- Logan Health (Kalispell, MT)
- …Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Logan Health Medical Center has an opportunity for an MSW or BSW to join our team as a ... Medical Social Services Advocate! What you'll be doing: This position is part of our Case Management team and will play a vital role in discharge planning for our… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …required to know multiple functional areas and supporting systems. + Expertise in Case Management area and able to handle complex assignments, challenging ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
- Sharp HealthCare (San Diego, CA)
- …Do** This position is responsible for performing effective acute and ambulatory case management, utilization management and claims review activities, to ensure ... of an NLN-accredited School of Nursing + 2 Years Medical or surgical nursing + California Registered Nurse (RN)...Degree in Nursing + 3 Years Utilization, quality, and/or case management experience in managed care setting **Essential Functions**… more
- Sutter Health (San Francisco, CA)
- …criteria strongly preferred. + Experience with clinical assessment for patient with complex medical , emotional and social needs. + Experience using an ... Case Manager works in collaboration with the Physician, Medical Social Worker and bedside RN to assure the...nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical … more
- RWJBarnabas Health (Newark, NJ)
- …#:0000189007 Category:Social Work Status:Full-Time Shift:Day Facility:Newark Beth Israel Medical Center Department: Case Management Pay Range:$170,000.00 - ... Additionally, candidates must have at least 3 years of recent experience in Case Management, Utilization Review , or Discharge Planning, and a minimum of… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …duties and field/outreach work. DUTIES AND RESPONSIBILITIES + Assigns and monitors case load of team: + Review daily referrals and screenings ... a regular basis to determine quality and effectiveness of services provided + Review cases with Program Coordinator/Manager and Clinical Case Management Team +… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …efficiencies. Effectively shares knowledge with other team members through orientation training, case studies, consultation for complex cases. + Other duties as ... the easy part.Getting prescriptions to patients has become increasingly complex . When things get messy along the prescription journey,...+ Experience in a combination of home care management, case management review , utilization review ,… more
- Houston Methodist (Houston, TX)
- …leadership team. + Functions as resource to department staff in communicating medical information required by external review entities, managed care contractors, ... At Houston Methodist, the Case Manager (CM) Advanced position is a registered...accountable for a designated assignment that is considered more complex and resource intensive. This position has achieved an… more
- ChenMed (Hampton, VA)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Case ... service organizations, agencies and healthcare facilities. + Conduct concurrent medical record review using specific indicators and...+ Minimum of seven (7) plus years of utilization review / case management. + Minimum of seven (7)… more
- CVS Health (Austin, TX)
- …Experience + Bilingual + Crisis intervention skills preferred + Managed care/utilization review experience preferred + Case management and discharge planning ... compassionate. And we do it all with heart, each and every day. **Clinical Case Manager Behavioral Health** **Position Summary** This is a remote role, requiring 75%… more