- Highmark Health (Dover, DE)
- …Inc. **Job Description :** **JOB SUMMARY** This job manages a team of Case Managers charged with promoting quality member outcomes to optimize member benefits and ... enrolled in DSHP Plus LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a...+ Participate in rounds with the Medical Director. + Review documentation and processes for consistent practice, and to… more
- HCA Healthcare (Fort Worth, TX)
- …Registered Nurse Case Manager PRN opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock ... their positions. Join our Team as a Registered Nurse Case Manager PRN and access programs to assist with...and job skills. Apply today for our Registered Nurse Case Manager PRN opening and continue to learn! **Job… 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
- HCA Healthcare (Inverness, FL)
- …and personal growth, we encourage you to apply for our Manager of Case Management opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Manager of Case Management you want with your current employer? We...Do you want to work as a(an) Manager of Case Management where your passion for creating positive patient… more
- MVP Health Care (Rochester, NY)
- …improved functional capability through the coordination of quality cost effective care. + The Case Manager will also monitor and review cases with the Medical ... continuous improvement. To achieve this, we're looking for a ** Case Manager, Medicaid Long Term Support Program** to join...with an established interdisciplinary team. + The role requires review of a comprehensive assessment and development of a… more
- Highmark Health (Monroeville, 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 ... Shift **Description:** **An Opportunity to Join our Remarkable Care Team as a** ** Case Manager** **in the Case Management Department awaits YOU ** **_Trinity… more
- Saint Luke's (Lees Summit, MO)
- …Department. The Manager plans, directs and implements all services related to case coordination, concurrent review , and utilization management programs, ensuring ... the case coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the… 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
- CVS Health (Machesney Park, 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 Field position is with Aetna's Long-Term Services & Supports (LTSS) team… more