- Public Consulting Group (Salt Lake City, UT)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- University of Utah (Salt Lake City, UT)
- …**Requisition Number** PRN42181B **Job Title** Manager , Student Services **Working Title** Case Manager for Student Support **Job Grade** E **FLSA Code** ... of Utah seeks a highly organized and motivated professional to work as a Case Manager for Student Support within the Office of the Dean of Students. The … more
- University of Utah Health (Salt Lake City, UT)
- …and families. + Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients ... **Overview** **Department Specific Overview:** * Collaborate with inpatient Nephrology and Case Management teams to secure dialysis setup and resumption of services… more
- CVS Health (Salt Lake City, UT)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Salt Lake City, UT)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sedgwick (Salt Lake City, UT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! If you have at least** **1.5 years...with you!** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Sedgwick (Salt Lake City, UT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Otsuka America Pharmaceutical Inc. (Salt Lake City, UT)
- **Job Description** The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Zions Bancorporation (Midvale, UT)
- …endless. You bring the talent; we bring the opportunity. We are currently seeking a Fraud Case Management Manager to join our team. This position is a full time ... Work from Home position located in Utah, Arizona, California, Texas, Colorado, Nevada, Washington, or Oregon. . Responsible to manage a team of Fraud Analysts . Responsible for processing customer Affidavit claims . Manage fraud charge-off process and report… more
- Public Consulting Group (Salt Lake City, UT)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- Highmark Health (Salt Lake City, UT)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Salt Lake City, UT)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- Cardinal Health (Salt Lake City, UT)
- …Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously ... integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the… more
- Cardinal Health (Salt Lake City, UT)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… 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 ... plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute...One year of experience in a utilization review or case management environment. + Basic Life Support Health Care… more
- University of Utah Health (Salt Lake City, UT)
- …services as directed by the attending physician, referring physician and clinical case manager . The incumbent oversees the delivery of individualized services ... patients and families regarding financial matters and assists social workers and case managers in accessing financial and community resources. + Assists in… more
- Travelers Insurance Company (Salt Lake City, UT)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Travels frequently inclusive of claim office visits, court… more
- Molina Healthcare (West Valley City, UT)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... the state of UT. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Molina Healthcare (West Valley City, UT)
- …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Bilingual (Spanish)** **WORK SCHEDULE:** ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Salt Lake County (Salt Lake City, UT)
- …worked with all age groups and in many different settings throughout my career as a case manager and mental health therapist. When I was looking for a change ... develops, documents, and implements treatment plans. Provides direct treatment and case management services. Works with prisoners' families, health care providers,… more