- Pyramid Consulting, Inc (Los Angeles, CA)
- Immediate need for a talented Supervisor - Case Manager / Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is ... located in Los Angeles, CA(Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID:24-20030 Pay Range: $90- $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision),… more
- Merck & Co. (Durham, NC)
- …several years; currently Durham employs 1,000+ people. This role as a Manager , Operations will be an energetic, leader with strong interpersonal, leadership, and ... (7pm - 7am) on a rotating 2-2-3 schedule.AccountabilityFirst line operations supervisor with a team of individual contributor production direct reports including… more
- Benchmark Human Services (Wilmot, SD)
- …create space for everyone to be their authentic selves. Benchmark is looking for a Case Manager to work in the western region of SD. GENERAL RESPONSIBILITIES ... Advocate for services that will support the individual's success. Maintain all case records. Prepare, update and monitor person centered plans including … more
- Valmont Industries, Inc. (Columbus, NE)
- …recognize and reward initiative and dedication. Core Responsibilities:As a supervisor , the candidate should demonstrate active employee engagement byConducting ... employees are "fit for duty" that day. An effective supervisor will conduct stretch and flex exercises as part...safety absolutes are not compromised at any time. In case of a safety infraction (near miss, first aid,… more
- Intrepid USA (Elizabethtown, KY)
- …other service providers as necessary.Assuring efficient coordination of caregivers through case conferences and scheduling process and appropriate utilization of ... with program/payer rules and physician orders.Responsible for efficient and effective utilization management in accordance with client needs, physician orders and… more
- 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 ... directors to medical information and authorized appropriate services/care.Consults with supervisor , team lead and/or medical director to discuss requests/care… more
- LA Care Health Plan (Los Angeles, CA)
- …The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and procedures. This ... Supervisor , Utilization Management RN (Outpatient) Job...(RN) - Active, current and unrestricted California License Certified Case Manager (CCM) Licenses/Certifications Preferred Required Training… more
- Hackensack Meridian Health (Hackensack, NJ)
- …care coordination, discharge planning functions and performance improvement activities for the case managers. The Supervisor Case Management is accountable ... management processes. + Develops the performance enhancement plan of the case manager , documents performance provides performance feedback, evaluates the work… more
- MetroHealth (Cleveland, OH)
- …specifically focusing on payer verification, preadmission processing, authorization, clincial utilization management functions, etc.). Works with the manager ... in Nursing (BSN) from an accredited institution. Experience working with EPIC/ Case Management modules. Experience as a Supervisor . Physical Requirements: May… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** Supervisor & The Team Leader reports to the UM Manager . The Team Leader provides management,oversight and mentorship to ... The Team Leader works in close collaboration with the manager and Director of the UM team. **What You'll...to UM team. + Participates in Team meetings for case review, workflow review and other relevant business related… more
- Billings Clinic (Billings, MT)
- …all organizational, departmental, and outside agency requirements. *The responsibilities of the UR case manager are listed below, in order of priority and ... medical necessity for inpatient level of care to obtain inpatient order *Communicate with Case Manager to understand discharge plan and barriers to discharge on… more
- Centene Corporation (Tallahassee, FL)
- … management on hire with one of the following certifications:** **Accredited Case Manager (ACM):** ** Case Management Administrator, Certified (CMAC):** ... policies, procedures and processes. + Facilitate on-going communication between case management staff, utilization management staff and...** Case Management Certified (CMC):** **Certified Case Manager (CCM):** Registered Nurse … more
- Immigration and Customs Enforcement (IN)
- … Utilization Review Consultant will report directly to the IHSC Regional Utilization Manager with the Utilization Management Program Administrator. This ... SUPERVISORY CONTROLS: The Senior URC reports directly to the assigned IHSC Regional Utilization Manager (RUM) with the Utilization Management Program… more
- Sutter Health (Burlingame, CA)
- …interview, recommend for hire, coach and evaluate staff. * Works with Manager /Director to identify department goals and objectives, develops and communicates action ... and maintain proficiency in the Sutter Care Coordination Standard Utilization Management process, including teaching, coaching monitoring outcomes, and administering… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER : University Hospital (Care Management) Apply Now **Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors ... utilization of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager reports directly to the Manager of Care… more
- Albany Medical Center (Albany, NY)
- …Care Management/Social Work Work Shift: Day (United States of America) The Case Manager is accountable to facilitate the interdisciplinary team to ... evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care… more
- BayCare Health System (Cotton Plant, AR)
- …RN (Registered Nurse) + Preferred ACM ( Case Management) + Preferred CCM ( Case Manager ) **Education:** + Required Associates in Nursing or + Required ... services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials....Utilization Review or + Required 2 years in Case Management + Preferred 3 years Registered Nurse in… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted RN shall...(RN-NCM) + National Academy of Certified Care Managers: Care Manager Certified (CMC) + Experience: + Referral Management/ Utilization… more
- Beth Israel Lahey Health (Cambridge, MA)
- …200-bed acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates ... Manager Guidelines and audit tool. Reports to Inpatient Case Management Supervisor . **Job Description:** **Primary Responsibilities** (including but not… more
- Pine Street Inn (Dorchester, MA)
- …the Pine Street Inn Supportive Housing Team by assisting the Case Management Supervisor and/or Lead Case Manager with new tenant move-ins and completing ... Home and Healthy for Good Case Manager Department: Supportive Housing Office:...issues, to include bed bug remediation. Work with the Case Management Supervisor and Associate Director to… more
