- Banner Health (Tucson, AZ)
- …need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS ... Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care The future is full of possibilities. At...Certification for CCM (Certified Case Manager ) preferred. Additional related education and/or… more
- Sharp HealthCare (San Diego, CA)
- …**AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** ** Weekend Requirements:** No Weekends **On-Call Required:** No **Hourly Pay ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical ...management reviews. + Assists in pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review… more
- Molina Healthcare (Fort Worth, TX)
- …and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the ... experience with increasing responsibility. **Preferred License, Certification, Association** Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Elevance Health (Los Angeles, CA)
- …of 4 years managed care experience and requires a minimum of 2 years clinical , utilization review, or case management experience; or any combination of education ... **Medical Management Nurse** **Hours: Candidates will work** **8a-5pm PST with 1 weekend per year-open for weekend work holidays voluntary** **Location** : This… more
- AmeriHealth Caritas (Philadelphia, PA)
- …medical policies and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. ... practice guidelines throughout the provider network. + Overseeing the quality of clinical care for network and non-network providers. + Engaging the provider network… more
- Sharp HealthCare (La Mesa, CA)
- …**AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** ** Weekend Requirements:** No Weekends **On-Call Required:** No **Hourly Pay ... position is responsible for conducting behavioral health psychosocial assessments and clinical interventions, inclusive of individual, group, and family therapy in… more
- Idaho Division of Human Resources (Caldwell, ID)
- …the diverse needs of families. (in tandem with regional Case Manager and Intensive Care Coordinator). + Deliver clinical support and psychoeducation ... plan that aligns with the youth's therapeutic goals. (working together with DHW Case Manager to coordinate and collaborate for youth/family needs). + Dependent… more
- ChenMed (Miami, FL)
- …in this role serves as the dispositional authority for after-hours and weekend clinical calls. He/She is accountable for assessing, diagnosing, treating ... on the needs of the department. + Works on an as-needed basis, including nights, weekends and holidays. + Expected to pick up shifts to cover PTO, LOA and other… more
- Elevance Health (NC)
- …**Work Schedule: Monday through Friday, 8:00am - 5:00pm, EST with alternating weekends and occasional holidays.** The **Medical Management Nurse** is responsible for ... require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as… more
- UPMC (Pittsburgh, PA)
- …in the peer-review-driven quality improvement program. Presents or contributes to complex case reviews by the interdisciplinary team, summarizing clinical and ... a Full-Time Advanced Care Paramedic to support Allegheny County.** **Daylight, Evenings, Weekends , and Holidays availability is required to support the hours of… more