- University of New Mexico (Albuquerque, NM)
- …Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary:Supervise case manager social work staff. Responsible for the initial review, ... triage and assignment of patients to case managers and for the coordination of all systems...responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary* VARIANCES -… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care ... practice in that it is not intended to provide direct patient care; rather, a Case Manager will be assigned to specific patients to ensure that the medical… more
- Sharp HealthCare (San Diego, CA)
- …Guidelines (MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American ... End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case...Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
- LA Care Health Plan (Los Angeles, CA)
- …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... Utilization Management Admissions Liaison RN II ...setting. Previous experience to have a strong understanding of Utilization Management/ Case Management practices including, but not… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II ...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- Centene Corporation (Olympia, WA)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Case Manager /Care Coordinator II is responsible for the ... community resources, contracting and community standards of care are applied during case management activities. The case manager /care coordinator acts… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... problems, and ability to work under pressure and deal with change. The Psychiatric Case Manager coordinates the care of patients through the provision of… more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered-nurse- case - manager utilization ... III Trauma Center, Advanced Primary Stroke Center, and Level II Newborn Nursery. Knapp has been providing quality and...necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and… more
- The Salvation Army (Syracuse, NY)
- …Salvation Army Syracuse Area Services Position Overview: The FFT Program is expanding. Level II Case Planner available for a career minded individual who is ... Overview FFT CW Case Planner II Full-time, $28.00/hour with...needed under direction of their supervisor and the DSS Case Manager . + Timely completion of required… more
- Sutter Health (West Valley City, UT)
- **Organization:** SHSO-Population Health Services-Utah **Position Overview:** Provides patient-centered case management to patients with chronic illness, complex ... and application, state and federal requirements as apply to managed care, utilization management criteria and its application. + Knowledge of the health care… more
- Elevance Health (Denver, CO)
- **Telephonic Nurse Case Manager II ** **Sign-on Bonus: $2000.** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, ... 10 am - 6:30 pm EST.** The **Telephonic** **Nurse Case Manager II ** is responsible...or service issues. + Assists with the development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Sutter Health (Sacramento, CA)
- …established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency ... be able to meet company productivity standards as indicated by organization and manager . + Objectively and effectively solves unique problems as they arise or… more
- Elevance Health (Indianapolis, IN)
- …proximity (1-hour commute and a 50-mile radius) to an Elevance Health Pulsepoint. The **Nurse Case Manager II ** is responsible for care management within the ... is providing services in multiple states. **Preferred Experience** Certification as a Case Manager is preferred. Discharge planning experience is a strong… more
- Elevance Health (Indianapolis, IN)
- …report to a Pulsepoint once a week (subject to future change). The **Nurse Care Manager II ** is responsible for care management within the scope of licensure for ... this individual is providing services in multiple states. **Preferred Experience** Certification as a Case Manager is preferred. BS in a health or human services… more
- Hackensack Meridian Health (Hackensack, NJ)
- …iii. Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status ... patient population and HackensackUMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and… more
- Elevance Health (Washington, DC)
- …state or federal requirements that may apply is required. + Masters in related Health/Nursing field preferred. + Certified Case Manager Certification preferred. ... with a requirement of 1-2 days onsite.** The Mgr II HCMS is responsible for managing a team of...varying degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making for… more
- Sutter Health (San Francisco, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Veterans Affairs, Veterans Health Administration (Sioux Falls, SD)
- …(SFVAHCS) Community Care (CC) Registered Nurse (RN) Home and Community Based Services Case Manager functions independently and has a high level of initiative, ... of an interdisciplinary leadership team guiding this care across the facility.? The case manager is responsible for coordinating the care of Veterans receiving… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case...submission, timely timecard approval, etc.). + Supports maximization of Case Mgmt. system utilization , including length of… more
- Highmark Health (Monroeville, PA)
- …BSN **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - ... to employees Forbes Hospital is a 315 bed, Level II trauma hospital located in the community of Monroeville....- American Board of Occupational Health Nurses (ABOHN) andCertified Case Manager (CCM) + Commission for … more
