- University Health (Pleasanton, TX)
- …required (as a Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS ... POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care… more
- Elevance Health (Washington, DC)
- …4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management** **ll** is responsible for managing a team of physical ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary duties may… more
- LA Care Health Plan (Los Angeles, CA)
- …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... Utilization Management Admissions Liaison RN II ...setting. Previous experience to have a strong understanding of Utilization Management/ Case Management practices including, but not… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn- case - manager ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred.… more
- Elevance Health (Rancho Cordova, CA)
- **Telephonic Nurse Case Manager II ** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within… more
- Elevance Health (Columbus, GA)
- **Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... from 11:30 AM to 8:00 PM EST. The **Nurse Case Manager II ** is responsible...providers, claims or service issues. Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Sutter Health (San Francisco, CA)
- …nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted criteria for… more
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- US Tech Solutions (MI)
- **Timing: M-F 8-5** **Job Description:** The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- The Salvation Army (Syracuse, NY)
- …Salvation Army Syracuse Area Services Position Overview: The FFT Program is expanding. Level II Case Planner available for a career minded individual who is ... Overview FFT CW Case Planner II Full-time-35 hrs., $28.00/hour...needed under direction of their supervisor and the DSS Case Manager . + Timely completion of required… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior ...of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management, Care Management, Clinical Case Management,… more
- Elevance Health (Indianapolis, IN)
- …to improve the delivery of care. The **Behavioral Health Care Manager II ** is responsible for performing case management telephonically and/or by home visits ... **Behavioral Health Care Manager II - Autism** _*Ideal candidate...there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Hines VA Utilization Management (UM) RN reports to the UM Manager RN. The UM RN demonstrates a high level of clinical practice, knowledge, and ... skills to improve patient access, flow, and positively impact the facility utilization of services. The UM RN will demonstrate leadership in delivering and… more
- Elevance Health (Ashburn, VA)
- **Behavioral Health Care Manager II ** **Shift:** Monday - Friday; 8:00am - 5:00pm EST **Location:** Virtual within the state of Virginia **Virtual:** This role ... granted as required by law._ The **Behavioral Health Care Manager II ** is responsible for managing psychiatric...there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range… more
- Elevance Health (Costa Mesa, CA)
- …and insightful analytics to improve the delivery of care. **Behavioral Health Care Manager II - ABA** Location: **Virtual** - This role enables associates ... 8:00 am to 5:00 pm** The **Behavioral Health Care Manager II ** is responsible for managing autism...a requirement for this position. + Previous experience in case management/ utilization management with a broad range… more
- Elevance Health (FL)
- **JR169828 Behavioral Health Care Manager II ** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... benefits through telephonic or written review. The BH Care Manager (UM) job progression is primarily a provider-facing role...a requirement for this position. + Previous experience in case utilization management with a broad range… more
- Stanford Health Care (Palo Alto, CA)
- …Manager Professional Development Program. Here is a description of the various levels: Level I: Case Manager Level II : Advanced Case Manager Level ... Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to...include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle ... standards and policy. Utilizes comprehensive knowledge of nursing clinical practice and case management principles to assess appropriate level of care and to ensure… more
- HCR Home Care (Canton, NY)
- …the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. Essential Functions ... and short - term plans, when appropriate, including the utilization of community support with the goal of reducing...to success. + Prepare concise, accurate , and timely case notes which are incorporated into the client's records.… more
