- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …review, case management. Strong working knowledge of hospital billing, managed care systems, and discharge planning. Excellent skills in communication, ... Position Summary Lead and oversee the hospital's case management department, ensuring patients receive high-quality, efficient, and coordinated care from… more
- Regency Integrated Health Services (Cuero, TX)
- …Reviews throughout the resident's stay and communicates this with the Managed Care organization's Case Manager as required. Ensures that additional ... assessment reference date (ARD) is utilized for Medicare/ Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management… more
- RiverStone Health (Billings, MT)
- Working title: Medical Assistant- Refugee Coordinator/Pediatric Specialty Case Manager Classification title: Medical Assistants Division: Community Health Center ... earn, whether you have health insurance, or whether you've managed to take good care of your...patients to achieve stated objectives B. Refugee Coordinator/Peds Specialty Care Manager 85% Refugee Coordinator: Role is… more
- Sigma, Inc. (Pittsburgh, PA)
- …working independently in a fully remote environment. Preferred Skills: Certified Case Manager (CCM) credential. Previous experience in Managed Care or ... Job Title: Remote RN Case Manager - Contract (9464-1) |...license in Pennsylvania (Required) 5+ years of experience in case management, care coordination, or disease management.… more
- Enterprise Solutions, Inc. (Riverside, CA)
- …Emergency Room Case Manager , Trauma Center, Medical-Surgical, Post-Acute Care , Patient Throughput, Medicare, Medi-Cal, Managed Care , Transplant ... understanding of reimbursement structures and payer guidelines (Medicare, Medi-Cal, Managed Care , etc.). Able to navigate sensitive...Nurse, Inpatient Case Manager , Acute Care Case Manager , Hospital … more
- Arms Acres (Carmel, NY)
- Case Manager (CASAC-T, CASAC, LMSW, LMHC, LCSW ) Arms Acres is looking for a Clinical Case Manager to join our team in Carmel, NY. In this role, you will ... with client support systems, including social service programs and managed care . DUTIES AND RESPONSIBILITIES: Provides/ensures comprehensive evaluation… more
- Renown Health (Reno, NV)
- …By assuming a leadership role with the interdisciplinary team, the Case Manager promotes appropriate utilization of care and services, and cost effective ... disposition of the client to the next level of care . The Case Manager monitors...Case Management (CCM), Professional Utilization Reviewer (CPUR), or Managed Care (NMCC)) preferred. Current BLS/CPR certification… more
- UHS (Kingwood, TX)
- …Website: www.kingwoodpines.com Click here for a virtual Facility Tour Position Summary The Case Manager advocates for the patient's access to services during ... treatment team meetings and through individual physician contact. The Case Manager participates in treatment team meetings and continued stay reviews as… more
- Guidehealth (Joliet, IL)
- …system as a collaborative health partner in their health care team. As an RN Case Manager , the RN will work closely with client and members alike to promote ... and Chronic Condition Management. Knowledge of utilization review, quality improvement, managed care , and/or community health. Previous remote and/or telephonic… more
- Boulder Community Health (Boulder, CO)
- Case Manager - LPC / LCSW - Behavioral...care network. The position requires an ongoing knowledge of managed care and how best to deal with ... for weekend shifts. Boulder Community Health is seeking a Case Manager LPC or LCSW that is...or LCSW that is responsible for providing psychotherapy and care management services. The position requires the ability to… more
- AltaMed Health Services Corporation (Montebello, CA)
- …a job; it's a calling that drives us forward every day. Job Overview The LVN Case Manager will provide daily care coordination with concurrent review for ... patients who may need to be enrolled in ambulatory case management. The LVN case manager... care required;, minimum of 2 years of managed care experience in case … more
- LHH Recruitment Solutions (Santa Ana, CA)
- We need Case Managers for the day shift in Santa Ana, CA! If you are interested in these opportunities, please reach out today! Location: On-site, Santa Ana, CA ... and other supportive services. Collaborate with referring organizations to coordinate guests care and ensure guests receive the services and support they need to… more
- Northwestern Memorial Healthcare (Lake Forest, IL)
- …time position at 20 hours per week located at Lake Forest Hospital. ** The Case Manager /Social Worker reflects the mission, vision, and values of NM, adheres to ... recommends change in services or processes. Ensures compliance with managed care contracts and length of stay...employment at Northwestern Medicine. We consider this on a case -by- case basis and follow all state and… more
- Artech LLC (Portland, OR)
- …of federal and state regulations, laws and accreditation standards related to health care and managed care organizations. Knowledge of member complaint ... and accurate entry, consistent with regulatory protocols and effectively manage case resolution inbox everyday Participate in departmental meetings, trainings and… more
- A Bright Future, Inc. (Pleasant Hill, CA)
- …of the entire staff assigned to work at specific homes, coordinating personal care , training, and support to meet the goals and objectives of the individuals ... DUTIES: Manage and Supervise Community Living Instructors. Assure labor is managed in a way that meets budgetary guidelines. Pro-actively utilize constructive… more
- Mount Sinai Hospital (New York, NY)
- …needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure contractual ... Job Description The Nursing Clinical Manager (NCM) for Case Management is...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
- A-Line Staffing Solutions (Orlando, FL)
- …relationships that contribute towards member satisfaction and retention Bilingual RN Case Manager Requirements RN License in FL Managed Care , Discharge ... Description A-Line Staffing is now hiring a Bilingual RN Case Manager . This will be full time....coordination, Transition of care , Home Health, or Case Management experience required. Must be bilingual in Spanish… more
- Corvel (Folsom, CA)
- …is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Folsom, CA. Work from home, and on the ... Monday - Friday, regular business hours. As a Medical Case Manager you will make a meaningful...A cost containment background, such as utilization review or managed care is helpful. Strong interpersonal, time… more
- Cedars Sinai (Los Angeles, CA)
- …issues that arise Initiates transition of care for patients who will be managed by the inpatient case managers on patient care units Qualifications ... hear from you! We are seeking an experienced, knowledgeable Case Manager to work directly in our...with Physicians to determine that most appropriate level of care for a diverse array of patients and medical… more
- CVS Health (Hoboken, NJ)
- …may include pediatric population and medically complex cases. The case manager is responsible for coordinating and collaborating care with the ... member/authorized representative, PCP, and any other care team participants. The case ...County Case management and/or discharge planning experience Managed Care experience Medicaid and Medicare experience… more
