- UTMB Health (Huntsville, TX)
- …of the Program Manager for Assistive Disability Services for UTMB Correctional Managed Care . **_ESSENTIAL JOB FUNCTIONS_** + Contributes to the success of ... UTMB Health Requisition # 2506596 The mission of Correctional Managed Care is to address the healthcare...in all activities available to non-disabled inmates. + Performs case management activities to assure proper maintenance of offender… more
- Prime Healthcare (Boonton Township, NJ)
- …Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments. + Experience ... is an award-winning provider of safe, high quality, compassionate care , serving the communities of Morris, Warren and Sussex... Management Department under the direction of the assigned Case Manager /Social Worker assist with development and… more
- Prime Healthcare (Montclair, CA)
- …Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. Experience in ... the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans.… more
- Prime Healthcare (Chula Vista, CA)
- …Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments. 2. Experience ... the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint... Management Department under the direction of the assigned Case Manager /Social Worker assist with development and… more
- Reno Orthopedic Center (Reno, NV)
- …fast-paced settings, values precision, and takes pride in delivering safe, high-quality surgical care . Responsibilities . Prepare case carts for the next day's ... meaning decisions are made by those who understand patient care firsthand - and every team member's voice matters....rooms are ready and procedures run smoothly. You'll prepare case carts, set up sterile fields, and assist surgeons… more
- Prime Healthcare (La Palma, CA)
- …Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. Active state ... in 1972, La Palma Intercommunity Hospital is a 141-bed acute- care community hospital and the only hospital in La... Management Department under the direction of the assigned Case Manager /Social Worker assist with development and… more
- Elevance Health (Indianapolis, IN)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... in a health related field or certification as a care manager preferred. + Knowledge of medical...to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates… more
- Actalent (Sacramento, CA)
- …medical record (EMR) systems + Previous experience with IPA, MSO, or delegated managed care environments preferred. + Working knowledge of EZ-CAP, EZ-Net, ... Health standards + Monitor daily inpatient census for Vivant Health- managed members across contracted hospitals + Support discharge planning...InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential… more
- Elevance Health (Houston, TX)
- …experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which ... and the ability to interpret and apply member contracts, member benefits, and managed care products is strongly preferred. Please be advised that Elevance… more
- Saint Francis Health System (Tulsa, OK)
- …health care , part of which may be experience in Behavioral health managed care . Knowledge, Skills and Abilities: Working knowledge of Microsoft Word, Excel ... of patients, matching the level of care utilization. Assures compliance with Managed Care Behavioral Health standards in the area of UM procedures and… more