- CVS Health (Salt Lake City, UT)
- …utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational ... 3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC,… more
- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, ... case management throughout the continuum of care. The case manager will offer guidance, support, and...beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… 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
- Molina Healthcare (UT)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
- HCA Healthcare (Salt Lake City, UT)
- …purpose and integrity. We care like family! Jump-start your career as a(an) RN Case Manager today with St. Mark's Hospital. **Benefits** St. Mark's Hospital ... by location._** Come join our team as a(an) RN Case Manager . We care for our community!...case management or 3+ years or experience in clinical nursing required + InterQual experience preferred + Certification… more
- HCA Healthcare (Bountiful, UT)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We have an exciting ... colleagues. Do you want to work as a(an) RN Case Manager PRN where your passion for...Registered Nurse + BSN preferred + 2+ years hospital case management or 3+ years of clinical … more
- HCA Healthcare (Ogden, UT)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Case Manager PRN you want with your current employer? We have an exciting ... colleagues. Do you want to work as a(an) RN Case Manager PRN where your passion for...case management or 3+ years of experience in clinical nursing required. + American Red Cross or American… more
- Molina Healthcare (UT)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. Bilingual...determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness… 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
- HCA Healthcare (North Logan, UT)
- …Unlock your potential at Cache Valley Hospital! **Job Summary and Qualifications** The Manager Clinical Operations is responsible for the operation and delivery ... **Are you passionate about delivering patient-centered care?** Submit your application for Manager of Clinical Operations position and spend more time at… more
- Molina Healthcare (Provo, UT)
- … Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
- Molina Healthcare (UT)
- …to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of… 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 (Layton, UT)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... DESCRIPTION** For this position we are seeking a Care Manager who lives in Idaho Care manager ...will support Idaho Medicaid. This position will have a case load and manage members enrolled in this program.… more
- Molina Healthcare (Midvale, UT)
- …suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM). * Experience in behavioral health care management. ... Licensed Social Worker Case Manager residing in the state...equivalent combination of relevant education and experience. * Licensed behavioral health clinician to include: Licensed Clinical … more
- Molina Healthcare (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
- 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)
- **Job Description:** The Emergency Department Pediatric Social Work Care Manager I, utilizes clinical expertise to perform psychosocial assessments, develop and ... + Demonstrated ability to apply critical thinking skills. **Preferred Qualifications** + Case Management Certification. + Experience in clinical care management,… more
- HCA Healthcare (Draper, UT)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Social Work, Case Manager with Lone Peak Hospital you can be a part of ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...our organization. We are looking for an enthusiastic SW Case Manager BSW to help us reach… more