- 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
- Banner Health (Tucson, 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
- Covenant Health Inc. (Knoxville, TN)
- …level Recruiter: Lacey Spoon || ###@covhlth.com Responsibilities Assessment: + The RN care manager utilizes case finding criteria to screen patients and gather ... ensure patient is meeting daily objectives + The care manager modifies the case management plan to...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Carle Health (Peoria, IL)
- …responsibility for coordination of the surgical schedule to assure the most efficient utilization of the operating rooms. + Monitor case progression to identify ... + Coordinates and supervises the operation of the daily surgery schedule, case assignment, room and personnel assignments. + Assumes Responsibility for the operation… more