- Healthfirst (NY)
- + Applies care management principles by advocating, informing, and educating beneficiaries on services, self- management techniques, and health benefits related ... community-based services and may be called upon to do Utilization Review for those services + Develops care plans...line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and… more
- Elevance Health (New York, NY)
- …and Experiences:** + Child and Adolescent experience strongly preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
- Garnet Health (Harris, NY)
- …your career home with us as a Social Worker on our Inpatient Behavioral Health Unit (BHU) team at/in Garnet Health Medical Center-Catskill. Responsibilities The ... accordingly, and implement evidence based care. Social Work Clinician/Case Manager - primary role is to provide psychiatric/detox emergency screening… more
- The Cigna Group (Bloomfield, CT)
- …follow-up requests for authorization and coordinate between the caller and Care Manager /Care Management Teams. + Research complicated cases, ie, eligibility, ... Managers, facilities, and individual providers to ensure proper access and utilization of benefits. **Requir** **ed Shift: M-F 1030am-7 pm CST**… more
- Penn Medicine (Princeton, NJ)
- …other weekend and a few holidays each year **Location** : Princeton House Behavioral Health (905 Herrontown Road Princeton NJ) **Summary** : + Assists nurses in ... environment. + Will demonstrate responsibility for individual performance and efficient utilization of products, supplies, and equipment. + Will utilize time to… more
- WellSpan Health (Mount Gretna, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and... of resources to the attention of the appropriate manager (s). **Common Expectations:** + Demonstrates a commitment to patient,… more
- HCA Healthcare (Brandon, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager of Case Management you want with your current employer? We have an ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...of colleagues. Do you want to work as a(an) Manager of Case Management where your passion… more
- Elevance Health (Hendersonville, NC)
- …considered for employment, unless an accommodation is granted as required by law._ The Manager Care Management ( Manager I GBD Special Programs) is ... ON BONUS** **LOCATION** **: W** **e are seeking a Manager to cover** **Haywood/J** **ackson/Swain counties.** **Residency in one...care managers and ensuring fidelity to the CFSP Care Management model which includes physical health, behavioral … more
- HCA Healthcare (Fort Worth, TX)
- …**Job Summary and Qualifications** + Under the supervision of the Director of Case Management , the Case Management Manager performs case management ... Medical City Fort Worth team is looking for a Manager of Case Management . HCA Healthcare is...projects. + Works cooperatively with physicians to achieve the utilization of the case management plan. +… more
- UPMC (Pittsburgh, PA)
- …or licensure in a human services field. + Three years of experience in behavioral , clinical, utilization management , home care, discharge planning, and/or ... Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair...and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other… more
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