- Cedars-Sinai (CA)
- …Work is performed under the direct supervision of a Social Work manager . **Primary Duties and Responsibilities** Assists in locating facilities appropriate for ... Acute Rehab Facilities to determine bed availability and communicates with the case management team. Assists patients with Durable Medical Equipment (DME) as needed… more
- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. As an RN Case Manager , you will float between all bedside units at Main Campus and ... Certification by an approved entity + Two years of recent experience in utilization review, quality or care management + Knowledge of acute care and accreditation… more
- University of Washington (Seattle, WA)
- …review (or utilization management or healthcare management), certified case manager , certified documentation specialist, certified coder, certified ... years of experience required in one of the following areas: clinical, case management, denials, billing + Familiarity with National Coverage Determinations and Local… more
- ChenMed (Columbus, OH)
- …We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient outcomes and ... acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with patients'… more
- Elevance Health (Indianapolis, IN)
- …continuum of Behavioral Health treatment strongly preferred. + Certification as a Case Manager is preferred. **Additional requirements for BH EAP/Resource ... The ** Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM)… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …service health care services, application of criteria to ensure appropriate resource utilization , identification of referrals to a Health Coach/ case management, ... of both medical documentation and claims data to assure appropriate resource utilization , identification of opportunities for Case Management, identify issues… more
- Swedish Health Services (Seattle, WA)
- …you the chance to focus on what really matters - our patients.** The nurse case manager coordinates the care and service of selected patient populations through ... outcomes. Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization...rights, and worker's compensation laws when applicable to the case manager 's practice. * Performs other duties… more
- UPMC (Pittsburgh, PA)
- …management? UPMC Health Plan is looking for you! We are hiring a full-time Utilization Management Care Manager to support the Utilization Management Clinical ... will be given to candidates located in Pennsylvania. The Utilization Management (UM) Care Manager is responsible...term acute care, as needed. Coordinates with Health Plan case managers or health management staff members to follow-up… more
- ChenMed (Cleveland, OH)
- …providers. We're rapidly expanding and we need great people to join our team. The Case Manager is responsible for enhancing the quality of patient management and ... continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent in… more
- Wolters Kluwer (Wilmington, DE)
- …to set utilization goals and benchmark success, leveraging tools (reports, case studies, client references, etc.) to win and maintain customer support + Manage ... (see locations listed on the posting) **OVERVIEW** The Customer Success Engagement Manager plays a high-impact role in managing strategy and product utilization… more