- 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
- Highmark Health (Annapolis, MD)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans… 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager , Continuum of Care Full Time, 80 Hours Per Pay Period , Day Shift M-F. May rotate weekend and minor holidays. Parkwest ... The Continuum of Care Department is staffed by a Manager , Coordinator, RN Care Managers, and Masters Level Social...holidays. Scheduling is centered on team and department needs. Case Managers and Social Workers are available for all… more
Recent Jobs
-
Emergency Department Technician - McLaren Careers
- McLaren Health Care (Clarkston, MI)
-
Product Manager - IBM Storage
- IBM (Durham, NC)
-
Sales Associate
- M/I Homes (Franklin, TN)
-
Cook / PRN
- Select Medical (Akron, OH)