- WellSense (NH)
- …circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members throughout the continuum of care by assessing ... the member's overall experience with the health care delivery system. Utilizing both telephonic outreach and face to face member visits and through the use of… more
- Baylor Scott & White Health (Temple, TX)
- …Associate's degree in nursing. Specialty Certification strongly encouraged. Knowledge of care management , resource and utilization management . Skilled in ... and psychosocial needs of the patient and family. Assists patients with self- management through education, visits and telephonic engagement; encourages and… more
- Point32Health (Canton, MA)
- …with the interdisciplinary care team, to improve member outcomes (ie, Utilization Management , Medical Director, pharmacy, community health workers, dementia ... management , population health and wellness interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... difference, join us. The Impact You Will Have Utilizing key principles of case management , the RN Specialist will research and analyze the member's health needs and… more
- Truman Medical Centers (Kansas City, MO)
- …English, both spoken and written **Preferred Qualifications:** + RN experience in hospital utilization review, utilization management , or case management ... We are seeking a dedicated and detail-oriented Case Manager (CM)-a registered nurse committed to optimizing both patient outcomes and healthcare resources. In this… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse (RN) - Full TimeHIV Medicine Clinic - Albany, NY We have an ... comprehensive HIV services including primary medical care, medical case management , medication adherence, peer services, substance abuse counseling, mental health… more
- CareFirst (Baltimore, MD)
- …preferred. **Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... School Diploma or GED **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-...CCM/ACM or other RN Board Certified certification in case management . Incumbents not certified at the time of hire… more
- Actalent (Sacramento, CA)
- …(eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review, case management , or hospital discharge planning + Familiarity with ... Remote Licensed Vocational Nurse (LVN) Fully remote but MUST reside within...of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and… more
- PruittHealth (Albany, GA)
- …three years industry experience in a managed care setting focused on experience in utilization review/case management and at least two years case management , ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible… more
- CVS Health (Columbus, OH)
- …Start Times Available: + 9:00am EST - 11am EST The Care Management Associate supports comprehensive coordination of medical services including Care team intake, ... supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services.… more