- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Nursing Care Manager is responsible for care coordination and to facilitate the ... care management. This role requires that the Nurse Care Manager uses advanced nursing process skills...with physicians to do the following: monitor and report utilization of inpatient services and outpatient observation services including… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Manager PreService & Retrospective - BH Location: Remote Career ... 5 years of RN or relevant clinical experience. * 1+ years of managed care experience (eg case management, utilization management and/or auditing experience). *… more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair County! ... The Mobile Professional Care Manager will work flexible hours, Monday...field. + Three years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- Commonwealth Care Alliance (Boston, MA)
- …Long-Term Services Coordinators (LTSC) agencies, ensuring alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and ... are met in a manner that supports quality, independence, and cost-effective community-based care . The Manager also ensures providers are educated on CCA… more
- Community Health Systems (Fort Wayne, IN)
- …spending accounts + Life and disability insurance and more **Job Summary** The Manager , Care Management is responsible for the planning, coordination, and ... oversight of care management services, including utilization review, discharge...and aligned with patient needs and organizational goals. The Manager leads the daily operations of the Care… more
- McLaren Health Care (Flint, MI)
- …responsibility for 24-hour accountability for the management of assigned patient care unit(s)/function(s). In this capacity, will accomplish the mission and vision ... of McLaren Greater Lansing through effective utilization of all resources, constantly striving to increase quality...of all resources, constantly striving to increase quality patient care and maintain a high degree of patient satisfaction.… more
- AdventHealth (Parker, CO)
- …CROWN CREST BLVD, Parker, 80138 **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- UPMC (Pittsburgh, PA)
- …hired into this role will be hired into the appropriate title as either a Mobile Professional Care Manager , Sr Mobile Care Manager , or Clinical Care ... members, peers, and external contacts. + For Sr Mobile Care Manager + Master's degree in social...experience. + 3 years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more
- AdventHealth (Glendale Heights, IL)
- …Medicine AdventHealth GlenOaks Hospital **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...analysis skills + Current working knowledge of discharge planning, utilization management, care management, performance improvement and… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will work standard daylight hours Monday - Friday. ... is provided at the IRS rate. The Mobile Professional Care Manager assists UPMC Health Plan members...LPC + Three years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or… more