- CVS Health (Charleston, WV)
- …telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs ... Reviews prior claims to address potential impact on current case management and eligibility. * Using a...Foster care experience * Crisis intervention skills * Managed care/ utilization review experience * Certified Case Manager… 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
- HCA Healthcare (Dallas, TX)
- …of command + Makes appropriate referrals to third party payer, disease and case management programs for recurring patients and patients with chronic disease ... + Documents professional recommendations, discharge plan, care coordination interventions, and case management activities to effectively communicate to all… more
- CVS Health (Richmond, VA)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards ... is a full time remote teleworker position in Virginia. Travel is required 50% of the time in the...of care to meet the member's goals. o Utilizes case management and quality management … 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
- Centers for Independence (Milwaukee, WI)
- …with agency limits + Knowledge of Milwaukee County TCM, CCS and/or CSP/ACT Case Management . + Experience with individuals with dual diagnoses is preferred. ... and outside agencies. + Knowledge of Milwaukee County TCM, CCS and/or CSP/ACT Case Management is preferred. Physical Requirements, Visual Acuity, and Work… more
- Apex Health Solutions (Houston, TX)
- Summary Responsible for providing case management services and support to improve health outcomes via a coordinated approach. The Case Manager works in ... Nurse (RN) with active license in the state of Texas or Compact state. Certification in Case Management preferred (CCM or ACM) EXPERIENCE : Minimum 2 years in … more
- Amergis (French Camp, CA)
- …+ Current RN licensure in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable + TB questionnaire, ... for RNs with a strong background in acute care case management to join a collaborative team...Recent Discharge Planning experience + Strong background in Denials Management + Skilled in Utilization Review +… more
- US Tech Solutions (Topeka, KS)
- …for Healthcare. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... full-time telework role in Kansas, however, will require 50-75% travel for face-to-face visits in assigned area once COVID...critical thinking and judgment to collaborate and inform the case management process, in order to facilitate… more
- Ochsner Health (Lafayette, LA)
- …based experience in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current ... (CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare … more