- Atlantic Health System (Summit, NJ)
- …achieve optimal clinical and resource outcomes. Works with the Supervisor/Manager of Case Management to assess, plan, implement, coordinate, monitor and evaluate ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… more
- Hartford HealthCare (New Britain, CT)
- …experience required, BSN strongly preferred. Candidate with previous experience with utilization management and managed care. Excellent written and verbal ... balance. Every moment matters. And this is your moment. **Job:** ** Case Management * **Organization:** **New Britain General* **Title:** *Care Coordinator… more
- UPMC (Pittsburgh, PA)
- …or LPC + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or case management required. + ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and...Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) + Act… more
- Elevance Health (Denver, CO)
- …together we will drive the future of health care. The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure ... **Telephonic Nurse Case Manager II** **Virtual:** This...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:**… more
- HCA Healthcare (Austin, TX)
- …**What qualifications you will need:** **EXPERIENCE REQUIRED** + **2 - 5 years Case Management Experience within the last year** + **Other required experience: ... from any other healthcare provider. We are seeking a(an) Case Manager Austin Market Float Pool to join our...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- HCA Healthcare (Austin, TX)
- …**What qualifications you will need:** **EXPERIENCE REQUIRED** + **2 - 5 years Case Management Experience within the last year** + **Other required experience: ... the opportunity to make a real impact. As a(an) Case Manager Austin Market Float Pool you can be...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- Trinity Health (Mishawaka, IN)
- …detail-oriented ** RN ** ** Case Manager** to coordinate patient care, utilization management , and discharge planning. This role ensures quality outcomes, ... 3-5 years of clinical nursing experience; critical care experience preferred + Case management certification preferred + Strong communication, critical thinking,… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …experience as a Certified Professional Coder required. + Three to five years of case management utilization review, or compliance related work experience in ... Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a...AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered … more
- Ventura County (Ventura, CA)
- …standards, and active participation in quality and compliance efforts. The Senior Registered Nurse -Mental Health is distinguished from Senior Registered ... demonstrating empathy and effective collaboration. PAYROLL TITLE AND APPROXIMATE SALARY: Senior Registered Nurse -Mental Health: $59.22 - $70.81 hourly WHAT WE… more