- Clever Care Health Plan (Huntington Beach, CA)
- …organization that celebrates diversity and innovation. Job Summary The role of the Case Manager is to promote quality, cost-effective outcomes for an assigned ... required to meet desired health and social outcomes. The Case Manager ensures members progress toward desired...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Devereux Advanced Behavioral Health (Rutland, MA)
- …Our goal is to help each child in our care reach their full potential. **As the Clinical Case Manager , you will:** + Provide direct clinical service to ... emotional, and behavioral disorders in residential and group home settings.Devereux's new Medically Complex Program is designed to serve youth with complex medical… more
- Johns Hopkins University (Baltimore, MD)
- …Title: Sr. Clinical Nurse Job Posting Title (Working Title): Sr. Clinical Nurse Case Manager Role/Level/Range: ACRP/04/MF Starting Salary Range: ... the supervision of the Clinical Nurse Manager , we are seeking a **_Sr. Clinical Nurse Case Manager_** who will perform duties related to medical case … more
- Hartford HealthCare (Stratford, CT)
- …in adult residential group homes for medically complex individuals. The Nurse Case Manager ensures optimal care and safety for residents, manages health ... **Organization:** **St. Vincent's Special Needs Center* **Title:** *RN Case Manager (Registered Nurse, Special Education, Clinical ) - Adult Residential*… more
- CVS Health (Belleville, NJ)
- …is requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... is requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for… more
- Alight (IN)
- …in clinical guidelines in this industry, the Nurse Consultant facilitates medically sound decisions and case navigation strategies thus ensuring disability ... comparable license with experience, with working knowledge of disability, client processes, and case management. + Minimum of 3 years clinical with preferred in… more
- Highmark Health (Dover, DE)
- …LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of ... a Case Manager as needed. This is a...with developmental disabilities population + Two years in home clinical or case management experience + Medicare… more
- Molina Healthcare (Detroit, MI)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- CVS Health (Trenton, NJ)
- …is requirement for continued employment. Member assignment may include pediatric population and medically complex cases. The case manager is responsible for ... assessment, writing and communication skills are required. Fundamental Components/Job Description: The Case Manager is responsible for conducting face to face… more
- Trinity Health (Mason City, IA)
- …in accordance with clinical standards and guidelines. The Patient Placement Case Manager will coordinate, prioritize, and optimize patient flow throughout ... clinical standards and guidelines. The Patient Placement Case Manager will coordinate, prioritize, and optimize...Manager works to ensure the timely and seamless clinical transition of patients through medically appropriate… more
- Molina Healthcare (Nampa, ID)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Houston Methodist (Nassau Bay, TX)
- …needed for rotating weekend days. Acute Care experience preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse (RN) responsible for comprehensively planning for case management of a ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Molina Healthcare (Norfolk, MA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- HonorHealth (AZ)
- …to ensure services and care are delivered in a timely manner. The RN Case Manager works in collaboration with patients, providers, and key stakeholders in ... care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care...Certifications + Case Mgmt/Social Services\CCM - Certified Case Manager Certification in Case … more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes ... home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to… more
- Select Medical (Lake Saint Louis, MO)
- **Overview** **SSM Health Day Institute** _Lake St. Louis, MO_ ** Case Manager Full-Time** *Full-time (M-F 8am-4:30pm)* **_Experience in physical medicine and ... strongly preferred._** SSM Health Day Institute is seeking a Case Manager to work in our specialized...environment and are passionate about helping the neurological and medically complex patient, apply today to explore a new… more
- Ellis Medicine (Schenectady, NY)
- …quality care and achievement of desired treatment outcomes. The Case Manager confirms admission and continued stay are medically necessary and ensures ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...Serves as nurse consultant for Social Worker cases with Clinical or discharge planning needs + Coordinates acute hospital… more
- Molina Healthcare (Columbus, OH)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... members on Waiver program. This position will have a case load and manage members enrolled in this program....progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Bellevue, OH)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... members on Waiver program. This position will have a case load and manage members enrolled in this program....progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
