- Tenet Healthcare (Detroit, MI)
- …denial information for UR Committee, Denial and Revenue Cycle Collaborate with Patient Access, Case Management, Managed Care and Business Office to improve ... patient is in the appropriate status and level of care based on Medical Necessity and submits case...experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical… more
- Mohawk Valley Health System (Utica, NY)
- …care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, processes and ... Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case...care needs are met and documented per the managed long term care program (MLTC) insurance… more
- Mohawk Valley Health System (Utica, NY)
- …care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, process and procedures ... Case Management Supervisor - Full Time - Days...care needs are met and documented per the managed long term care program (MLTC) insurance… more
- Cedars-Sinai (CA)
- …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **Req ID** : 13036 **Working Title** : ... The Discharge Planner provides a broad range of support services to the Care Coordinators and to the licensed Clinical Social Workers with their transition planning… more
- HCR Home Care (Canton, NY)
- … needs in the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 2 is primarily in an… more
- Molina Healthcare (OH)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... with reliable transportation. **STATE SPECIFIC REQUIREMENTS:** **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or… more
- Molina Healthcare (Louisville, KY)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... and must be licensed for the state of Kentucky Case Manager RN will work with KY...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care… more
- Beth Israel Lahey Health (Wakefield, MA)
- …the social and emotional impact of illness and disability. The Care Manager upholds the current standards of professional case management practice, and ... are provided to the BILHPN provider's risk populations. The Care Manager provides care management...Medicare Guidelines preferred 3. Experience with Medicare population in managed care preferred Must be proficient in… 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...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- UPMC (Pittsburgh, PA)
- …better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is ... Occasional travel may be required throughout surrounding counties. The Care Manager will support UPMC Health Plan...software applications required. + Three years experience in a managed care environment preferred Experience with geriatric… more