- Battelle Memorial Institute (Colorado Springs, CO)
- …to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages ... sensitive treatment plans which delineate the expected process of care delivery for selected case managed...care goals **Key Qualifications** + Certified as a case manager by a recognized certifying organization,… more
- Somatus (Renton, WA)
- …+ Telephonic case management experience + Experience working within a managed care environment **Hourly Range** $85,000 to $97,000 per year _Compensation ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...+ BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience… more
- MJHS (New York, NY)
- …continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are ... on their own terms. Reporting to the Supervisor of Care Management this position will provide case ...other team members, to help meet the member's needs. managed care nurse, managed … more
- Stony Brook University (Stony Brook, NY)
- …Training + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in Case Management, UR, Quality or Risk + ... Outpatient Care Manager **Position Summary** At Stony...all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/… more
- University Health (Hondo, TX)
- …Services (CMS), and National Committee for Quality Assurance (NCQA) in a managed care setting is required. xrbllit LICENSURE/CERTIFICATION Must be licensed ... that support the practice of informatics from an appropriate professional agency, such as Case Management Society or AMIA AHIC certification is highly preferred. more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): - Experience working with managed care organizations, value-based programs, or community-based behavioral health ... care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for patients of ... and utilization management and/or discharge planning experience. Thorough knowledge of managed care , utilization management, discharges planning, and continuous… more
- Commonwealth Care Alliance (Boston, MA)
- …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer...Utilization Management experience in a managed care setting + 2 or more… more
- University Health (Seguin, TX)
- …a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse ... managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across… more
- Insmed Incorporated (NJ)
- …possible for patients with serious diseases. Reporting to the Compliance Manager , Analytical Services, you'll be essential to maintaining the integrity, accuracy, ... documentation, due to the nature of the documents being managed .Proficiency with Veeva or similar electronic document management systems.Strong...it. You deserve a workplace that reflects the same care you bring to your work each day, with… more
