- CVS Health (Salt Lake City, UT)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- University of Utah Health (Salt Lake City, UT)
- …trust that are integral to our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and maximizing ... and families. + Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients… more
- Highmark Health (Salt Lake City, UT)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- University of Utah Health (Salt Lake City, UT)
- …position coordinates services as directed by the attending physician, referring physician and clinical case manager . The incumbent oversees the delivery of ... patients and families regarding financial matters and assists social workers and case managers in accessing financial and community resources. + Assists in… more
- University of Utah Health (Salt Lake City, UT)
- …transportation agencies and others as indicated. + Collaborates with social worker/nurse case manager and others to confirm authorization for services is ... patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care facilities, durable… more
- Molina Healthcare (West Valley City, UT)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... management, disease management or utilization management in managed care, medical or behavioral health settings. + Two years of clinical auditing/review… more
- Molina Healthcare (Midvale, UT)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Intermountain Health (Murray, UT)
- …+ Demonstrated ability to exercise critical thinking skills. **Preferred Qualifications** + Case Management Certification. + Experience working in clinical care ... **Job Description:** The Ryan White HIV/AIDS Program Outpatient Social Work Care Manager , works collaboratively with physicians and other members of the health care… more
- CenterWell (Salt Lake City, UT)
- …Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Certification ... in Case Management a plus (CCM) + Experience working with...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
- Sevita (Riverton, UT)
- …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... of information, and other appropriate meetings/conferences as needed + Attend clinical meetings to exchange, discuss, and evaluate program participant treatment… more
- CenterWell (Salt Lake City, UT)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more
- Highmark Health (Salt Lake City, UT)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more