- Trinity Health (Silver Spring, MD)
- Employment Type: Full time Shift: Day Shift Description: Job Title: RN Case Manager - Utilization Management Employment Type: Full Time Shift: Day Location : ... Holy Cross Hospital Position Purpose: As a Case Manager in Utilization Management,...and payers, and streamline care plans to align with clinical and regulatory standards. By optimizing resource utilization… more
- Highmark Health (Erie, PA)
- …techniques BSN LICENSES or CERTIFICATIONS Required None Preferred ACM Certification (Accredited Case Manager ) - American Case Management Association - ... Case Management - American Board of Occupational Health Nurses (ABOHN) and Certified Case Manager (CCM) Commission for Case Manager Certification… more
- University of Southern California (Los Angeles, CA)
- … Utilization Review provides administrative and operational support to the Director of Case Management. The Manager of Utilization Review provides direct ... implement standards and processes for clinical and non- clinical services provided by Utilization Review team...patient care and customer service. Preferred Qualifications: Pref Certified Case Manager - CCM (CMSA) Nationally recognized… more
- Encompass Health (St. Peters, MO)
- Case Manager Career Opportunity PRN Available, flexible hours: $40/hr Recognized for your abilities as a Case Manager Are you ready for a Case ... home and heart? Join Encompass Health, where being a Case Manager goes beyond just a job;...the nation, this opportunity allows you to leverage your clinical expertise while contributing to the well-being of individuals… more
- Moffitt Cancer Center (Tampa, FL)
- …interdisciplinary team to achieve optimal clinical and resource outcomes. The case manager represents department in meetings with senior administration and ... Minimum 5 years related experience in health care Recent case manager experience Demonstrated experience in oncology nursing, utilization review, quality… more
- Team Select Home Care (Boston, MA)
- The Case Manager is a qualified registered nurse with the ability to provide and oversee the care of assigned patients and associated staff in accordance with ... report to the Director of Nursing/Director of Patient Care Services/ Clinical Supervisor/Nursing Supervisor/ Clinical Manager . Duties/Responsibilities:… more
- Enterprise Solutions, Inc. (Riverside, CA)
- … Case Management Manager , RN Case Manager , Nurse Case Manager , Clinical Case Manager , Case Management Leader, Care Coordination ... Manager , Case Management Supervisor, Discharge Planning Manager , Utilization Review Nurse, Inpatient Case Manager , Acute Care Case Manager… more
- MedStar Health (Washington, DC)
- …Primary Duties and Responsibilities Assists in the identification of potential Case Management candidates through clinical review, selected diagnoses, etc. ... 1-2 years Utilization review experience required and 3-4 years Diverse clinical experience required Licenses and Certifications LPN - Licensed Practical Nurse -… more
- Arms Acres (Carmel, NY)
- Case Manager (CASAC-T, CASAC, LMSW, LMHC, LCSW ) Arms Acres is looking for a Clinical Case Manager to join our team in Carmel, NY. In this role, you ... will provide comprehensive clinical case management services that include: assessments,...patient treatment plans and requested by program director Performs utilization review, provides progress reports and develop aftercare plans… more
- PAM Health Rehabilitation Hospital of Jupiter (Jupiter, FL)
- …(RNs & clinical licensed social workers in the state of Florida) The Case Manager is responsible for the interdisciplinary coordination of care for a ... designated patient population. The Case Manager performs reviews of all inpatient...reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for… more
- Loma Linda University Health (Murrieta, CA)
- Job Description MH: Case Management and Social-(Full Time, Days) - Job Summary: The Case Manager serves as a key member of the patient care delivery team and ... case management functions. Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts… more
- Renown Health (Reno, NV)
- …length of stay. By assuming a leadership role with the interdisciplinary team, the Case Manager promotes appropriate utilization of care and services, and ... Position Purpose A clinical position that works within a collaborative process...medical condition and post-acute needs. The Case Manager works closely with the Utilization Management… more
- Pair Team (Lodi, CA)
- …on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager , behavioral health care ... manager , and nurse practitioner before taking clinical actions Consistently meet monthly encounter metrics to ensure compliance with health plan regulations… more
- Vantage Search Group (Tampa, FL)
- …past 24 months. Certification: Must have one of the following certifications: Commission for Case Manager Certification Certified Case Manager (CCM) ... Certification: Certified Rehabilitation Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) National Academy of Certified Care… more
- Premier Health (Eaton, OH)
- Case Manager FACILITY: SAMARITAN BEHAVIORAL HEALTH Case Manager functions as a member of a team to assist in the planning, development, and delivery of ... clients and uses that knowledge to coordinate services and advocate for identified clients. Case Manager acts as a resource consultant to other team members and… more
- Guidehealth (Joliet, IL)
- …care system as a collaborative health partner in their health care team. As an RN Case Manager , the RN will work closely with client and members alike to promote ... in Case Management and Chronic Condition Management. Knowledge of utilization review, quality improvement, managed care, and/or community health. Previous remote… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Case Manager -RN plays a pivotal role in coordinating comprehensive patient care, ensuring seamless transitions between care levels. This ... excellent communication skills, and a deep understanding of healthcare systems. The Case Manager -RN will collaborate closely with patients, families, healthcare… more
- Baptist Health (Little Rock, AR)
- …and clerical duties. Coordinate new referrals in collaboration with the business manager and interdisciplinary clinical staff. Enter and maintain referral and ... Current Arkansas RN licensure. At least 1-3 years RN experience, preferably in Nurse Liaison or Case Management. This job will be authorized 80.00 hours bi-weekly. more
- LifeWorks NW (Portland, OR)
- Case Manager , EAMH, On Call #1088...in the Performance Evaluation for direct service, implementation and utilization of the clinical model, quality of ... reach and maintain stability? APPLY NOW! The On Call, Case Manager assists with the implementation of...through the program and recommend services. Provides input on clinical assessments and the development of treatment plans. Provides… more
- PACS (Oceanside, CA)
- …RN Valid Licensee in the state you are working. Certificate as a certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. ... needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and cost… more
