- HCA Healthcare (El Paso, TX)
- …and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization ... case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical decision… more
- WestCare Foundation (Doral, FL)
- …30 Days o Supervisor Reviews o Medical and Dental Compliance o Parent Engagement o Case Plan Updates and Safety Plan + Review data weekly to identify red and ... case managers. + Lead regular team meetings to review data, performance metrics, and case progress....Demands: + Requires the ability to collect and analyze complex numerical and written data and verbal information to… more
- HCA Healthcare (El Paso, TX)
- …and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization ... case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical decision… more
- General Dynamics Information Technology (Lakewood, WA)
- …recovery. + Demonstrated knowledge of patient education principles and management of complex medical , psychosocial, and financial problems to enhance patient ... Required:** None **Job Family:** Healthcare Services **Skills:** Care Planning,Company Policies, Medical Information,Regulatory Requirements,Treatment Plans **Experience:** 2 + years of… more
- CVS Health (Fairfax, VA)
- …and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Develops a ... Associate degree required **Requisition Job Description** **A Brief Overview** Coordinates all case management activities with members to evaluate medical needs… more
- Guthrie (Troy, PA)
- …years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtaining a ... Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving...has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The… more
- CDPHP (Latham, NY)
- …Special Programs RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a current ... be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating the care of CDPHP members… more
- PruittHealth (Atlanta, GA)
- …years industry experience in a managed care setting focused on experience in utilization review / case management and at least two years case management, home ... resources through application of model of care practice guidelines and Case Management (CM) Standards of Practice. Implement appropriate interventions to manage… more
- Arnot Health (Elmira, NY)
- …and evaluation processes related to the management of patient care . The Case Manager will review all patients for utilization management and appropriate ... Job Description CASE MANAGER- Up to $10,000 Sign on Bonus...procures services resources for and manages the care of complex patients to facilitate achievement of quality and cost… more
- MVP Health Care (Rochester, NY)
- …needs of medically complex Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated ... through the coordination of quality cost effective care. + The Case Manager will also monitor and review cases with the Medical Director to ensure… more