- University of Utah Health (Salt Lake City, UT)
- …discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care facilities, durable ... of care activities under the direction of a registered nurse and/or social worker. The incumbent interacts with representatives...related field. + One year of experience in a utilization review or case management environment. +… more
- Molina Healthcare (Augusta, GA)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- HCA Healthcare (Tallahassee, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Case Management you want in your current role? We invest in what matters most ... to nurses like you - at home , at work, and at every stage in your...needs. + Develops, initiates, and coordinates individual patient case management plans to ensure appropriate level of care across… more
- Humana (Canton, IL)
- …health first** Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and behavioral health ... professionals responsible for care management . The Manager, Care Management , works within...of staff including service performance and adherence to established utilization and care coordination benchmarks. **Use your skills to… more
- Tenet Healthcare (Detroit, MI)
- …coverage, and appropriate provider. Performs input into various databases as appropriate for utilization management , LOS management and Denial Management ... Care Management Tech - 2506004272 Description : DMC Sinai-Grace...insurance, long term care, elder C childcare, auto C home insurance. Note: Eligibility for benefits may vary by… more
- HCA Healthcare (Inverness, FL)
- …you want to join an organization that invests in you as a Director Case Management ? At HCA Florida Citrus Hospital, you come first. HCA Healthcare has committed up ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Atlantis, FL)
- …integrity. We care like family! Jump-start your career as a Director Case Management today with HCA Florida JFK Hospital. **Benefits** HCA Florida JFK Hospital ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- ChenMed (Philadelphia, PA)
- …years' clinical work experience required + A minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning ... plans. The success of this role is determined by management of patients in hospital to ensure patients receive...will provide warm hand off to the Community Care Nurse when patient is discharged to home … more
- Aspirus Ironwood Hospital (Wausau, WI)
- …health care administration, or nursing. + Extensive knowledge of payer mechanisms and clinical utilization management is required. + A minimum of five years of ... in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified Professional Utilization Review… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required Training Physical ... home health or hospice environments. Experience providing care management with complex/catastrophic conditions. Skills Required: Current knowledge of clinical… more