- Somatus (Mclean, VA)
- …can leverage existing high-speed internet service Preferred Qualifications: + BSN + Certified Case Manager (CCM) + Diabetic educator experience + ICU, Cardiology ... basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care...or Critical Care experience + Telephonic case management experience + Experience with discharge planning +… more
- Amergis (Lompoc, CA)
- The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service ... + Current RN licensure in state practicing + At least one year of Case Management experience preferred + Current CPR if applicable + TB questionnaire, PPD or… more
- Insight Global (Alexandria, LA)
- Job Description Insight Global is looking for an Insurance Case Manager to join their client's team in the Northern LA area. This role involves oversight of ... RN License Cost Containment Background - utilization review or managed care Prior Experience with Worker's Compensation Prior Experience with Case Management more
- The Hartford (Hartford, CT)
- Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... or non-support of clinical findings. Collaborates with Disability Benefits Manager and other key players (vocational rehabilitation consultants, medical nurse… more
- VNA Health (Santa Barbara, CA)
- …hour, minimum. + Visual and audio acuity. Apply today to be considered for our RN Case Manager role or email ###@vna.health with your resume. Powered by JazzHR ... $5,000 sign on BONUS! Job Description: VNA Health is looking for compassionate Registered Nurse Case Managers (RN CM) to join our Home Health care team. The RN CM… more
- Trinity Health (Mishawaka, IN)
- …System is seeking a compassionate and detail-oriented **RN** ** Case Manager ** to coordinate patient care, utilization management, and discharge planning. ... years of clinical nursing experience; critical care experience preferred + Case management certification preferred + Strong communication, critical thinking, and… more
- Northwell Health (Sleepy Hollow, NY)
- …+ Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits ... data to management regarding case management and/or quality initiatives. + Serves as an...federal, and third party payer regulations. + Documents the case management process in the medical record; completes and… more
- Trinity Health (Fresno, CA)
- …the acute care continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization . ... an interdisciplinary team to improve patient care through the effective utilization of the facility's resources. The incumbent makes significant contributions toward… more
- Essentia Health (Fargo, ND)
- …and accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This role is ... to meet patient needs, manage length of stay, and promote efficient utilization of resources for a designated caseload. **Education Qualifications:** This position… more
- UPMC (Harrisburg, PA)
- UPMC is hiring a Discharge Plan Manager for our Case Management department in Harrisburg! This is a full time, day shift position that requires an every 4th ... based on education and experience Purpose: The Discharge Plan Manager functions as the coordinator and is accountable for...a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews… more