- Sutter Health (San Francisco, CA)
- …AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... Health! **Organization:** SHSO-Population Health Services-Bay **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout… more
- Providence (Seattle, WA)
- …more than one PACE facility in the Seattle area. The Case Manager provides case management, care coordination services and short-term therapeutic ... in behavioral health related field **Preferred Qualifications:** + 1 year of Managed care experience and/or care management experience + Direct Experience in… more
- CVS Health (Baton Rouge, LA)
- …expense reimbursement policy. **Preferred Qualifications** + Behavioral health experience + Managed care /utilization review experience + Medicaid experience + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Waiver experience + Crisis intervention skills + Certified Case Manager (CCM) certification + Familiarity with… more
- Dallas Behavioral Healthcare Hospital (Desoto, TX)
- The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and ... able to work with minimal direction or supervision. + Knowledge of managed care environment; ability to apply and interpret admission and continued stay… more
- CVS Health (Cary, IL)
- …**Preferred Qualifications** - Case management and discharge planning experience. - Managed Care experience. -Microsoft Office experience. -Experience working ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...position offers a $5,000 New Hire Bonus!** This BH Case Manager position is with Aetna's Long-Term… more
- CVS Health (Salt Lake City, UT)
- …**Preferred Qualifications** + Crisis intervention skills preferred + Managed care /utilization review experience preferred + Case management and discharge ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- 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