis, MA. Local Pay: $69/hour, paid weekly Travel Pay: $3,041/week ... + EPIC experience + 3 years of acute care case management experience in the last 5 years +...last 5 years + Experience in discharge planning & utilization review + Knowledge of InterQual or… more
- Insight Global (Lafayette, LA)
- …RN License Cost Containment Background - utilization review or managed care Prior Experience with Worker's Compensation Prior Experience with Case Management ... Job Description Insight Global is looking for an Insurance Case Manager to join their client's team in the Lafayette, LA area. This role involves oversight of… more
- The Hartford (Hartford, CT)
- …+ Case management and discharge planning experience preferred + Managed care/ utilization review experience preferred + Crisis intervention skills preferred + ... Behavioral Health Case Mgr - CT08IE We're determined to make...appropriate. Advises on highly complex claims at multidisciplinary clinical review roundtables to ensure optimal outcomes. Determines when claims… more