- 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
- Apex Health Solutions (Houston, TX)
- …and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider ... Summary Responsible for providing case management services and support to improve health outcomes...on a case by case basis Education Education: Registered Nurse (RN) LICENSES/CERTIFICATIONS: Registered Nurse (RN) with… more
- BlueCross BlueShield of Tennessee (Murfreesboro, TN)
- …be within 25 miles of Murfreesboro, Tennessee\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases as ... a hybrid role\. For approximately three days a week, you will work remotely, conducting telephonic outreach to members\. Two days a week, you will visit members in a… more
- CareFirst (Baltimore, MD)
- …or GED **Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... in nursing + CCM/ACM or other RN Board Certified certification in case management . Federal Employee Program (FEP) Book of Business (ONLY): Must have CCM/ACM or… more
- Houston Methodist (Houston, TX)
- …At Houston Methodist, the Care Manager I position is a licensed registered nurse (RN) who works collaboratively with the interprofessional healthcare team to provide ... professional nursing care and disease management to various population groups identified in the hospital...FUNCTIONS** + Actively manages assigned panel of patients, using telephonic interaction as the mode of delivery that includes… more
- AdventHealth (Altamonte Springs, FL)
- …+ 1 year skilled nursing facility, acute care facility, or post-acute care management + Licensed Practical Nurse (LPN) - State Licensure **Preferred ... care coordinator's primary responsibility is to oversee post-acute care utilization for identified populations. The Post-acute care coordinator will...qualifications:** + Case Management + Registered Nurse State Licensure and/or… more
- UPMC (Jamestown, NY)
- …. + Minimum of 3 years of experience in behavioral health, clinical care, utilization management , home care, discharge planning, or case management . + ... meetings, and treatment planning sessions. + Perform face-to-face and telephonic assessments, including hospital discharge coordination as needed. + Ensure… more
- Commonwealth Care Alliance (Boston, MA)
- …is responsible for providing primary care, palliative care and community intensive care management to a specific panel of high risk and complex people. This patients ... Operations and in direct partnership with Care Delivery Business Ops and Clinical Management teams, the Supervisor partners in ensuring the delivery of primary care,… more
- CVS Health (Frankfort, KY)
- …do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in ... person or telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial needs… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care experience; eg case management /health coach, utilization management and/or auditing experience. * Outstanding telephonic skills. Compensation and ... Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and...care between settings. Required Skills and Experience * Registered Nurse licensure in the state of Minnesota with no… more