- Brockton Hospital (Brockton, MA)
- …flow and reduce service delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with ... PURPOSE OF POSITION: The Director of Case Management is responsible for planning, directing, and...of denials, questionable cases and cases referred for outside review . Monitors denial rate and develops remediation plans to… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5144215) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A...WORK The primary responsibility of this position is to review referrals for substance use inpatient treatment services as… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... members of the interprofessional health care team to facilitate care for designated case load; monitors the patient's progress, intervening as needed to ensure that… more
- ERP International (Luke AFB, AZ)
- …on health care and compliance with treatment. * Participate in professional peer review case conferences, research studies, or other organizations required at ... on health care and compliance with treatment. * Participate in professional peer review case conferences, research studies, or other organizations required at… more
- Sharp HealthCare (La Mesa, CA)
- …Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California ... requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management. The Manager leads a team of specialists to ... annually and employing over 160,000 crew members. **Essential Functions:** + Case Management Oversight + Manage high-complexity cases involving clinical challenges,… more
- Texas State University (San Marcos, TX)
- …Community Standards with the implementation of the student conduct and care process. The Case Manager will be responsible for the review of conduct cases, ... will bring the HRL conduct process to industry standards. The Case Manager will review , assign, audit, and report key trends or time-sensitive information as… more
- Comunilife (Queens, NY)
- …for these meetings + Conduct weekly supervisory conferences with each staff member of the case management teams to review case records and client's status ... Case Manager Supervisor -(DHS) Casa Hope Job Details...identify mutually agreed upon long and short-term goals. + Review and provide supervision in the development of service… more
- University of Southern California (Alhambra, CA)
- …duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate patient status is assigned ... + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + Req Ability to work… more
- Exelon (Plymouth Meeting, PA)
- …and oversight. Assist in the oversight, auditing, training, coaching, and mentoring of Claims Case Managers. Assist in collection and review of claims data to ... financial and reputational exposure, as well as the evaluation, case management and adjustment of claims. Investigate and pursue...Case Managers. - Assist in data collection and review for comprehensive and accurate preparation of data request… more