- ChenMed (Philadelphia, PA)
- …clinical work experience required + A minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning experience ... on-site at an assigned hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager,...through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care… more
- Ochsner Health (New Orleans, LA)
- …in lieu of the degree requirement. **Work Experience** Required - 3 years of utilization and/or case management experience with either a LPN license, RN license, ... leads the daily operations of all personnel and processes within the care management department. Plans and organizes all care management functions, including… more
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as defined by inter ... through Friday 8:00 am to 5:00 pm **Location:** Virtual Remote near 602 COURTLAND ST, Orlando, FL, 32804 **The...in home health + 2 years of experience in management position. + Registered Nurse State Licensure… more
- GetWellNetwork, Inc. (Washington, DC)
- …Manager will take the Get Well program to the next level by driving nurse engagement, focusing on increased utilization , and leading projects of functionality to ... Facility. Get Well's Client Service Manager is responsible for effective product utilization and successful outcomes for the Get Well system at their designated… more
- CVS Health (Columbus, OH)
- …heart, each and every day. Must live in Ohio **Position Summary** The Care Management Associate (CMA) role is a full-time remote telework position. Qualified ... with special healthcare needs and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team… more
- Arnot Health (Elmira, NY)
- Job Description Remote work available! Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will ... other department staff 5. Relays denial information to appropriate billing clerks and management . 6. Follow up on denial claims using reports to ensure completion of… more
- CenterWell (Duluth, GA)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... **Position Type** : On-site **Branch Location** : Duluth, GA **This is not a remote or work-from-home position. This position requires you to sit on-site at our… more
- Actalent (Dallas, TX)
- …outcomes through personalized, patient-centered care. We're expanding our team with a Remote Nurse Team Manager-an LVN or LPN with leadership experience-who ... capable and compassionate LVN/LPN to take on the day-to-day management of a nursing team, encompassing 5-6 remote...metrics, quality reviews, and operational tracking + Knowledge of utilization management , case management , and… more
- Humana (Oklahoma City, OK)
- …of our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines… more
- Atrius Health (Boston, MA)
- …Epic Hyperspace EMR, Avaya phone system, Outlook, QGenda scheduling, and pdf documentation management . . Remote workers must adhere to all Atrius policies ... and delivery market. *SUMMARY * Under the direction of the Clinical Director, Nurse Leader or designee, the professional licensed registered nurse provides… more
Recent Jobs
-
Lead Data Analyst, Graduate Student Affairs, Wharton School
- University of Pennsylvania (Philadelphia, PA)
-
Director of Sales & Marketing
- Methodist Senior Services (Meridian, MS)