- Magellan Health Services (Gallup, NM)
- …Manager - Care MgmtCare Mgmt, LCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... variance data that indicates potential areas for improvement of case and services provided. + Works with members and...or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility… more
- Cedars-Sinai (Los Angeles, CA)
- …be provided in the inpatient and/or ambulatory setting. + Works with Inpatient Case Management and Inpatient Nursing to support and coordinate hospital discharge ... interfaces with clinical attendings, nursing staff, pharmacy staff, and case managers (or oversight of same). Patient evaluation and...of Registered + Current State of California Registered Nurse and Nurse Practitioner… more
- Mount Sinai Health System (New York, NY)
- …role. Licensing and Certification Requirements: CWOCN Issued by WOCNB License: Registered Nurse (current registration) Issuing Agency: DOH/Office of Professions ... to: 1) Patient screening 2) Patient/Family education 3) D/C planning and follow-up 4) Case management 5) Research + Maintains clinical expertise in area of… more
- MyFlorida (Ocala, FL)
- …field office including geographic or facility-based assignments for each Assessor and Registered Nurse for field, office, and staffing schedules. Assists in ... standards and in accordance with current policy and procedure. Reviews schedules and case load distribution for Assessors and RNS's for efficient utilization of… more
- Rush University Medical Center (Chicago, IL)
- …vary depending on the circumstances of each case . **Summary:** The Clinical Specialist RN is an advanced practice nurse with knowledge in a specialized area ... **Other information:** **Required Job Qualifications:** 1. Current state of Illinois Registered Nurse licensure required. 2. Current state of Illinois… more
- Molina Healthcare (Sterling Heights, MI)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... years in one or more of the following areas: utilization management , care management , care...navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …project management experience. * 1+ years of managed care experience, eg case management /health coach, utilization management and/or auditing ... to engage with members. Required Skills and Experience * Registered Nurse with Psychiatric experience or Behavioral...Experience Required 1+ years of managed care experience, eg case management /health coach, utilization … more
- Providence (Olympia, WA)
- …admissions. + **Physician Relations:** Build strong cooperative relationships with physicians. + ** Utilization Management Oversight:** Lead the Utilization ... supervision of the North Division Executive Director of Care Management , the Director of Care Management is...+ **Clinical Experience:** At least 2 years as an RN in an acute care setting. + **Leadership Experience:**… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …patient/family by collaborating with the multidisciplinary team to develop and implement a case management plan to ensure quality patient outcomes, and customer ... years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of… more
- MyFlorida (Starke, FL)
- …experience, certified instructors from the Clay County School District system, a registered nurse , counselors and recruitment and placement personnel. OUR ... AND Two (2) years of professional experience in Counseling, Social Work, Human Services, Case Management , or related field; OR + A Bachelor's Degree from an… more