- 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 is ... personal growth, we encourage you to apply for our RN Case Mgr opening. We promptly review all applications. Highly qualified candidates will be contacted for… more
- CVS Health (Galesburg, IL)
- …programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal ... do it all with heart, each and every day. **Position Summary** This Case Management Coordinator position is with Aetna's Long-Term Services and Supports (LTSS) team… more
- CVS Health (Kewanee, IL)
- …programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal ... **Position Summary** **This position offers a $3,000 New Hire Bonus!** This Case Management Coordinator position is with Aetna's Long-Term Services and Supports… more
- Cedars-Sinai (Marina Del Rey, CA)
- …Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization through ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified contracted/private… more
- Access Dubuque (Dubuque, IA)
- …is also available remotely within Iowa. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + Develop, ... or higher preferred. + **Experience:** Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. + **Skills:**… more
- CVS Health (Chicago, IL)
- …programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal ... do it all with heart, each and every day. **Position Summary** This Analyst Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team and… more
- CVS Health (Charleston, WV)
- …experience * Foster care experience * Crisis intervention skills * Managed care/utilization review experience * Certified Case Manager (CCM) certification * ... Wyoming, McDowell, Mercer, Summers, Monroe, Greenbrier, Pocahontas, Kanawha, and Fayette.** The Case Manager RN (CM RN) is responsible for telephonically and/or face… more
- Highmark Health (Pittsburgh, PA)
- …and outcomes. Interviews and collects patient specified data and chart review related to readmission. + Knowledgeable of and complies with accreditation ... working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.… more
- Trinity Health (Livonia, MI)
- …experience in nursing and recent (within 2 year) experience in utilization review /management/discharge planning or case management. Current knowledge of third ... Day Shift **Description:** **An Opportunity to Join our Remarkable Care Team as a** ** Case Manager** **in the Case Management Department awaits YOU ** **_St.… more
- City of New York (New York, NY)
- …Family Assistance cases which have been closed for over sixty days; all Safety Net case reopens which have been closed regardless of date; and one-shot deals. - ... specific cases and authorize benefits as required. - Review the accuracy and timeliness of reports, including all...delivery to participants after the establishment of the participant's case ; Family Assistance cases that have been closed less… more