- Hackensack Meridian Health (Brick, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Care Management , Care Coordinator, Utilization Management ** is a member of ... the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage… more
- CentraCare (St. Cloud, MN)
- …Support Job Schedule: Full time Responsible for providing administrative support to Care Management and Utilization Review departments. Functions as ... safety practices as appropriate. Supports and demonstrates family centered care principles when interacting with patients and their families,...including word processing required + 3 years of health care experience required + One to two years of… more
- UNC Health Care (Chapel Hill, NC)
- …designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social Workers, ... **Professional Experience Requirements:** * Five (5) years of experience in care management , utilization management , discharge planning, care… more
- Kaleida Health (Buffalo, NY)
- …related or Business field preferred. RN licensure required.** **Experience** **10 years of care management / utilization management experience required in ... **VP Care Management Post-Acute Care ...daily oversight of operations, the VP will partner with Utilization Review, Revenue Cycle, and Clinical leadership to create… more
- Health Care Service Corporation (Mobile, AL)
- …Three to Five (3-5) years recent experience in an acute- care environment, case- management , or utilization management position (experience can be a ... Responsible for coordinating the delivery of cost-effective, quality -based health care services for health plan customers by development and implementation of… more
- CVS Health (Columbus, OH)
- …Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have ... on the telephone, and type on the computer. **Preferred Qualifications** Utilization Management experience preferred **Education** Diploma RN acceptable;… more
- CVS Health (Harrisburg, PA)
- …Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have ... Nursing Licenses as business needs require. * **Preferred Qualifications** - Utilization Management experience preferred **Education** Associates Degree BSN… more
- CVS Health (Hartford, CT)
- …Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have ... of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience **Anticipated Weekly Hours**… more
- Molina Healthcare (Reno, NV)
- …team of healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... one or more of the following activities: care review, care management , utilization management (prior authorizations, inpatient/outpatient medical… more
- Providence (Olympia, WA)
- …Qualification:** + Bachelor's Degree Or Associate's Degree in Nursing + 3 years of Utilization Review, Care Management , Quality Management , and/or ... a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination.… more