- Elevance Health (Miami, FL)
- …health plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Manager II GBD Special Program** **Location:** This role requires associates ... days may be required based on operational needs. The ** Manager II GBD Special Program** is responsible...program schedule, budget, and resources plan. + Manages resource utilization to ensure appropriate delivery of care … more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/203163/discharge-planner- ii utilization ... technology, we are committed to serving the community with personalized, high-quality care . We offer a full range of comprehensive services, including 24-hour… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- Summary As the regional Revenue Utilization Review (RUR) Nurse Manager the incumbent is accountable to the Consolidated Patient Account Center (CPAC) Director, ... experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of… more
- AmeriHealth Caritas (Asheville, NC)
- …require regional travel up to 75%. ;RN or LCSW required. ; **Responsibilities:** The LTSS Care Manager II is responsible for managing and coordinating ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- BayCare Health System (Palm Harbor, FL)
- …Yes **Shift Hours:** 8:00 AM - 5:00 PM Equal Opportunity Employer Veterans/Disabled **Position** Manager Site II - Primary Care **Location** Palm Harbor | ... network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands...BayCare is currently in search of our newest **Site Manager II ** who is passionate about providing… more
- AmeriHealth Caritas (Fayetteville, NC)
- …50% travel within the Fayetteville, North Carolina region. RN required. **Responsibilities:** The Care Manager II is responsible for managing and ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- Elevance Health (Atlanta, GA)
- **Nurse Care Manager II ** **Carelon Health Guide** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... position expected to end on_** **_12/31/2025 date._** The **Nurse Care Manager II ** is responsible...and modifies as necessary. + Assists with development of utilization / care management policies and procedures. + Participates… more
- Elevance Health (South Bend, IN)
- ** Manager II GBD Special Programs, LTSS Care /Service Coordination** **Location:** State of Indiana. Ideal candidate will live in the South Bend area. ... needs, and direct, hands-on engagement. The ** Manager II GBD Special Programs, LTSS Care /Service Coordination**...program schedule, budget, and resources plan. + Manages resource utilization to ensure appropriate delivery of care … more
- Sutter Health (Modesto, CA)
- … care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... are to include the achievement of optimal health, access to care , and appropriate utilization of resources balanced with the patients' self -determination while… more
- Parsons Corporation (San Antonio, TX)
- …efficiency, and maintaining research documents. Additionally, the Program Manager II will assist with space utilization , financial tracking, and business ... We've got what you're looking for. **Job Description:** Parsons is seeking a **Program Manager II ** to support Naval Medical Research Unit - San Antonio… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary...and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …of clinical/financial resources as a facilitator and consultant to the multidisciplinary patient care team. The Care Manager predicts, facilitates, and ... Summary As part of the Care Management team, the Registered Nurse combines clinical...plans, implement and evaluates strategies that ensure the appropriate utilization of clinical resources and management of length of… more
- Ryder System (Lebanon, TN)
- …**Lebanon, Tennessee** **Monday-Friday** **Salary plus Yearly Incentive opportunities** **Summary** The Operations Manager II (SM II ) manages the operations ... to support the needs of assigned location. The Operations Manager II must be able to accomplish...to develop the service requirement section of the Customer Care Plan to ensure effective delivery of service.Conduct customer… more
- Covenant Health Inc. (Sevierville, TN)
- …401(k); and + a generous Combined Time Off (CTO) program. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical ... to the health care team. The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Knoxville, TN)
- …are considered for the Masters level Social Worker position. Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical ... to the health care team. The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Covenant Health Inc. (Harriman, TN)
- …will find a culture and team environment that is unmatched! Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical ... to the health care team. The RN Care Manager II is responsible...to identify the necessary resources and ensures the appropriate utilization of same. + Communicates effectively with physician offices,… more
- Elevance Health (Norfolk, VA)
- …assessment within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II ** is responsible for care management within the scope ... **Telephonic Nurse Case Manager II ** **Location: This role enables...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:**… more
- Elevance Health (Indianapolis, IN)
- …different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within the ... **Telephonic Nurse Case Manager II ** **Location:** This role enables...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum** **Requirements:**… more
- Elevance Health (Norfolk, VA)
- …Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for performing care management within the scope of ... **Telephonic Nurse Case Manager II ** **Location: This role enables...claims or service issues. + Assists with development of utilization / care management policies and procedures. **Minimum Requirements:**… more
- Covenant Health Inc. (Knoxville, TN)
- …of care for the designated patient population. The RN Care Coordinator II reports directly to the Manager of Quality Management at the corporate level. ... rheumatology, sleep medicine and urology. Position Summary: The RN Care Coordinator II is responsible for integrating...disciplines are available. + Collaborates directly with the Quality Manager to ensure the staff adheres to sound clinical… more