- BlueCross BlueShield of Tennessee (Memphis, TN)
- …we'd love to have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases as needed\. ... looking for individuals with strong critical thinking skills, excellent time management , and the ability to prioritize task efficiently\. If you're self\-motivated… more
- Covenant Health Inc. (Alcoa, TN)
- …Assures that productivity targets are met. + Coordinates the utilization management plan for physicians and nurse practitioners with the providers and ... and family therapy + Care Coordination + Support Groups + Medication management + Assessment and referral services Position Summary: Oversees the provision of… more
- Molina Healthcare (Santa Fe, NM)
- …and recommendations to vendors as needed. * Assists in preparation of documents for utilization management , care management , state, CMS, NCQA and other ... Qualifications * At least 3 years of health care experience in a care management , utilization management , behavioral health, medical, and/or managed care… more
- Bluestone Physician Services (Blaine, MN)
- …with primary care teams to ensure high quality team-based care + Use utilization management tools to facilitate appropriate transitional care management ... as to acute settings with the goal of reducing utilization and unnecessary costs + Work to increase coordination...Nurse + 3-5 years of experience in case/care management or care coordination + Experience working directly with… more
- UnityPoint Health (Cedar Rapids, IA)
- …of services; ensuring adequate discharge plans are in place, and completing utilization management and quality review activities. The care coordinator teams ... + Area of Interest: Nursing + FTE/Hours per pay period: 0.8 +...CMS on the timetable established by CMS. + Performs utilization management and quality review activities on… more
- UTMB Health (Galveston, TX)
- …and accurate information to payers. The role integrates and coordinates utilization management , care coordination and discharge planning functions. **Equal ... Care Manager TDCJ **Galveston, Texas, United States** **Hot** Nursing & Care Management UTMB Health Requisition # 2504032 **Minimum Qualifications:** RN with… more
- Dartmouth Health (Lebanon, NH)
- …Objective * The Case Manager will spend time specific to the role of case management and utilization review: * Lead a collaborative process with the members of ... * POSITION STANDARDS * Bachelor's degree in nursing required; Master's preferred. * Licensed as a... required; Master's preferred. * Licensed as a Registered Nurse in the State of New Hampshire. * BCLS… more
- Providence (Tarzana, CA)
- … management of the patient along the continuum of care, utilization activities, disease management appropriateness, discharge planning, patient education ... Degree Healthcare related field. + Upon hire: California Registered Nurse License + Management experience in a hospital/health care environment. + 3 years… more