- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will...oversight, and/or CNA experience. At least 2 years of Utilization Management/ Case Management experience in a hospital… more
- The Cigna Group (El Paso, TX)
- … case -management or utilization management position . Certified Case Manager preferred Bi-lingual-Spanish preferred. Basic Mathematical and statistical ... in order to facilitate appropriate healthcare outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of… more
- Amergis (Orange, CA)
- The LPN/ LVN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, ... with medical regime. Essential Duties and Responsibilities: + Documents patient case information within a database system + Performs chart review/audits monthly… more
- Emanate Health (Covina, CA)
- …Excellent customer service skills required. **Minimum License Requirement:** Current California LVN License. BLS. Other certification in Case Management ... the care and services of selected patient populations. Promotes effective utilization and monitoring of health care resources. Interacts with the Emergency… more
- Sharp HealthCare (San Diego, CA)
- …Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Certified Case Manager (CCM) - Commission for Case Manager Certification ... with physicians and non-physician health care practitioners involved in case management + California Licensed Vocational Nurse ( LVN...Other Continued college education + Bachelor's Degree + Certified Case Manager (CCM) - Commission for … more
- Genesis Healthcare (Los Angeles, CA)
- POSITION SUMMARY: The Case Manager is responsible to ensure the collaborative process of assessment, planning, facilitation and advocacy for options and services ... performance improvement and communicates to s supervisor and/or Administrator.The Case Manager manages the patient case...patient plan of care subject to contract terms and case negotiations in order to minimize over- utilization … more
- Prime Healthcare (Ontario, CA)
- …of the Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications: 1. Knowledge in discharge planning/ utilization management/ case management terminology and functions, in… more
- CVS Health (Austin, TX)
- …facing. The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse ( LVN ) will provide processing and communication of Commercial Prior Authorizations (PA) ... Commercial PA team for Pharmacy benefits. Reporting to the Pharmacy Operations Manager , working with physician office staff and customer service, admissions and… more
- Prime Healthcare (Inglewood, CA)
- …of the Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management/ case management terminology and functions, in… more
- Molina Healthcare (NV)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... **JOB TITLE : Manager , Healthcare Services** **This position supports our NEVADA...utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health management and/or member… more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... case basis. This position integrates national standards for case management scope of services including: Utilization ...level of care Mentor and monitor work delegated to Utilization Review LVN /LPN and/or Authorization Coordinator as… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406003328 Description : **$15,000 Sign on Bonus, with required relevant experience** DMC Harper ... services, hypertension, stroke prevention and heart failure. Job Description: The RN Case Manager is responsible to facilitate care along a continuum… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Certification; Bachelor's Degree in Nursing; Master's Degree; Accredited Case Manager (ACM) - American Case...or case management experience. + 3 Years case management, utilization review, care coordination experience.… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a(an) Utilization Management RN today with HCA Healthcare. **Benefits** HCA Healthcare, offers a ... Eligibility for benefits may vary by location._** Come join our team as a(an) Utilization Management RN. We care for our community! Just last year, HCA Healthcare… more
- Select Medical (Columbus, OH)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...safe and timely discharge plan. + Performs verification of utilization criteria reviews. + Builds relationships and coordinate with… more
- Select Medical (Columbus, OH)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure...licensure in a clinical discipline either as a Nurse (RN/LPN/ LVN ) or a Respiratory Therapist (RT) OR Medical Social… more
- Elevance Health (Greensboro, NC)
- **LTSS Service** **Coordinator-Clinician ( Case Manager - LCSW)** **$1,000 Sign On Bonus** **Location: North Carolina; will be required to travel up to 60% of the ... counties.** **Schedule: Monday-Friday 8:30am-5pm EST** With overall responsibility for the member's case , as required by applicable state law and contract, the **LTS… more
- Elevance Health (Morrisville, NC)
- …patients, members or providers in the state of North Carolina. The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management ... of member's case within the scope of licensure; provides supervision and...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
- Molina Healthcare (TX)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... Registered Nurse or equivalent combination of Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) with experience in...years in one or more of the following areas: utilization management, case management, care transition and/or… more
- Elevance Health (KS)
- ** Manager I GBD Special Programs - LTSS** **Location:** Based in the State of Kansas, with our PulsePoint Office located at 1010 SW Tyler St, Topeka, KS 66612. ... PulsePoint sites used for collaboration, community, and connection. The ** Manager I GBD Special Programs - LTSS** is responsible...include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,… more