- Cleveland Clinic (Port Saint Lucie, FL)
- … Nurse (RN) in state of employment. + 3 years of experience in utilization management , case management , or discharge planning and 3 years of clinical ... where you belong, here at Tradition Hospital. As a Manager of Care Management , you will supervise care managers, clinical referral coordinators, nurse reviewers,… more
- Ivyhill Technologies LLC (Bethesda, MD)
- Team Ivyhill is currently seeking to hire Referral Management (Non- Nurse ) Reviewers to support its contract with the Integrated Referral Management and ... services for beneficiaries in the Defense Health Network. Referral Management (Non- Nurse ) Reviewers will be responsible for facilitating centralized… more
- The County of Los Angeles (Los Angeles, CA)
- …agency - AND - three years of experience overseeing the provision of acute or case management services** in a comprehensive health care setting. Option II: A ... - AND - five years of experience overseeing the provision of acute or case management services** in a comprehensive health care setting. LICENSE: A valid… more
- WellSense (Manchester, NH)
- …Certification or Conditions of Employment:** . Current state licensure as a Registered Nurse . Certification in Case Management Preferred **Competencies, ... of employee performance. Positions reporting to the manager include, Nurse Care Clinicians, Social Workers, Community Health Workers and...resolve complex issues related to the medical and social case management of members. Acts as a… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …with Clinical Program stakeholders to ensure optimal partnerships and integration with our Case Management and Clinical Program teams. + Extensive knowledge of ... day operations and oversight of the UM program. + Lead , develop and manage processes to respond, solution, and...and internal staff. + Cross Collaboration with leadership in Case Management /Disease Management to ensure… more
- Humana (Springfield, IL)
- …managers to ensure alignment and operational efficiency. + Identify members for specific case management and / or disease management activities. + ... Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses,...the state of Illinois** + An active, unrestricted, Registered Nurse **(RN)** license, Licensed Clinical Social Worker **(LCSW)** **OR**… more
- AdventHealth (Daytona Beach, FL)
- …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Daytona Beach **Schedule:** Full-time ... Daytona Beach, 32117 **The role you'll contribute:** The Care Management Manager is under the general leadership of the...you'll need to succeed:** **Minimum qualifications** : + Registered Nurse : BSN + or Social Worker: BSW Masters in… more
- Trinity Health (Silver Spring, MD)
- …time **Shift:** Day Shift **Description:** **General Summary:** Participates in the risk management activities of the organization. Assists in the management of ... with insurance procedures; and ensures necessary and timely updates to safety/risk management policies. Supports the Mission of Trinity Health and Holy Cross… more
- Highmark Health (Pittsburgh, PA)
- …**Preferred** + Registered Nurse (RN) or Licensed Social Worker (LSW) + Case Management Society of America (CMSA) certification or other relevant disease ... + 7 years of experience in a healthcare setting + 5 years of experience in Management or leadership role directly related to case or disease management +… more
- ChenMed (Houston, TX)
- …additional education patient may need and to oversee appropriate patient discharge from case management . + Performs clinical and Social determination of Heath ... visits, once patient has completed their episode of care management the register nurse (RN) will review...is mandatory during all LPN visits. + Conducts/coordinates initial case management assessment of patients to determine… more