- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About Blue Cross ... and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will...Experience * 2+ years of managed care experience; eg case management/health coach, utilization management and/or auditing… more
- HCA Healthcare (San Antonio, TX)
- …experience as an RN + One year experience in utilization review , resource management, discharge planning or case management. Methodist Hospital Stone ... satisfaction and personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review all applications. Qualified candidates will be… more
- BriteLife Recovery (Hilton Head Island, SC)
- Case Manager Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, where collaborating ... place to work. What you will be doing? The Case Manager is responsible for providing confidential...+ Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review … more
- HCA Healthcare (Orange Park, FL)
- …years of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience ... any other healthcare provider. We are seeking a **Registered Nurse (RN) Case Manager ** to join our healthcare family in sunny Orange Park, Florida! **Benefits**… more
- State of Massachusetts (Boston, MA)
- …(these duties are a general summary and not all inclusive):_**__*/* * Oversee case coordination, utilization review , discharge planning, and resource ... Lemuel Shattuck Hospital is seeking a dedicated and experienced Case Manager to coordinate key functions within our Case Management Program. The ideal… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Bachelor's Degree in Nursing 4 years nursing in an acute hospital or 2 years Case Management, Utilization Review , or Discharge Planning experience in an ... the utilization management process for acute inpatients. Case Managers perform concurrent review and denials...length of stay, and avoidable delays in discharge. The Case Manager collaborates with the family, the… more
- CVS Health (Alexandria, LA)
- …per our company expense reimbursement policy. **Preferred Qualifications:** + Managed care/ utilization review experience + Case management experience ... treatment facilities, group homes, shelters, and detention facilities. The Case Manager RN (CM RN) is responsible...face member visits * Using clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Bozeman Health (Bozeman, MT)
- …team. Provides oversight of case management, discharge planning and utilization review . Provides leadership, direction, supervision, oversight and guidance ... Position Summary: The System Manager of Case Management is responsible for assisting with planning, directing, organizing, monitoring and staffing the Case … more
- Mohawk Valley Health System (Utica, NY)
- …regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work ... RN - Case Manager - Full Time - Days - 4 - 9.5 Hour Shifts Department: CASE MGMT Job Summary Reports to and is under direct supervision of Case … more
- HCA Healthcare (Charleston, SC)
- …of experience in Case Management is highly preferred.** + **Certification in Case Management or Utilization Review is preferred.** + **InterQual ... step in your career path, we encourage you to apply for our RN Case Manager opening. We review all applications. Qualified candidates will be contacted by… more