- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- …Strong clinical background with 5 years nursing experience. 1-3 years relevant case management or utilization review experience required. Must be able to ... in CPAC Revenue Utilization Review preferred. InterQual/Milliman experience preferred. Case Management or Utilization Review certification preferred. Knowledge… more
- Trinity Health (Fruitland, ID)
- …treatment team to help assure the most appropriate treatment of patients. Document clinical and consultative activities in patient charts. Work to develop and ... treatment team to help assure the most appropriate treatment of patients. Document clinical and consultative activities in patient charts. Work to develop and… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …obtaining necessary forms, and confirming work status. + Enter required case demographics and transcribe clinical information + Handle incoming group phone ... About The Role MagnaCare provides Utilization Review/ Case Management / Medical Management /Claims...with departmental workflows, policies and procedures. + Assist Nurse Case Reviewers with non- clinical issues tasks such… more
- UPMC (Jamestown, NY)
- …Minimum of 3 years of experience in behavioral health, clinical care, utilization management , home care, discharge planning, or case management . + 5 ... years of experience in community-based case management and behavioral health _preferred_ . + General knowledge of best practices for working with special needs… more
- Prime Therapeutics (Atlanta, GA)
- …+ RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt + 5+ years Clinical Must be eligible to work in the United States without the need for ... Our work matters. We help people get the medicine...clinical knowledge of medical specialty drugs and the management of those drugs. + Understanding of the … more
- UPMC (Pittsburgh, PA)
- …history, current medications, geriatric syndromes, healthcare resource utilization, and case management interventions. Maintains operational readiness by ... peer-review-driven quality improvement program. + Attends and participates in face-to-face case conferences, team meetings, and other work -related meetings.… more
- Children's Mercy Kansas City (Kansas City, MO)
- …KS or MO Compact within 60 days of hire + One of the following: American Case Management Certification or Certified Case Manager + Employees must obtain ... equivalent within 1095 days + Employees must obtain American Case Management or equivalent within 1095 days...Posted Date2 months ago(8/5/2025 6:04 PM) Posting CategoryNursing DivisionCARE MANAGEMENT Work TypeFull Time Work … more
- DESC (Seattle, WA)
- …Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management , Illness Management , and relevant Evidenced ... providers as necessary. In conjunction with other psychiatric and management staff, this position has clinical responsibility...services. All members of the team are expected to work with participants in a variety of shared functions.… more
- Albany Medical Center (Albany, NY)
- …procedures. Serves as a liaison between the Surgery departments, SPD, Materials Management , and Clinical Engineering departments as necessary to assure patient ... Department/Unit: Supply Chain Surgical Services Work Shift: Day (United States of America) Salary...Core Tech will support an integrated SPD/Sterile core/Supply Chain Management function in the operating room. Functions in the… more
- Georgetown Univerisity (Washington, DC)
- …for data management for phase I, II, and III oncology clinical trials conducted in the Lombardi Comprehensive Cancer Center (LCCC). Duties include, but ... limited to: + Responsible for supporting all aspects of clinical research data management for clinical...Accountability Act (HIPAA) regulations. + Other duties as assigned Work Interactions + Clinical Research Manager +… more