- CVS Health (Oklahoma City, OK)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- CVS Health (Sun City Center, FL)
- …Coordinator will effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinator will utilize critical thinking ... hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case Management… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Teen and Family Case Management Assistant*to join our Aqui Para Ti team. This part-time role will work 40 hours within a two ... services and resources for clients. Assists in the care coordination of complex patients to facilitate the delivery of cost-effective health care and identify… more
- Veterans Affairs, Veterans Health Administration (Augusta, ME)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This Mental Health Intensive Case ... functions as the VA Maine Health Care System (VAMEHCS) Case Manager for the Mental Health Intensive Case...Duties may include, but are not limited to: Provides complex clinical services to clients with serious psychological problems… more
- 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
- Travelers Insurance Company (New York, NY)
- …investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim ... of policy information to facts or allegations of each case . + Work with Manager on use of Claim...as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent… more
- HCA Healthcare (Largo, FL)
- …satisfaction. + You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What ... over 156,000 hours volunteering in our communities. As a(an) Case Manager RN with HCA Florida Largo Hospital you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- City of New York (New York, NY)
- …with patients, physicians and insurance companies to secure successful outcomes. Document complex medical information in our electronic medical record ... the BHS SUPERVISOR OF NURSES the successful candidate will maintain a comprehensive case management system for the BHS for Medical Qualification of Firefighter… more
- Houston Methodist (Houston, TX)
- …+ Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess ... At Houston Methodist, the Case Manager (CM) position is a registered nurse...satisfaction and safety measures. **FINANCE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued… more
- HCA Healthcare (Austin, TX)
- …Nurse Case Manager Rehab opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock ... to deliver excellent care patients deserve? At St. David's Medical Center we support our colleagues in their positions....their positions. Join our Team as a(an) Registered Nurse Case Manager Rehab and access programs to assist with… more