- CVS Health (Salt Lake City, UT)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… 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)
- … 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
- Molina Healthcare (West Valley City, UT)
- …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) **Bilingual (Spanish)** **WORK SCHEDULE:** ... 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 (Orem, UT)
- …resources while balancing clinical quality and cost management. Scope Nurse Care Manager -MG works in the ambulatory setting. The position may work in a general ... **Job Description:** The Nurse Care Manager works collaboratively with physicians and other members...within a scope narrowly aligned with designated Primary Care Clinical Program initiatives or may work in a Personalized… more
- Highmark Health (Salt Lake City, UT)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Intermountain Health (Salt Lake City, UT)
- …+ Demonstrated ability to exercise critical thinking skills. **Preferred Qualifications** + Case Management Certification. + Experience working in clinical care ... **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members...barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. The CSW performs these… 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
- 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