- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program… more
- CSL Behring (King Of Prussia, PA)
- …a meaningful difference worldwide. Could you be our next Senior Director, Head of Global Case Management ? The job is in our King of Prussia, PA, Maidenhead UK or ... while maintaining strict compliance with global regulations. The Head of Global Case Management will develop and implement innovative case management strategies… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time **Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... upon the department No weekends or holidays **Positon Summary:** Provides case management, care coordination and discharge/disposition planning for inpatient and… 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 of ... 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 ensure that… more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. Conducts case management program activities in accordance with departmental, corporate, NYS Department of ... for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program… more
- HCA Healthcare (Anchorage, AK)
- …Basic Life Support Course (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. ... any other healthcare provider. We are seeking a(an) RN Case Manager to join our healthcare family. **Benefits** Alaska...passion for patient care. Apply today for our RN Case Manager opportunity. **Job Summary and Qualifications** The … more
- KBR (Fayetteville, NC)
- Title: Special Operations Nurse Case Manager / Case Manager (Fort Bragg, NC) THIS POSITION OFFERS RELOCATION. Belong. Connect. Grow. with KBR! KBR is a company ... services. We are seeking a stellar Special Operations Nurse Case Manager / Case Manager that will...goals. + Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality… more
- HCA Healthcare (Lewisville, TX)
- …next step in your career path, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be contacted by ... Do you have the career opportunities as a RN Case Manager you want in your current role? We...Hours are typically 8:00am - 4:30pm *_ Our RN Case Managers raise the bar by providing clinical expertise… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's National Medical Excellence ... states. This role is a blended role doing both Case Management and Utilization Management. The RN Case...+ Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Mohawk Valley Health System (Utica, NY)
- …comprehensive care to our diverse member population. Provides direct oversight of the case manager's daily operations of utilization review practice, process and ... Case Management Supervisor - Full Time - Days Department: CASE MGMT Job Summary The Case Management Supervisor is responsible for the oversight of the … more