- Banner Health (Sun City, AZ)
- …provider networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained ... Educates internal members of the health care team on case management and managed care concepts. Facilitates...Management positions in acute facilities, Banner Registry and Travel positions require a minimum of one year … more
- CVS Health (Norman, OK)
- …to diverse populations + 1+ year(s) of crisis intervention experience + Managed care/ utilization review experience + Case management and discharge planning ... + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Pleasantville, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... Choice certification is a contingency of employment.** + **Preferred Qualifications** + Case management and/or discharge planning experience preferred. + Home… more
- CVS Health (Downers Grove, IL)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards ... develops and monitors established plans of care to meet the member's goals -Utilizes case management and quality management processes in compliance with… more
- Actalent (Sacramento, CA)
- …shift Job Summary: Under the direction and oversight of the Manager, Inpatient review and Case Management , the Senior Nurse Case Manager is responsible and ... in Sacramento! Location: Hybrid - must be willing to travel up to 50 miles within the Greater Sacramento...of services for Medicare client members referred for complex case management . The Senior Nurse Case… more
- Banner Health (Sun City West, AZ)
- …provider networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained ... Educates internal members of the health care team on case management and managed care concepts. Facilitates...Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED… more
- HCA Healthcare (Dallas, TX)
- …outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Medical City ... supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: +...Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and… more
- CVS Health (Charleston, WV)
- …Waiver experience * Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Case management and discharge planning ... full-time field teleworker position that requires West Virginia residency. Travel is required 50% of the time or more,...critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare… more
- State of Georgia (Baldwin, GA)
- …and families and/or serve as a liaison for social services. . May perform case management duties. . Assists clients in locating and utilizing community resources ... . Provides crisis intervention and emergency shelter services. . Provides short-term case management and referral services to clients with emergency situations… more
- CVS Health (Parsippany, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... Case Manager opportunity with 50 to 75% field travel in Morris, and surrounding counties. The working schedule...Preference for candidates who reside in Morris County + Case management and/or discharge planning experience +… more