- US Tech Solutions (Columbia, SC)
- …and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …in the health care industry. + Strong working knowledge of Managed Care Industry, Corporate Medical Policies, NCQA standards, HEDIS, CMS requirements, ... This position serves as the expert and leader for case management activities and overall coordination within the ...Association (BCBSA) for the Federal Employee Program (FEP). The Manager serves as a resource to management, internal staff,… more
- CVS Health (Oak Brook, IL)
- …**Preferred Qualifications** - Case management and discharge planning experience - Managed Care experience - Microsoft Office experience - Experience working ... do it all with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is with Aetna's Long-Term Services and… more
- KBR (San Diego, CA)
- …in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. * ... Title: Special Operations Nurse Case Manager Part-Time (Coronado, CA) THIS...safely. We maintain a highly qualified workforce to help care for service people and astronauts across the world.… more
- HCA Healthcare (Savannah, GA)
- **Description** **Introduction** Do you have the PRN career opportunities as an RN Case Manager PRN you want with your current employer? We have an exciting ... colleagues. Do you want to work as an RN Case Manager PRN where your passion for...and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to… more
- HCA Healthcare (Kansas City, MO)
- …Minimum of one year of acute clinical nursing experience preferred. + Two years Managed Care and/or Hospital Case Management experience preferred Research ... Are you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support...in their positions. Join our Team as a(an) RN Case Manager and access programs to assist… more
- AnMed Health (Anderson, SC)
- …patients to enhance and support effective, efficient management of health-related needs. The Case Manager assesses care needs, plans, coordinates and ... The Case Manager is an integral role...The Case Manager is an integral role within the ..., home care , ambulatory/ physician office, or managed care . Preferred Qualifications + Master's degree… more
- Volunteers of America Delaware Valley (Camden, NJ)
- … Manager (CV42-1) - Reentry Services Division Case Manager Support transformation. Empower change. Coordinate compassionate care . Volunteers of America ... Delaware Valley is seeking a Case Manager to join our treatment team...organizations + Link clients to essential services, including medical care , education, employment, and housing + Prepare all required… more
- CVS Health (Chicago, IL)
- …and/or trainings in Downers Grove IL as needed/requested by Management.** BH Clinical Case Manager is responsible for telephonically and/or face to face ... care to meet the member's goals. - Utilizes case management and quality management processes in compliance with...Perinatal Mental Health Certification (PMH-C) * NICU experience * Managed Care Organization experience is strongly preferred.… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …Qualifications: Five (5) years of inpatient acute/critical care experience. Prior Case Management experience. Managed Care or Health Plan experience. ... Summary The primary purpose of the Patient Flow Inpatient Case Manager Registered Nurse position is to demonstrate leadership in delivering and improving… more