- State of Georgia (Dekalb County, GA)
- …a liaison in community resource activities. + Cover shift/caseload in the absence of Case Manager or Counselor. + Complete task and assigned task from multiple ... homicidal, suicidal or exhibit life-threatening behaviors. Complete assessments, manage a case load, complete treatment plans, and obtain authorization for services.… more
- Elevance Health (Tampa, FL)
- …of medical complexity. **How you will make an impact:** + Oversees case and utilization management execution/decision making for managed member populations. ... quality outcomes. + Directs Healthcare Management Program including disease management, case management, and utilization management. + Partners with Provider… more
- Molina Healthcare (Bowling Green, KY)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... and some experience with Behavioral Health. Supervisor will manage a team of case managers. Excellent computer skills and attention to detail are very important to… more
- UPMC (Pittsburgh, PA)
- …services related to clinical guidelines, coding requirements, regulatory requirements, and resource utilization . This role also acts as a SME for the department in ... but are not limited to analysis of controlled substance prescribing and utilization to identify potential clinical care issues; prepayment review of claims, and… more
- Molina Healthcare (TX)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... will be given to applicants with a minimum of 2 years' experience in Case Management/Service Coordination within an MCO. Candidates should be able to speak to how… more
- ChenMed (St. Petersburg, FL)
- …The incumbent in this role is responsible for providing psychosocial assessment, social case work and linkage to community resources for patients who have chronic, ... wellness tools and resources for the care team's awareness and utilization with patients in need. **Communication:** + Maintains communication with interdisciplinary… more
- ABM Industries (Washington, DC)
- …Quality Control software, ensuring the effective oversight of space utilization , asset management, maintenance, and data-driven decision-making. The CMMS Admin. ... will work closely with facility manager , engineers, and administrative teams to streamline operations related to HVAC, refrigeration, chilled water systems, boilers,… more
- University of Southern California (Los Angeles, CA)
- …the ambulatory care manager with the functions of complex case management, utilization management, quality management, discharge planning, and Transitions ... Provides department support for the Case Management team to facilitate discharge planning and...providing the services.Under the supervision of the ambulatory care manager , the care coordinator provides care coordination services required… more
- Johns Hopkins University (Baltimore, MD)
- …_Ensure and Track High Quality Service Delivery._ + Maintain records by documenting client case work according to clinic protocol and utilization of the clinic's ... position, reporting directly to the Hopkins Community Connection Program Manager . Ideal candidates are experienced social service providers, creative… more
- KBR (San Diego, CA)
- …with cutting-edge solutions and services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a full range of professional health ... care goals. * Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential...years nursing experience and must be certified as a case manager by a recognized certifying organization,… more