- Excellus BlueCross BlueShield (Rochester, NY)
- …group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational ... Job Description: Summary: Conducts case management program activities in accordance...consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered… more
- CVS Health (Charleston, WV)
- …Waiver experience * Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Case management and discharge planning ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards… more
- Houston Methodist (The Woodlands, TX)
- …for state, local and federal programs + Progressive knowledge of discharge planning, utilization management , case management , performance improvement and ... (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management , which includes care transitions and discharge planning of… more
- CVS Health (Atlantic City, 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 Bergen, Hudson, Atlantic, Cape May, Passaic and...Home Health and/or Hospice Experience + LTSS experience + Case management and/or discharge planning experience +… more
- Spokane County (Spokane, WA)
- …resources for persons with mental health conditions), and individuals needing case management services (to promote recovery, enhance individual's engagement ... provide for more successful outcomes). Incumbents screen, assess, facilitate and perform case management and care coordination services. The work is performed… more
- Banner Health (Tucson, AZ)
- …payers, community agencies, provider networks, and regulatory agencies. 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
- Veterans Affairs, Veterans Health Administration (Charleston, SC)
- …that progress is made. Preferred Experience: BSN or MSN 3+ years Med/surg experience Case management experience Utilization management experience VA ... Summary The Registered Nurse (RN) Inpatient Case Manager is responsible for the coordination of...from admission to discharge. He/she is responsible for conducting utilization management activities reviews on observation, admission… more
- 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
- Banner Health (Casa Grande, 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
- Banner Health (Queen Creek, 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