- Health Care Service Corporation (Helena, MT)
- …required to obtain multi-state licenses. **Preferred Job Qualifications:** + Familiarity with UM / CM activities and standardized criteria set. + Knowledge of ... at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to… more
- ERP International (Anchorage, AK)
- …Department of Veterans Affairs, along with basic knowledge of the Recovery Care Coordinator program. Certification:** o Commission for Case Manager Certification ... and ensure that the CMP meets established case management ( CM ) standards of care . * Provide nursing... software, and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating… more
- University of Southern California (Alhambra, CA)
- …Consultant 1. Demonstrates sound clinical knowledge base regarding CM standards, UM standards, clinical standards of care , NCQA requirements, CMS guidelines, ... data from multiple sources, as supported by the ambulatory care coordinator . 4. Analyze and interpret data...HMO/IPA/Managed care setting + Pref Knowledge of CM standards, UM standards, clinical standards of… more
- Blue KC (Workman, MN)
- …hire date. + Intermediate level keyboarding skills + Intermediate level knowledge of FACETS UM , CM and claims applications. + Experience in working with Health ... across the seven domains of health and develops and implements individualized care plans with appropriate interventions in a culturally sensitive way. Uses… more