- Excellus BlueCross BlueShield (Rochester, NY)
- …of consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and… more
- Elevance Health (Los Angeles, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Sign on...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Washington, DC)
- …unless an accommodation is granted as required by law. The ** Nurse Case Manager Sr** will be responsible for care management within the scope of licensure ... ** Nurse Case Manager Sr** **Location:** Washington,...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- Northwell Health (Sleepy Hollow, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + ... Submits data to management regarding case management and/or quality initiatives....Job Qualification + Graduate from an accredited School of Nursing . Bachelor's Degree in Nursing , preferred. Must… more
- Northwell Health (Poughkeepsie, NY)
- …+ Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria + ... Submits data to management regarding case management and/or quality initiatives...functions Qualifications: + Graduate from an accredited School of Nursing + Bachelor's Degree in Nursing , preferred.… more
- Elevance Health (Atlanta, GA)
- …48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of ... **Telephonic Nurse Case Manager I** **Location: This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Catholic Health Initiatives (Houston, TX)
- …to physicians, Radiology and nursing staff, business and financial services, utilization management , and quality management ; Utilizes a scientific ... **Job Summary and Responsibilities** The Manager of Radiology will have 24 hour accountability...and have authority for developing, implementing, and evaluating outcome management programs for the defined patient population. Utilizes various… more
- CVS Health (St. Paul, MN)
- …CM, discharge planning and/or home health care coordination experience + Previous Utilization Management experience, transitions of care and discharge planning ... members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention… more
- Rochester Regional Health (Rochester, NY)
- … personnel, physicians and providers *In collaboration with the nurse manager /director investigates and resolves patient/family/significant other complaints ... CNL is the main contact for a variety of nursing functions in support of management and...and documentation to both team members and / or Nurse Manager *Assesses the needs and provides… more
- Fresenius Medical Center (Teaneck, NJ)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
Recent Jobs
-
Warehouse Associate - Big Cuts Team
- GCG (Chesapeake, VA)
-
Instructor or Higher- Biochemistry
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
-
Certified Medical Assistant
- AdventHealth (Orlando, FL)
-
Clinical Educator (RN) - Med-Surg/Tele
- Hartford HealthCare (Norwich, CT)