- Assurance Healthcare Staffing (Houston, TX)
- …consist of the following: Care Facilitation, Utilization Management , Case Management and Discharge Planning . The Manager is responsible for ... Skills: Minimum five (5) years experience in utilization management , case management , discharge planning or other cost/quality management… more
- CVS Health (Chicago, IL)
- …of case Management experience. Preferred Qualifications - Case management and discharge planning experience preferred - Managed Care experience ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- Offshore Staffing, Inc. (Houston, TX)
- …consist of the following: Care Facilitation, Utilization Management , Case Management and Discharge Planning . The Director is responsible for ... Job Description The Director of Case Management is responsible and accountable...developing systems and processes for care/utilization management and discharge planning at… more
- CVS Health (Parsippany, NJ)
- …Qualifications Preference for candidates who reside in Morris County Case management and/or discharge planning experience Managed Care experience Crisis ... every day. Position Summary This is a remote Clinical Case Manager opportunity with 50 to 75% field travel...service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- Tenet Healthcare Corporation (Detroit, MI)
- …Job Summary Provides management and operational oversight for the Case Management and Social Work/ Discharge Planning departments at the assigned DMC ... 3.Two years experience in utilization management , case management or discharge planning in an acute care setting. Previous experience with… more
- Ellis Medicine (Schenectady, NY)
- …Active NYS RN Licensure or master's in social work with active Licensure Previous UR, Discharge Planning , Case Management , or post-acute discharge ... The Supervisor of Case Management and Social Work (CMSW)...The Supervisor of Case Management and Social Work (CMSW) assists with the...as a role model for a high standard of case management practice and performance Assist with… more
- CVS Health (Newark, NJ)
- …training modules, and field mentoring component Preferred Qualifications: Case management and/or discharge planning experience Managed Care experience ... Clinical Case Manager Bh At CVS Health, we are...service strategies, policies, and programs are comprised of utilization management , quality management , network management ,… more
- Riverside County, CA (Moreno Valley, CA)
- …Knowledge of: Principles and practices of nursing and patient care services for case management , discharge planning , utilization review, social ... in directing, planning , developing, and evaluating the case management and utilization review activities related...review activities related to safe, timely, efficient, and effective discharge planning within all areas of RUHS.… more
- CVS Health (Newark, NJ)
- …training modules, and field mentoring component Preferred Qualifications Case management and/or discharge planning experience Managed Care experience ... service strategies, policies, and programs are comprised of utilization management , quality management , network management ,...on the members' behalf to ensure proper and safe discharge with appropriate services in place. The case… more
- Blue Shield of California (Long Beach, CA)
- …advanced degree preferred. Requires relevant behavioral health experience. Comprehensive knowledge of case management , discharge planning , utilization ... needs. The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management...community resources, contracting and community care standards to each case . Performs effective discharge planning … more
- NYC Health Hospitals (New York, NY)
- …diagnosis. 13. May act as an educational resource and provide consultation regarding case management , discharge planning process, clinical documentation ... to increase revenue. Maintains all related records and documentation. 6. Initiates discharge planning by assessing client/patient and family needs, including but… more
- South Shore Health (Weymouth, MA)
- …criteria to determine medical necessity for admission and continued stay. Provides clinically-based case management , discharge planning and care ... and effective discharge plan based on the case management assessment in accordance with the... Case Manager Specialist in resource utilization and discharge planning the more clinically complex or… more
- NavitsPartners (Hyannis, MA)
- …acute care experience in a hospital setting (within past 5 years) 2+ years in case management , discharge planning , and utilization review Familiarity ... play a vital role in ensuring high-quality care coordination, discharge planning , and utilization management ...insurance denials Team Support & Development: Stay current with case management protocols and payer guidelines Attend… more
- Compunnel (Burbank, CA)
- …Focus: To provide patient-centered care through utilization management , case management , and discharge planning for patients in acute care, extended ... of utilization review processes to optimize care efficiency. Expertise in case management strategies, including resource allocation and patient advocacy.… more
- Kaiser Permanente (Atlanta, GA)
- …setting. Minimum two (2) years of experience in utilization review, case management , and discharge planning preferred. Bachelors Degree in Nursing, ... with patient and families to develop discharge planning , identification of patients for ambulatory case management , communication with case managers,… more
- California Rehabilitation Institute (Los Angeles, CA)
- …a health or human services discipline. Previous experience in Case Management and Discharge Planning preferred. CCM Certification preferred. Additional ... management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the... discharge planning process. Responsibilities Clinical Interventions/ Discharge and Care Planning Management :… more
- Tenet Health (Commerce Township, MI)
- …Required: 2 years of recent adult acute hospital patient care experience. 1 year case management , discharge planning experience. Preferred: Acute ... and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: *Transition Management … more
- Baptist Memorial Health Care Corporation (Memphis, TN)
- … processes. Prioritizes daily activities to facilitate the utilization/ case management processes. Participates in discharge planning activities in ... Job Description Summary Provides assistance to the case management and social work staff on an ongoing basis. Communicates, coordinates, disseminates information… more
- AHS Vista LLC (Waukegan, IL)
- …patients across the care continuum. Responsibilities : Coordinate the case management process. Coordinate the discharge planning process. Perform ... utilization review duties. Support PHIP. Maintain documentation. Provide information regarding denials and approvals. Provide education to patients, physicians, multidisciplinary team & the community. Requirements : Graduate of accredited school of nursing.… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- Position Summary Lead and oversee the hospital's case management department, ensuring patients receive high-quality, efficient, and coordinated care from ... and hospital performance. Key Responsibilities Direct management and development of the case management team (RN and licensed staff). Create and enforce … more
