- Elevance Health (Neillsville, WI)
- **LTSS Service Coordinator ( Case Manager )** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, Trempealeau, Jackson, Clark, La Crosse, Monroe, ... chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports. + At the direction of… more
- HCA Healthcare (Houston, TX)
- …Summary and Qualifications** Under the general supervision of the Pre-Admit Manager , performs support services for the department, assigned clerical, secretarial, ... and related responsibilities, promoting communication between the Director, Manager , medical staff, hospital staff, and patients. Provides effective scheduling by… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost ... and - Case management Certification. - and - Experience in Case management, Utilization review, and/or discharge planning. **Physical Requirements:** Ongoing… more
- Elevance Health (Los Angeles, CA)
- …thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate equipment, ... Educates members about plan benefits and physicians and may assist with case management. + Collaborates with leadership in enhancing training and orientation… more
- Elevance Health (Buffalo, NY)
- …Coordinator - RN Clinician** 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
- Sharecare (Olympia, WA)
- …days of training. PTO needs during the training period will be evaluated on a case by case basis and must be approved in advance._ **Compensation:** $22.00/hour ... / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and… more
- Atlantic Health System (Morristown, NJ)
- …($.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 (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
- Rush University Medical Center (Chicago, IL)
- …Coordinates post discharge care transition referral communication. In collaboration with the case manager , provides referral and follow-up contacts to agencies, ... Offers may vary depending on the circumstances of each case . **Summary:** The Care Management Navigator I is part...management team that is responsible for promoting effective resource utilization to achieve an optimal clinical outcome. The Care… more
- Banner Health (Glendale, AZ)
- …need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS ... pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of...Certification for CCM (Certified Case Manager ) preferred. Additional related education and/or… more