- US Tech Solutions (Topeka, KS)
- …Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and ... policies. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for… more
- CVS Health (Harrisburg, PA)
- …and English **Preferred Qualifications** + Crisis intervention skills preferred Managed care/ utilization review experience preferred + Case management and ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of… more
- Amergis (Lompoc, CA)
- Essential Job Details Modality & Specialty Case Manager RN, Lompoc, CA Specific Skills/Qualifications Needed 1-2 year Inpatient Case Management Experience RN ... LVMS documents, MMR, TDAP, Hep B, Varicella The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters ... Performs admission certification screening for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay...career path, we encourage you to apply for our Manager Case Management opening. We review all… more
- Advanced Orthopedics and Sports Medicine Institute (Freehold, NJ)
- Workers Compensation Case Manager Location(s) 301 Professional View Dr Freehold, NJ Type Full-Time Summary The Workers' Compensation Case Manager will be ... documentation meets NJ and NY workers' compensation regulatory requirements. Manage the utilization of medical services and resources to ensure that injured workers… more
- HCA Healthcare (Round Rock, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse Case Manager you want in your current role? We invest in what matters ... in your career path, we encourage you to apply for our Registered Nurse Case Manager opening. We review all applications. Qualified candidates will be contacted… more
- Elevance Health (Atlanta, GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the… more
- Elevance Health (Washington, DC)
- **Nurse Case Manager Sr** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, ... accommodation is granted as required by law. The **Nurse Case Manager Sr** will be responsible for...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and schedules meetings,… more
- Meriter-UnityPoint Health (Madison, WI)
- …Hospital Job Description: The Child and Adolescent Clinical Resource Nurse and Outpatient Case Manager serves four primary functions on the Child and Adolescent ... skills. EEO/M/F/D/V Auto req ID:15569BRWeekends:NoZip Code:53719Compensation:Commensurate with experience.Job Title:RN Case Manager -Clinical Resource; Child & Adol Psych;… more
- Bluestone Physician Services (Blaine, MN)
- …by the overall savings per Medicare beneficiary. Position Overview: As a GUIDE Model Dementia Case Manager , you will assist in delivering the 9 core elements ... primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management + Collaborate… more