- Signet Health (Clinton, MD)
- …Case management Tracking and management of members identified as needing Intensive Case management Services who may be high risk, high utilizing ... and Coordination with providers and State agencies regarding Case management members Collaboration with Community Support Programs Utilization Review for… more
- Signet Health (Clinton, MD)
- …Case management . Tracking and management of members identified as needing Intensive Case management Services who may be high risk, high utilizing ... and Coordination with providers and State agencies regarding Case management members. Collaboration with Community Support Programs. Utilization Review for… more
- UCLA Health (Los Angeles, CA)
- …planning and appropriate access to care * Working directly with Concurrent Nurses and Intensive Case Management Nurses * Review pending claims for approval ... Health. Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management , you will support and perform duties to ... and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to enhance the quality...BSN Degree * Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- UT Health (Houston, TX)
- …. Clinical responsibilities will include intensive case management , contributing to treatment planning, participating in utilization review for ... individual and group treatments, medication management , and intensive case management to our...progress toward discharge in order to prevent both the over- utilization and the under- utilization of inpatient treatment… more
- The Home for Little Wanderers (Dorchester, MA)
- …CSA Park Street located in Dorchester, seeks a Full-Time Mental Health Intensive Care Coordinator to facilitate the development and implementation of an Individual ... Care Plan and risk management /safety plan for MassHealth youth with serious emotional disturbance....disturbance. Under the direction of Program Director and Senior Intensive Care Coordinator; facilitates the development and implementation of… more
- The Home for Little Wanderers (Roslindale, MA)
- …(CBHI). The Hyde Park CSA, located in Roslindale, seeks a Full-Time Intensive Care Coordinator to facilitate the development and implementation of an Individual ... Care Plan and risk management /safety plan for MassHealth youth with serious emotional disturbance....may include extensive telephone contact and scheduling and attending case conference meetings. Facilitate communication between and among various… more
- LA Care Health Plan (Los Angeles, CA)
- …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%) Performs prospective, concurrent,… more
- Prime Healthcare (National City, CA)
- …Discharge Plan. Qualifications Minimum Requirements : 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology ... Responsibilities + Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case… more
- Providence (Napa, CA)
- … of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management based ... management setting. + California Registered Nurse License upon hire. + 2 years Case management , discharge planning, or utilization management … more
- Universal Health Services (Conway, SC)
- …planners and patients. 0THER REQUIREMENTS : One to three years of experience in utilization review, case management , or discharge planning preferred. Three ... communication, documentation, clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred.… more
- Houston Methodist (Nassau Bay, TX)
- …Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work department. This position is an integrated, ... entity committees as a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and operational plans, and overall… more
- Pine Street Inn (Dorchester, MA)
- …OF POSITION : + Home and Healthy for Good (HHG) Program provides comprehensive, intensive case management support to chronically homeless individuals with ... Case Managers work as part of an intensive case management team serving...- informed approach to working with participants, including the utilization of Stages of Change Theory and Motivational Interviewing… more
- HCA Healthcare (Riverside, CA)
- …you will need:** + Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + ... hours volunteering in our communities. As a(an) Coordinator - Case Management with Riverside Community Hospital you...non-invasive cardiac procedures. Riverside has a Level III Neonatal Intensive Care Unit, which it is very proud of.… more
- LifePoint Health (Bullhead City, AZ)
- …their professional licensure *Minimum Work Experience* Minimum of 3-5 years in Case Management / Utilization Review X Preferred *Required Licenses* [Arizona, ... care, including admission, length of stay, transfer and discharge. Case Management is a collaborative process of...members regarding their disease process and their comorbid diagnosis. Case Managers will complete the Utilization Review… more
- HCA Healthcare (Mckinney, TX)
- **Description** **Introduction** Are you ready to manage in a new era as a Manager of Case Management where building a healthier tomorrow is more than a job? Our ... Healthcare facility. Be an impact as a Manager of Case Management where your passion for leading...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** **EDUCATION:** + Bachelor's… more
- International Rescue Committee (New York, NY)
- …provide referrals to legal and social services in final destinations, and provide more intensive case management for families and individuals with heightened ... req47392 Job Title: Senior Program Manager, Asylum Reception and Case Management Sector: Social Work Employment Category:...management and timely reporting, including invoicing. + Ensure utilization of the H+H data management system… more
- HCA Healthcare (Fort Pierce, FL)
- …Do you want to join an organization that invests in you as a(an) Manager of Case Management ? At HCA Florida Lawnwood Hospital, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Manager of Case Management like you to be a...supporting a balance of optimal care and appropriate resource utilization . + This individual serves as a role model… more
- Guthrie (Corning, NY)
- …optimize case reimbursement. 4. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care ... assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs).… more
- Providence (Mission Hills, CA)
- …qualifications:** + Bachelor's Degree in Healthcare related field. + 3 years' Experience in utilization management or case management . **Why Join ... **Description** Care Management is a collaborative practice model including the...women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum… more
