- Queen's Health System (Honolulu, HI)
- …and manages administrative and clinical operations of Emergency Department and Inpatient Case Management services. * Develops, implements, monitors and evaluates ... years nursing experience with at least three (3) years experience in Case Management . * Two (2) years supervisory/leadership experience. * Prior experience in a… more
- Community Based Care of Brevard, Inc. (Orlando, FL)
- Salary: $65,000/year Position Summary: The UM Program Manager provides oversight and management of service authorization data validation, reporting and trend ... line-by-line entries, and submits to finance for payment. The UM Program Manager reconciles ARGOS Dependency Cases...Microsoft and a web-based application for daily entry of case activity and the utilization management of… more
- Magellan Health Services (Boise, ID)
- …for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager , Behavioral Health ( UM ) -Licensed, Remote in Idaho Grade 27 Work ... Responsible for the management , direct supervision and coordination of clinical and/or...adherence to the efficiency goals for all staff including case volume, case closure rates, average handle… more
- Molina Healthcare (Orlando, FL)
- …the pharmacy benefit changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary care team. ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members have access to all medically necessary prescription… more
- Fallon Health (Worcester, MA)
- …core system (QNXT UM and Call Tracking) and the case management application (TruCare). + Enters/extends/changes approved authorizations within established ... system. + Initiates entry of request(s) into core system (QNXT/TruCare) and case management application (TruCare) as applicable. + Updates authorization… more
- Molina Healthcare (GA)
- …be active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... JOB DESCRIPTION **Job Summary** The Supervisor, Healthcare Services UM leads and supervises a multidisciplinary team of healthcare services professionals in some or… more
- Elevance Health (Chicago, IL)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefit Management ** **Genetic Testing Utilization Management /Review** **Virtual:** This ... proud member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management ) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and ... Case Manager reports directly to the Manager of Care Management . The RN ...Time** Full-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Um Hospital **Department** MM OH Care Mgt **Posting Begin/End… more
- UNC Health Care (Raleigh, NC)
- **Description** **Our Case Management team is seeking a System-wide Complex Case Manager to provide support to a network of 6 owned and 10 managed ... teams, and will report to the Regional Director of Case Management .** Become part of an inclusive...CAPP as appropriate. As necessary meet with the Utilization Manager ( UM ) and SW after the meeting… more
- Sharp HealthCare (San Diego, CA)
- …quality and compliance requirements.Develops and enforce policies and procedures for HSM that involve Case Management and UM . Serves as the SCMG HCM/ACM ... Quality (CPHQ) - National Association for Healthcare Quality; Certified Case Manager (CCM) - Commission for ...for the development and implementation of an effective Hospital Case Management program (HCM) and Ambulatory … more
- ERP International (Yuma, AZ)
- …software, and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work ... ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position at...etc. + Integrate CM and utilization management ( UM ) and integrate nursing case management… more
- HCA Healthcare (Lake City, FL)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Manager Part Time with HCA Florida Lake City Hospital you can ... our organization. We are looking for an enthusiastic RN Case Manager Part Time to help us...Unlock your potential! **Job Summary and Qualifications** Provides hospital case management /utilization review and discharge planning to… more
- HCA Healthcare (Lake City, FL)
- …**Introduction** Do you want to join an organization that invests in you as an RN Case Manager PRN? At HCA Florida Lake City Hospital, you come first. HCA ... a difference. We are looking for a dedicated RN Case Manager PRN like you to be...of our team. **Job Summary and Qualifications** Provides hospital case management /utilization review and discharge planning to… more
- OhioHealth (Columbus, OH)
- …6. Refer utilization management /clinical decisions beyond level of authority to care coordination/ UM team and Manager /Director of UM team for review and ... - in our careers and in our communities. **Job Description Summary:** The Case Manager extender works collaboratively with all interdisciplinary staff internal… more
- Dartmouth Health (New London, NH)
- …patient care and resulting outcomes. * FUNCTIONAL DUTIES AND RESPONSIBILITIES * Clinical Case Management * Determines patient needs and resources within 1-2 ... patient services, as required. Serves as an educational resource to clinical staff around case management . Documents case management assessments and… more
- ERP International (Macdill AFB, FL)
- …software, and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work ... is seeking **Registered** **Nurse (RN)** for Full-Time positions in ** Case Management ** at MacDill AFB, FL. Apply... Manager Certification Certified Case Manager (CCM) o Certification of Disability Management … more
- ERP International (Cherry Point, NC)
- …software, and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work ... **Overview** ERP International is seeking full-time **Registered Nurse (RN) Case Manager ** in support of theNaval Health... Manager Certification Certified Case Manager (CCM) o Certification of Disability Management … more
- ERP International (Tinker AFB, OK)
- …software, and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work ... seniors, and groups. * **Certification** :Certified Case Manager by Commission for Case Management (CCM) or American Nurses Credentialing Center… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …right for you, we encourage you to apply! Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS ... health member clinical management programs. + Maintains knowledge of current Case Management Society of America (CMSA) Standards, NCQA Standards, Case… more
- Meriter-UnityPoint Health (Madison, WI)
- …Description: Shift: 0.0FTE, Per Diem, 0-40 hours per week, Day Shift. The RN Case Manager (CM) collaborates with the interdisciplinary care team in the ... approach to patient care and discharge planning. The RN Case Manager collaborates and maintains close partnership...community. The RN CM collaborates with the Enterprise Utilization Management ( UM ) RNs and Coordinators to communicate… more