- Insight Global (Lafayette, LA)
- …RN License Cost Containment Background - utilization review or managed care Prior Experience with Worker's Compensation Prior Experience with Case Management ... Job Description Insight Global is looking for an Insurance Case Manager to join their client's team...Lafayette, LA area. This role involves oversight of medical care for worker's compensation patients through in-person and telephonic… more
- Sutter Health (Berkeley, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... position coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. This position oversees… more
- Avera (Sioux Falls, SD)
- …and timely manner. + Maintains knowledge of services that are covered by managed care organizations, private insurances, and government payers. + Coordinates all ... acute area settings to the next appropriate level of care . Works closely with physicians and payors to assure...behavioral health services or the hospital at home program. Case managers are responsible for arranging any transportation services… more
- HCA Healthcare (Savannah, GA)
- …you will do in this role:** + **You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members ... you want to work where you have a voice? Case Management is at the forefront of our commitment...and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to… more
- Assistance Plus (Waterville, ME)
- …Hourly Education Level High School Description General Description of Responsibilities: The Adult Case Manager (ACM) provides services that focus on the specific ... that the services are approved through the Administrative Service Organization (ASO) Managed Care System. The ACM needs to maintain current benefit and financial… more
- Ochsner Health (Slidell, LA)
- …+ Explores strategies to reduce length of stay and resource consumption for case managed patient populations. + Identifies appropriate patients for the various ... today!** This job coordinates, negotiates, procures and manages the care of complex patients to facilitate achievement of quality...not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational… more
- A Bright Future, Inc. (Los Angeles, CA)
- …of the entire staff assigned to work at specific homes, coordinating personal care , training, and support to meet the goals and objectives of the individuals ... and Supervise Community Living Instructors. + Assure labor is managed in a way that meets budgetary guidelines. +...Community Living Instructors. + Assure IHSS is maximized and managed for each individual served. + Assure Section 8… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Manager , Case Management Services, Continuum of Care Full Time, 80 Hours Per Pay Period , Day Shift M-F 8a-4:30p. Rotate minor holidays and ... charm. Continuum of Care : The Continuum of Care Department is staffed by a Manager ,...are in place to minimize denials of claims by managed care organizations and insurance companies. Directs… more
- Houston Methodist (Houston, TX)
- …as needed **FINANCE ESSENTIAL FUNCTIONS** + Informs social worker/ case manager of the patients' available benefits through insurance/ managed care ... social workers and case managers, business office/patient access, etc. on insurance/ managed care benefits + Supports and assists with concurrent insurance… more
- Houston Methodist (Houston, TX)
- …knowledge of utilization management, case management, performance improvement, and managed care reimbursement + Ability to work independently and exercise ... of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The URSN… more