- Dignity Health (Gilbert, AZ)
- …the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of ... Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based on… more
- State of Massachusetts (Medford, MA)
- …to the retirement systems and members. *ABOUT THE ROLE:* PERAC is seeking a Case Manager to primarily work in the Disability Unit managing the flow ofinformation ... related to: an applicants filing for ordinary or accidental disability; the review of medical panel requests, the scheduling and confirming of physician… more
- HCA Healthcare (Austin, TX)
- **Description** **Introduction** Do you have the career opportunities as a NICU Case Manager Austin Market Float Pool PRN you want in your current role? We invest in ... discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for purposes of utilization review… more
- University of Miami (Miami, FL)
- …UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
- UNC Health Care (Rocky Mount, NC)
- …Summary: Facilitates effective and cost-efficient care of patients through such case management functions as utilization review and discharge planning. ... through the continuum of care, or may concentrate on one aspect of case management, depending on the area assigned. In collaboration with the Interdisciplinary… more
- Muckleshoot Indian Tribe (Auburn, WA)
- JOB SUMMARY Under general supervision, Housing Case Manager provides high-quality; compassionate and professional case management and social work services to ... is similar, related or logical assignment to the position. + Provide case management by assessing customers' housing needs, counseling and developing housing plans,… more
- DiPasquale Moore (Omaha, NE)
- Paralegal / Case Manager Omaha, Nebraska REQUIREMENTS: High School Diploma and minimum of 1 year of admin / customer service experience PREFERRED: Paralegal ... sometimes life altering event of a personal injury. Job Overview: As a Paralegal/ Case Manager (Administrative Assistant / Customer Service), your main role will be… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill sets and tools. ... Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services… more
- Charter Care Health Partners (North Providence, RI)
- …that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is strongly preferred. ... patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management (Discharge planning) and… more
- Charter Care Health Partners (North Providence, RI)
- …that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is strongly preferred. ... patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care Management (Discharge planning) and… more