- LA Care Health Plan (Los Angeles, CA)
- …Social Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager ... clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating… more
- National Institutes of Health (Bethesda, MD)
- …and accepted statistical and other tools. Evaluating user needs, system utilization , and clinical impact and develop recommendations for improvement. Analyzing ... entrance on duty. Recipients will be determined on a case -by- case basis based on organizational need, specific...systems and is at the discretion of the hiring manager . A salary above the minimum must be approved… more
- Maersk (Norfolk, VA)
- …timing for predictive maintenance programs; and work orders. * Overall supervise the utilization of Ship Manager processes and functionalities. * As applicable, ... The Ship Superintendent will report to the Fleet Group Manager . A Ship Superintendent is responsible for an estimated...their close out until the point of a claim case being prepared for invoicing. * Participate in internal… more
- Hunterdon Health Care System (Bridgewater, NJ)
- …Someone, who can develop cooperative bonds with surgeon's offices to achieve maximum utilization of the Center. Must pay attention to details, so that through the ... scheduling process, utilization of staff, equipment, and available time are maximized....ability to resolve problems (if dealing with a difficult case ). May be delegated additional responsibilities or special assignments… more
- Elevance Health (Richmond, VA)
- …information regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review). + Provides ... and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.… more
- Elevance Health (Nashville, TN)
- …4 years managed care experience and requires a minimum of 2 years clinical, utilization review, or case management experience; or any combination of education ... thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment,… more
- Elevance Health (Middletown, NY)
- …Coordinator - RN Telehealth** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
- Elevance Health (Tampa, FL)
- …information regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review). Provides ... and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.… more
- Atlantic Health System (Morristown, NJ)
- …($.70) included. Internal referral bonus: $5,000 Reports to: Assistant Manager Duties & Responsibilities: Performs Patient assessments. + Accurately assesses ... Develops the plan of care for the patient and family Ensures appropriate utilization of services + Maintains visit productivity standards + Demonstrates knowledge of… more
- Elevance Health (Odessa, TX)
- …The **LTSS Service Coordinator-RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to ... non-RN clinicians participating in the member's case in accordance with applicable state law and contract;...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more