- ChenMed (Houston, TX)
- …expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and managing quality of ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients' families and… more
- Elevance Health (Wilmington, NC)
- ** Manager Care Management , Foster Care (...but are not limited to** **:** + Manages resource utilization to ensure appropriate delivery of care to members, ... children and families thrive in safe, stable, and nurturing homes._ The ** Manager Care Management , Foster Care** ( Manager I GBD Special Programs) is… more
- Wolters Kluwer (Wilmington, DE)
- …efforts, prioritizing efforts and resources for assigned customer portfolio. + **Ongoing Utilization Management ** + Oversee and analyze customer utilization ... (see locations listed on the posting) **OVERVIEW** The Customer Success Engagement Manager plays a high-impact role in managing strategy and product utilization… more
- Capital One (Plano, TX)
- Manager - Process Management As a Manager of Process Management , you will work with a team of process managers in delivering flawlessly executed processes ... educate and gain buy-in from key stakeholders concerning the utilization of process to ensure appropriate execution each time....be regularly worked. Plano, TX: $115,200 - $131,500 for Manager , Process Management Candidates hired to work… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …the Nurse Case manager . The Nurse Case Manager reports to the Manager of Case Management . Responsible for developing and managing the case management ... Case Management . + Determines appropriate care level and resource utilization for complex cases. + Facilitates discharge planning and evaluates alternative… more
- Elevance Health (Indianapolis, IN)
- …The ** Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management ... facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and… more
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure… more
- Cambridge Health Alliance (Cambridge, MA)
- RN Case Manager - Inpatient Case Management CH **Requisition Number:** 10782 **Pay Range:** $41.58 - $93.96 per hour **Location** : CHA Cambridge Hospital **Work ... Under the general supervision of the Director of Care Management , the RN Case Manager provides clinically-based...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- Gilead Sciences, Inc. (Foster City, CA)
- …closely with Project Controls group leads and the Project Controls and Governance Manager to align cost management practices and PMIS workflows with Gilead's ... create possible, together. **Job Description** The **Capital Planning and Cost Manager ** oversees capital planning, cost governance, and PMIS development for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …difference, join us. The Impact You Will Have This job implements effective utilization management strategies including: review of appropriateness of pre and ... Cross and Blue Shield of Minnesota Position Title: Care Manager PreService & Retrospective - Autism Location: Remote Career...* 1+ years of managed care experience (eg case management , utilization management and/or auditing… more