- UPMC (Pittsburgh, PA)
- …clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the plan of ... staff assigned to the geographic region of the care manager . Attends and participates in face-to-face case ...experience preferred. + 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case… more
- Molina Healthcare (Chandler, AZ)
- …Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society ... plan in the development and execution of care management and utilization management programs. Develops clinical practice guidelines and oversees appropriateness and… more
- Elevance Health (Tampa, FL)
- …Plans, Freedom Health, and Optimum Healthcare Plans and will be responsible for utilization review case management for these markets. May be responsible for ... State agency. **Preferred Qualifications:** + Bilingual- Spanish speaking preferred. + Utilization Management case review experience strongly preferred. +… more
- HCA Healthcare (El Paso, TX)
- …Coordinator works under the direct supervision of the circulator nurse assigned to a case . The EMI Coordinator under the direction of the Control Desk Manager /OR ... specialty. Responsibilities also include timely reporting, to the Control Desk Manager /OR Director, any equipment issues, supplies and instrumentation concerns as… more
- Dignity Health (Long Beach, CA)
- …or related healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
- Dignity Health (Long Beach, CA)
- …or related healthcare field. + At least five (5) years of nursing experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM-RN) or UM ... with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + Ability… more
- CareFirst (Baltimore, MD)
- …- State Licensure And/or Compact State Licensure Upon Hire Required + CCM - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified ... in a healthcare payor organization. 2 years' experience in Medical Review, Utilization Management or Case Management at CareFirst BlueCross BlueShield, or… more
- Edwards Lifesciences (Las Vegas, NV)
- …will make an impact:** + Working independently in the areas of valve crimping, case management, pre- case planning, post- case management, 3 Mensio management, ... educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing...+ Working independently in the areas of valve crimping, case management, pre- case planning, post- case … more
- Albany Medical Center (Albany, NY)
- …Functions in the OR setting under the direction of the OR RN clinical manager (s). Assures surgeons' needs as identified on the surgical preference card are complete ... within the surgical cores of supplies and instruments and tracks utilization within the appropriate inventory/instrument control systems as developed and directed… more
- HCA Healthcare (Ocala, FL)
- …of day as assigned by Manager /Director. + First line resource to Case Managers, Utilization Review, and Medical Social Workers. Elevates issues as ... of caseload for Case Manages based on appropriate level of care, utilization of services and plan of care. Ensures equitable caseload assignments. + Rounds with… more