- Guthrie (Sayre, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts . c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of… more
- CommonSpirit Health (Phoenix, AZ)
- …strategies. + Monitor contract financial performance. Analyze and publish managed care performance statements and determine profitability. + Provide training ... and negotiation skills, a comprehensive understanding of healthcare reimbursement methodologies, managed care models, and regulatory requirements, and proven… more
- Penn State Health (Hershey, PA)
- …population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts . Mobilizes resources and manages ... prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** RN Registered Nurse Care Manager - Pediatric Infusion Room **Location** US:PA: Hershey… more
- Penn State Health (Hershey, PA)
- …population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts . Mobilizes resources and manages ... that prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Peds Specialties - Hope Driv **Location** US:PA:… more
- HCA Healthcare (Overland Park, KS)
- **Description** **Job Summary and Qualifications** The Care Manager supports the patient and primary care relationship through care delivery enhancement. ... care management, preventive services, and self-management. The Care Manager acts as an integral member...Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm +… more
- Penn State Health (Enola, PA)
- …population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts . Mobilizes resources and manages ... and executive orders that prohibit or outlaw discrimination._ **Position** Registered Nurse Care Manager - Case Management **Location** US:PA:Enola | Nursing |… more
- University of Southern California (Alhambra, CA)
- …prevent ER Visits, Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the management ... within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and...daily assigned caseload, as assigned by the Lead Ambulatory Care Manager . 3. Assess physical and biopsychosocial… more
- Elevance Health (Darlington, WI)
- …precertification process; knowledge of contracts and strong knowledge of managed benefit programs (family care /partnership) strongly preferred. Please be ... **Title** : Manager II GBD Special Programs - LTSS Care /Service Coordination **Location: We are currently seeking people in the following counties:** Durand,… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Care Manager - Registered NurseDepartment: Rochester Regional Hospital Location: Rochester Regional Hospital Hours Per Week: 40Schedule: M-F (8:00 AM- ... every other year. Sign-On Bonus: Yes SUMMARY:As a Registered Nurse - Care Manager , your excellent interpersonal, leadership and collaboration skills ensure… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Social Work Care Manager I is an Illinois licensed social worker who provides patient ... care coordinator, and advocate. The Social Work Care Manager I collaborates with other members...Experience utilizing motivational interviewing preferred. * Experience working with managed care in a health care… more