- Sutter Health (Oakland, CA)
- …delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care, and observation status. + ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the… more
- Stanford Health Care (Palo Alto, CA)
- …employees. **This is a Stanford Health Care job.** **A Brief Overview** The Social Work Manager is a part of and engages with the service line leadership team. The ... Manager has the responsibility to collaborate with the service...evaluation of social work staff. + Ensures quality program management through compliance with federal, state, and local regulations… more
- LA Care Health Plan (Los Angeles, CA)
- …preferred. Functional knowledge of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical ... Technical Applications Manager II Job Category: Information Technology Department: IT...(eg Clinical Care Advance, ZeOmega, Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care… more
- HCA Healthcare (Kissimmee, FL)
- …and admission status issues through established chain of command. + Performs utilization management reviews and communicates to third party payors. + ... is recognized. Submit your application for the opportunity below: RN Case Manager PRN HCA Florida Poinciana Hospital **Benefits** HCA Florida Poinciana Hospital… more
- ChenMed (Philadelphia, PA)
- …identifies functional status (ADLs and PT needs), discusses medications and self- management , identifies and corrects knowledge deficits. + Supports, collaborates ... + Performs other duties as assigned and modified at manager 's discretion. ** KNOWLEDGE , SKILLS AND ABILITIES:** +...required + A minimum of one (1) year of utilization review and/or case management , home health,… more
- Fallon Health (Worcester, MA)
- …and clinical quality. We believe our individual differences, life experiences, knowledge , self-expression, and unique capabilities allow us to better serve our ... Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Custodial Nurse Case Manager (NCM) is a key member of the Clinical Integration Team, overseeing… more
- Select Medical (Tallahassee, FL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Select Medical (Chicago, IL)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Select Medical (Nashville, TN)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- Highmark Health (Pittsburgh, PA)
- …party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, contract ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more