- HCA Healthcare (San Antonio, TX)
- …will be performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist Hospital ... growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews.… 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 ... Summary** **This position offers a $5,000 New Hire Bonus!** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and Supports… more
- Prime Healthcare (Inglewood, CA)
- …and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization ... We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ...assessment and evaluation of data/statistics obtained from an on-going review process.6. Experience and knowledge in basic to intermediate… more
- Blue KC (KS)
- …Reviews transplant evaluation and authorizes in accord with medical policy. Opens case and follows NCQA case management standards. Documents transplant ... in FACETS UM system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside...active Registered nurse (RN) in Missouri and Kansas. + Case Management Certification within 3 years of hire date… more
- HCA Healthcare (Jacksonville, FL)
- …in Case Management is required for this PRN role. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. ... personal growth, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be contacted for interviews.… more
- HCA Healthcare (Margate, FL)
- …+ Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred + ... we encourage you to apply for our Registered Nurse RN case Mgr opening. We promptly review all applications. Highly qualified candidates will be contacted for… more
- HCA Healthcare (Charleston, SC)
- …+ Prior experience in Case Management 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 Manager opening. We review all applications. Qualified candidates will be contacted for interviews.… more
- Luke Staffing (Agana Heights, GU)
- …professional clinical standards and clinical protocols. . Participate in Utilization Management/ Case Management meetings to review and identify . opportunities ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER** **SITE OF SERVICE:** . US Naval...of newly assigned unit personnel. . Collaborate in the review of unit standing operating procedures. . If directed,… more
- CDPHP (Latham, NY)
- …Certified Case Manager (CCM) certification preferred. + PRI (Patient Review Instrument) certification preferred. + Minimum three (3) years clinical experience is ... and invites you to be a part of that experience. The Hospital to Home Case Manager (RN) is responsible and accountable for coordinating the care of CDPHP members who… more
- US Tech Solutions (Topeka, KS)
- …programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal ... policies. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for… more