- Health Care Service Corporation (Downers Grove, IL)
- …+ **_Weekend rotational schedule: 3rd wknd. (Sat. & Sun)_** + Familiarity with UM / CM activities and standardized criteria set. + Knowledge of ancillary services ... 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
- Actalent (Santa Barbara, CA)
- …and Health Services management team in the implementation and management of UM / CM /DM/PH activities. + Actively participate in the development, implementation, ... Health Plan Nurse Coordinator Job Description The Health Plan Nurse ...units. These units include Utilization Management, Case Management, Enhanced Care Management, Disease Management, Pediatric-Whole Child Model, and Population… more
- Centene Corporation (Sacramento, CA)
- …external partners (hospitals, vendors, physician groups, internal departments ( CM , UM , Analytics, etc.) + Education about Palliative Care /Hospice, symptom ... and health care providers to ensure optimal care and support. The coordinator will act...program benefits and communicate member needs + Participate in UM and CM clinical rounds to identify… more
- Blue KC (KS)
- …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
- Humana (Providence, RI)
- …coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM staff, physicians and providers as necessary; organize, arrange ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance, support, and...involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for… more