- McLaren Health Care (Port Huron, MI)
- …experience with an acute care hospital **Preferred:** ⦁ Experience in utilization management / case management , critical care, clinical documentation, or ... directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in nursing ...patient outcomes/quality management . ⦁ Certification in Case Management Certification (ACM or CCM) ⦁… more
- Chevron Corporation (Houston, TX)
- …degree in nursing . + Minimum of 5 years of experience in medical case management or disability claim management . + Demonstrated knowledge of the ... Microsoft Office products (Outlook, Word, Excel, PowerPoint). + Experience in using case management and workflow systems. + Outstanding interpersonal, customer… more
- CVS Health (Richmond, VA)
- …TOC team will review prior claims to address potential impact on current case management and eligibility status. Assessments and/or questionnaires are designed ... the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management ,...Nursing (PREFERRED) **License** + Active and unrestricted Registered Nurse (RN) License in Virginia OR Compact Registered … more
- Sanford Health (Rapid City, SD)
- …of clinical nursing experience required. Two years experience as a case manager preferred. One year of leadership/ management experience preferred. Experience ... Details** Join our team as a Utilization Review and Case Management Manager and lead a high-impact,...nurse (RN) license with the State Board of Nursing and/or possess multistate licensure if in a … more
- Kaleida Health (Buffalo, NY)
- …nursing or health related profession (ie social work) preferred. Registered nurse license required. Case management certification preferred.** ... tools. Must possess working knowledge of Inpatient / payer / community case management , inpatient, outpatient, and the home health continuum, as well as managed… more
- Elevance Health (Las Vegas, NV)
- …agencies and appropriate provider/network. + Refers member to catastrophic case management . **Minimum Requirement:** + Requires AS in nursing and minimum of ... ** Nurse Disease Management I** **Location:** **This...required. **Preferred Skills, Capabilities and Experiences:** + BS in nursing preferred. + Prior case management… more
- Baylor Scott & White Health (Dallas, TX)
- …care function of Baylor Scott and White Health (BSWH), which may include case management , social services, coordination of patient care, patient access, ... utilization management , and discharge planning. Directs the management and analysis of case management...service delivery. **KEY SUCCESS FACTORS** 1. Bachelor's degree in nursing , social work, or related field preferred. Master's degree… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …providing inpatient and outpatient services. These services include intake, assessment, case management , advocacy, treatment, coordination of care and discharge ... group, and/or family counseling or psychotherapy and advanced level psychosocial and/or case management interventions used in the treatment of veterans with… more
- Swedish Health Services (Edmonds, WA)
- …Upon hire: Washington Registered Nurse License + 6 years of experience in Case Management . + 2 years of Supervisory/ management experience, preferably in ... Case Management . + Case Management and supervisory/ management experience...management experience in an acute care hospital. + Nursing experience within a variety of complex client care… more
- CVS Health (Baton Rouge, LA)
- …all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, timely, ... review tools (eg, InterQual, MCG) and regulatory requirements. * Experience in utilization management , case management , or care coordination. * Experience… more