- University Health (Boerne, TX)
- …of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management experience preferred. ... with OB patients preferred. Experience working with EPIC EMR desirable. LICENSURE/CERTIFICATION Current licensure in the State of Texas as an RN or LVN is required. more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... RN Utilization Review - Case Management -...level of care Mentor and monitor work delegated to Utilization Review LVN /LPN and/or Authorization Coordinator as… more
- Actalent (Sacramento, CA)
- …+ Working knowledge of EZ-CAP, EZ-Net, InterQual, and MCG preferred. + Certified Case Manager (CCM), CPUR, or CPHM credential preferred. + Background in ... Remote Licensed Vocational Nurse ( LVN ) Fully remote but MUST reside within 50...ICU) + At least 1 year of experience in utilization review, case management, or hospital discharge… more
- Molina Healthcare (TX)
- …+ Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or ... Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates must be technologically proficient, self-directed, autonomous and… more
- Prime Healthcare (La Palma, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in… more
- Prime Healthcare (Montclair, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions,… more
- Select Medical (Memphis, TN)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager (PRN)** _Requires a current licensure in a clinical… more
- Select Medical (Wichita, KS)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current...safe and timely discharge plan. + Performs verification of utilization criteria reviews. + Builds relationships and coordinate with… more
- Select Medical (Chicago, IL)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Rush Specialty Hospital** ** Case Manager ** **Hours/Shift: Per Diem (PRN)**...safe and timely discharge plan. + Performs verification of utilization criteria reviews. + Builds relationships and coordinate with… more
- Select Medical (Lake Worth, FL)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** ** Case Manager ** **Full Time: Monday-Friday 8-5pm** _Requires a current… more
- Select Medical (Newport News, VA)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** **$10,000 Sign On Bonus**...licensure in a clinical discipline either as a Nurse (RN/LPN/ LVN ) or a Respiratory Therapist (RT) OR Medical Social… more
- Tenet Healthcare (Detroit, MI)
- … Management and Compliance policies, Transition Management, and other topics specific to case management. 6. Accredited Case Manager (ACM) preferred. ... Clinical Social Worker - Case Management - 2506004164 Description : DMC Sinai-Grace...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… 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 Trauma Services Admin Full Time Days...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… 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 Full Time Days - 2506003347 Description...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- Molina Healthcare (Reno, NV)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS),… more
- Molina Healthcare (Owensboro, KY)
- …to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of… more
- Elevance Health (KS)
- **RN Case Manager (LTSS Service Coordinator- RN Clinician)** Location: Seeking candidates to reside in Linn, Coffey, or Anderson County in in Kansas. **_Please ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The **RN Case Manager ** is responsible for overall management of member's … more
- Elevance Health (Columbus, OH)
- **LTSS Service Coordinator - Clinician ( Case Manager )** **Candidates should live in one of the following counties:** Athens, Auglaize, Defiance, Gallia, Hocking, ... of an RN, with overall responsibility for the member's case . As required by applicable state law and contract,...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Elevance Health (Buffalo, NY)
- …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
- University of Southern California (Los Angeles, CA)
- …Care experience + Pref Advanced Cardiovascular Life Support (ACLS) + Pref Certified Case Manager - CCM (CMSA) Nationally recognized certification such as CCM ... Managers, clinic staff, Patient Experience, and Cipher Health Project / Client Manager . + Supports Transitional Care LVN with prioritizing PCP discharge… more
