- CenterWell (Dallas, TX)
- …Degree + 5 or more years of professional experience + 2 or more years of management experience + Active Registered Nurse (RN) license or Social Work (SW) license ... managing populations and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements to preferred… more
- Access Dubuque (Dubuque, IA)
- …University Experienced Sales Executive - Risk Management Cottingham & Butler/ SISCO Utilization Management Nurse Cottingham & Butler/ SISCO CNA Senior ... Regional Director Care Management **UnityPoint Health Finley Hospital** 1 Positions ID:...the care continuum, focusing on improving outcomes, reducing unnecessary utilization , and optimizing healthcare resources. The director collaborates with… more
- Corewell Health (Royal Oak, MI)
- …+ 3 years of relevant experience Three to five years' experience in care management , utilization review, home care and/or discharge planning. Preferred + ... of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate… more
- Corewell Health (Dearborn, MI)
- …+ 3 years of relevant experience Three to five years' experience in care management , utilization review, home care and/or discharge planning. Preferred + ... of care and cost effectiveness through the integration and functions of utilization management , and/or care coordination, discharge planning, and appropriate… more
- 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
- Pacific Medical Centers (Renton, WA)
- …The Supervisor Care Management RN is responsible for the supervision of case management (CM) and utilization management (UM) functions of US Family ... of Operations and USFHP Medical Director(s) to develop and implement strategic case management and utilization management yearly goals. Providence caregivers… 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
- Health Care Service Corporation (Richardson, TX)
- …the independent practice level) of direct clinical care to the consumer. * Utilization management , discharge planning or managed care experience. * Customer ... family support services). * Provider side insurance experience. * Familiarity with Utilization Management or Case Management activities and standardized… more
- Molina Healthcare (Las Vegas, NV)
- …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