- Helio Health Inc. (Syracuse, NY)
- …efforts to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ... position and also take into account information provided by the hiring manager and program Job LocationsUS-NY-Syracuse Category Case /Care Management Position… more
- University of Miami (Miami, FL)
- …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
- Prime Healthcare (Anaheim, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/218947/ case - manager ... qualifications: 1. Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM) certification preferred.3. At least one-year experience in… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226814/ case - manager ... other Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management; + CCM or obtained within 6… more
- Ellis Medicine (Schenectady, NY)
- …to Medicare beneficiaries per CMS Conditions of Participation at the direction of the Case Manager . * Utilization Management Activities; Collaborates with ... Activities; Contacts referral agencies to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers.… more
- University Medicine (Providence, RI)
- …home members to assist the patient to the right level of care and decrease unnecessary utilization . The nurse case manager is an active participant in the ... Manager of Case Management, the nurse case manager is responsible for providing comprehensive...to identify those patients who may benefit from high-risk case management (eg rising risk, frequent ED utilization… more
- Actalent (Santa Barbara, CA)
- …an operational unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management, Clinical Reviews ... Remote Utilization Management RN Leading healthcare facility that aims...Description: + REMOTE + RN with experience in providing Case Management services to the Pediatric population. + Includes,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **RN/ Case Manager MSH Case ... utilization review preferred. + Discharge Planner or Case Manager preferred. + Manager ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Molina Healthcare (WA)
- …Active, unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), ... or state board licensing mandate. + At least 2 years in case , disease or utilization management; managed care; or medical/behavioral health settings. + One year… more
- Access Dubuque (Dubuque, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... RN Case Manager PRN Dubuque **MercyOne** 1...RN Case Manager PRN Dubuque **MercyOne** 1 Positions ID: TRHEUS00594165MERCYO...MercyOne Family! We are looking to hire a Nurse Case Manager . The Case … more