- Integrated Resources, Inc (New York, NY)
- Job Title: RN- Care Manager Location: New York, NY, 10004 - Hybrid Initial Duration: 3 months with possible extension Shift Time: 9am to 5pm any 5 days in a ... proud of what you do every day. . The Care Manager develops, facilitates, monitors, and communicates...for the MetroPlusHealth members. . Coordinate with Utilization Management ( UM ) department on concurrent and retrospective review. . Follow… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... of case management, utilization review and discharge planning. The Care Manager must be highly organized professional...CAPP as appropriate. As necessary meet with the Utilization Manager ( UM ) and SW after the meeting… more
- Blue Shield of California (Long Beach, CA)
- …support to patients in maintaining health and wellness in the outpatient setting . The Senior Care Manager will report to the Manager of Care Management. ... Managers perform a blended function of utilization management ( UM ) and care management (CM) activities demonstrating...Experience Requires a current CA RN License Certified Case Manager (CCM) Certification or is in process of completing… more
- Blue Shield of California (Long Beach, CA)
- …Role The Children's Health Program (CHP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates ... Clinical Services Coordinator Intermediate will report to the CHP Manager . In this role you will work with clinical...In this role, you will: Process faxed/phoned in authorizations, UM /CM requests and/or calls left on voicemail. Select support… more
- Elevance Health (Colorado Springs, CO)
- …Elevance Health PulsePoint location in either Denver, CO or Colorado Springs, CO. The BH Care Manager ( UM ) job progression is primarily a provider facing ... some member facing activities such as conducting clinical assessment, care coordination documentation within designated platforms, promoting quality member outcomes… more
- Sharp HealthCare (San Diego, CA)
- …Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager ( UM ) partners with the Centralized Patient Placement Center (CPPC) RN's ... End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse… more
- LifePoint Health (Las Cruces, NM)
- …local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** *RN Case Manager - UM - PRN* **Location:** *New Mexico-Las Cruces* ... Memorial Medical Center is a 199-bed hospital offering a spectrum of care , including diagnostic, therapeutic, and rehabilitative services, both on an inpatient and… more
- YesCare Corp (Brentwood, TN)
- …appropriate time. + Communicate and document any issues relating to the outpatient/inpatient UM process to the Manager of Utilization Management. + Assist with ... case management, quality management. Experience with InterQual and/or Milliman Care guidelines preferred. Strong organizational and time management skills. +… more
- University of Miami (Miami, FL)
- …Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation of cadaveric ... clinical information that may be relevant to donation process to AOC and/or LAORA Manager , Organ Procurement in a timely manner. + On-call duties for Donor Referral… more
- Elevance Health (Columbus, OH)
- …is a benefit-management leader in Illinois. Our platform delivers significant cost-of- care savings across an expanding set of clinical domains, including radiology, ... determination reviews for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director) Responsible for providing day-to-day… more
- Ciena Healthcare (Detroit, MI)
- …a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education for ... **Vent Unit Manager ** Are you an RN looking for a...nursing home guests. At Ciena Healthcare, we take care of you too, with an attractive benefit package… more
- Ciena Healthcare (Livonia, MI)
- …a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education for ... nursing home guests. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: + Competitive pay, + Life Insurance, + 401K with… more
- Ciena Healthcare (St. Joseph, MI)
- …a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education for ... nursing home guests. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: + Competitive pay + Life Insurance + 401K with… more
- Ciena Healthcare (Galesburg, MI)
- …a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education for ... can help shape a legacy? **Responsibilities** + Supervises nursing care provided by Registered Nurses (RN), Licensed Practical Nurses...the systems which facilitate the delivery of quality guest care and performance of staff. + Uses a systematic… more
- Sharp HealthCare (San Diego, CA)
- …& Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care payers. ... **What You Will Do** To provide comprehensive utilization management and coordination of care for members who are confined to skilled nursing facilities (SNF) in… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) ... (CPHQ) - National Association for Healthcare Quality; Bachelor's Degree; Certified Case Manager (CCM) - Commission for Case Manager Certification **Hours** **:**… more
- Elevance Health (Grand Prairie, TX)
- …health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to ... advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
- Universal Health Services (Riverside, CA)
- …healthcare.Riverside Medical Clinic is the best place to work, practice medicine, and receive care . SUMMARY: Manager with a health care system development ... the organization will be responsible for improving membership retention, quality of care , health outcomes, and regulatory compliance, and utilization of services as… more
- InnovaCare (San Juan, PR)
- …Management Inpatient Coordinator.14. Prepares and submits to the Health Services Department / UM Medical Care Manager a monthly report of activities ... the position as requested by the Health Services Department Inpatient Medical Care Manager .18. Documents the discharge data in the Daily Census module MedHOK… more
- LA Care Health Plan (Los Angeles, CA)
- …needs of LA Care 's culturally diverse membership. The position supports the UM Manager /Director. This role also assists UM Educator/ Manager /Director ... ( UM ) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff's responsibilities and… more
