- Sharp HealthCare (San Diego, CA)
- …members to case management or quality management as appropriate for utilization or quality issues while maintaining department processes in compliance with the ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **Shift… more
- Universal Health Services (Palmdale, CA)
- …plan with company match + SoFi Student Loan Refinancing Program Essential Job Duties: The Case Manager , a Licensed Vocational Nurse, under the Director of C ase ... and his family. This person is the expert on issues related to utilization review and discharge planning. Qualifications Requirements: + Ability to read, analyze,… more
- Emanate Health (Glendora, CA)
- …Excellent customer service skills required. **Minimum License Requirement:** Current California LVN License. BLS. Other certification in Case Management ... the care and services of selected patient populations. Promotes effective utilization and monitoring of health care resources. Interacts with the Emergency… more
- Universal Health Services (Riverside, CA)
- …and/or EXPERIENCE: High School Diploma or GED required. Graduate of an accredited LVN Program. AA, Diploma preferred. One to two years related experience and/or ... education and experience. CERTIFICATES, LICENSES, AND REGISTRATIONS: Current California LVN license. ESSENTIAL FUNCTIONS: Essential functions are those tasks, duties… more
- Genesis Healthcare (Los Angeles, CA)
- POSITION SUMMARY: The Case Manager is responsible to ensure the collaborative process of assessment, planning, facilitation and advocacy for options and services ... performance improvement and communicates to s supervisor and/or Administrator.The Case Manager manages the patient case...patient plan of care subject to contract terms and case negotiations in order to minimize over- utilization … more
- Prime Healthcare (Ontario, CA)
- …of the Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications: 1. Knowledge in discharge planning/ utilization management/ case management terminology and functions, in… more
- Centene Corporation (Richmond, VA)
- …flexibility. **Our District of Maryland & Virginia is currently hiring a Care Manager LVN /LPN to cover the Silver Spring ,Maryland or Woodbridge, Virginia ... member cases with complex medical needs to Supervisor or Manager . + Act as liaison and member advocate between...nursing** **Candidate Experience:** Required 2+ years of experience in utilization management and/or case management in a… more
- Sharp HealthCare (San Diego, CA)
- …Nursing & Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Other **Hours**… more
- Tenet Healthcare (Detroit, MI)
- RN Case Manager FT Days Sign on Bonus available - 2406001355 Description : **$15,000 Sign on Bonus, with required relevant experience** DMC Harper University ... services, hypertension, stroke prevention and heart failure. Job Description: The RN Case Manager is responsible to facilitate care along a continuum… more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... case basis. This position integrates national standards for case management scope of services including: Utilization ...level of care Mentor and monitor work delegated to Utilization Review LVN /LPN and/or Authorization Coordinator as… more
- Pipeline Health System, LLC (Toast, NC)
- Job Title: Case Manager -RN (8hrs.) Base Rate: $46.07 - $64.51 Job Summary: The Case Manager is responsible for managing and coordinating the care of the ... other professional staff to determine appropriate level of care, utilization of resources, length of stay and quality of...(BLS) from American Heart Association (AHA) required. + Accredited Case Manager (ACM) or Certified Case… more
- Prime Healthcare (National City, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Discharge Plan. Qualifications Minimum Requirements : 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in… more
- Tenet Healthcare (Detroit, MI)
- … Management and Compliance policies, Transition Management, and other topics specific to case management. 6. Accredited Case Manager (ACM) preferred. Skills ... Clinical Social Worker Case Management FT Nights - 2406001535 Description :...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- Molina Healthcare (Glen Allen, VA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... the state of VIRGINIA. Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking for someone with strong leadership… more
- Banner Health (Mesa, AZ)
- …and challenges), an in-office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist ... "alone" in the field! We recognize that our nurse case managers are the key to a successful journey...Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process… more
- Elevance Health (Richmond, VA)
- …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the ... health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will...not require nursing judgment. **Minimum Requirements:** + Requires an LPN/ LVN , LSW, LCSW, or LMSW or license other than… more
- Elevance Health (Mount Juliet, TN)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and… more
- Elevance Health (Cary, NC)
- …counties.** **Schedule: Monday-Friday 8:30am-5pm EST** With overall responsibility for the member's case , as required by applicable state law and contract, the **LTS ... health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will...not require nursing judgment. **Minimum Requirements:** + Requires an LPN/ LVN , LSW, LCSW, or LMSW or license other than… more
- Elevance Health (Beech Grove, IN)
- …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by the IN PathWays for Aging program, contributes to the ... health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will...not require nursing judgment. **Minimum Requirements:** + Requires an LPN/ LVN , LSW, LCSW, or LMSW or license other than… more
- Elevance Health (Memphis, TN)
- …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the ... health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will...not require nursing judgment. **Minimum Requirements:** + Requires an LPN/ LVN , LSW, LCSW, or LMSW or license other than… more