- UPMC (Pittsburgh, PA)
- …6 years of experience in medical social work, home care, discharge planning, and case management required. + For Mobile Care Manager + Pennsylvania Licensure in ... experience in behavioral, clinical, utilization management, home care, discharge planning, and/or case management required + For Clinical Care Manager + Minimum… more
- St. Peters Health (Helena, MT)
- …of care, progression of care barriers, and probable transition needs to receiving case manager to follow, on a daily basis. Additional performance expectations ... and utilization reviews on patients not admitted through the ED. 2. ED Case Manager : Using InterQual severity of illness/intensity of service criteria, evaluates… more
- Evergreen Health (Buffalo, NY)
- …culturally competent care to everyone in our community . The RN Care Manager - Transition of Care supports implementation of the patient's integrated care plan ... and works towards resolution of patient needs/barriers. The RN Care Manager facilitates communication between patients, their families, caregivers, providers, and… more
- AmeriHealth Caritas (Shreveport, LA)
- …goals and resolving problems + Coordinates care and services with the Complex RN Case Manager , and member, family members as appropriate, PCP, Specialist , ... within a managed care organization (Medicaid/Medicare) preferred + Certification as a case manager (as documented and accepted on URAC's website@, www.urac.org)… more
- AdventHealth (Orange City, FL)
- …home health agency as a case - manager + Certified Case Manager + Certificate for OASIS Specialist - Clinical This facility is an equal opportunity ... **Location:** **The role you'll contribute:** The Home Health ST Care Manager is a professional nurse who coordinates and directs the home care patient's care… more
- State of Georgia (Dekalb County, GA)
- …when needed. CLINICAL: + Provides clinical and onsite supervision for clinical, case management, and certified peer specialist team. + Delivers high-quality ... Licensed Clinical Manager - Crisis Center Georgia - Dekalb -...details, gathering referral information from the source, assigning a nurse for nurse -to- nurse communication, and… more
- Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
- …the REACH-VET Coordinator, who is an advanced practice licensed social worker, and the REACH VET Nurse Case Manager , who is a registered nurse . The ... complete review of the EDRP application. Responsibilities The Suicide Prevention Program Manager is a very complex assignment, working in the facility and multiple… more
- AmeriHealth Caritas (Washington, DC)
- **Responsibilities:** The Bilingual (Spanish) Care Manager II (Registered Nurse /Licensed Independent Clinical Social Worker) assists members with complex medical ... needs appropriate for care coordination and case management services in achieving their optimal level of...their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is responsible for engaging the member,… more
- AmeriHealth Caritas (Newark, DE)
- …as a health professional (where such licensure is available); orCertification as a case manager (as documented and accepted on URAC's website@, www.urac.org); or ... The Maternal Care Manager (Registered Nurse /Social Worker) assists...such licensure is available); or + Certification as a case manager (as documented and accepted on… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …of any of the following: CPHM (Certified Professional in Healthcare Management), CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or ... *_SUMMARY:_* We are currently seeking a*Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work onsite.… more