- Providence (Santa Rosa, CA)
- …degree for Case Management/ UM Review: Nursing or related field. + Certified Case Manager (CCM) or Accredited Case Manager (ACM) upon hire + ... Case Managers in the Care Management Department. The Manager role models proactive, collaborative working relationships across all...related field - Nursing Preferred. + Bachelor's degree for Case Management/ UM Review: Nursing or related… more
- Magellan Health Services (Boise, ID)
- …for RN, Masters or Doctoral level provider. General Job Information Title Clinical Manager , Behavioral Health ( UM ) -Licensed, Remote in Idaho Grade 27 Work ... staff. Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics. + Supervises… more
- Sharp HealthCare (San Diego, CA)
- …Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality; Certified Case Manager (CCM) - Commission for Case Manager ... - National Association for Healthcare Quality -PREFERRED + Certified Case Manager (CCM) - Commission for ...and enforce policies and procedures for HSM that involve Case Management and UM . Serves as the… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...for professional growth and development as related to the case manager position and maintenance of CM… more
- ERP International (Macdill AFB, FL)
- …Collegiate Nursing Education (CCNE). **Experience:** Minimum 1 years experience as a RN Case Manager within the past 24 months. Certification:** Possess one of ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...the following certifications: o Commission for Case Manager Certification Certified … more
- UNC Health Care (Raleigh, NC)
- **Description** **Our Case Management team is seeking a System-wide Complex Case Manager to provide support to a network of 6 owned and 10 managed ... teams, and will report to the Regional Director of Case Management.** Become part of an inclusive organization with...CAPP as appropriate. As necessary meet with the Utilization Manager ( UM ) and SW after the meeting… more
- ERP International (Cherry Point, NC)
- **Overview** ERP International is seeking full-time **Registered Nurse (RN) Case Manager ** in support of theNaval Health Clinic Cherry Point, NC. Apply online ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...Possess one of the following certifications:** **o** Commission for Case Manager Certification Certified Case … more
- Luke Staffing (GU)
- **REGISTERED NURSE - CASE MANAGER ** **SITE OF SERVICE:** . Andersen Air Force Base, Guam . Full Time **POSITION QUALIFICATION/REQUIREMENTS:** . **Education:** ... Possess **one** **of the following** certifications: o Commission for Case Manager Certification Certified Case ...for community resources. . Integrate CM and utilization management ( UM ) and integrating nursing case management with… more
- Meriter-UnityPoint Health (Madison, WI)
- …Description: Shift: 0.0FTE, Per Diem, 0-40 hours per week, Day Shift. The RN Case Manager (CM) collaborates with the interdisciplinary care team in the ... approach to patient care and discharge planning. The RN Case Manager collaborates and maintains close partnership...The RN CM collaborates with the Enterprise Utilization Management ( UM ) RNs and Coordinators to communicate the plan for… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program… more
- Luke Staffing (Montgomery, AL)
- **REGISTERED NURSE - CASE MANAGER ** **SITE OF SERVICE** **:** . Maxwell Ambulatory Healthcare Center, 300 South Twining Street, Bldg. 760, Maxwell AFB, AL. . ... databases for community resources. . Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. .… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Behavioral Health Case Manager is primarily responsible for managing behavioral health ... or active registered nurse (RN) in NYS required. Certified Case Manager (CCM) required. Candidates without CCM...continuity. + Collaborate with other departments such as Medical UM , Medical Case Management, and SIU for… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **TH Staff Associate/ Case Manager ** is a valuable member of our team, who provides ... high standard of excellence. **Duties of a TH Staff Associate/ Case Manager in the Care Management Department...their work and follow up with cases. **Preferred:** CM, UM , Quality, Coding, Risk or MCG Certification Working knowledge… more
- Dartmouth Health (New London, NH)
- …care and resulting outcomes. * FUNCTIONAL DUTIES AND RESPONSIBILITIES * Clinical Case Management * Determines patient needs and resources within 1-2 business days ... of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of stay.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Summary: Vanderbilt University Medical Center (VUMC) is accepting applications for the Case Manager role within our Transition Management Office (TMO). The ... through preeminent programs in patient care, education, and research. **Organization:** TMO/ UM Team E **Job Summary:** JOB SUMMARY Collaborates with the health… more
- UNC Health Care (Raleigh, NC)
- …(EDD). Complete follow-up from CAPP as appropriate. As necessary meet with the Utilization Manager ( UM ) and SW after the meeting to discuss updates and action ... continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager … more
- Cedars-Sinai (Beverly Hills, CA)
- …eligibility before processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie ... **Job Description** The Case Management Coordinator provides support to the utilization...from IPAs / Medical Groups as requested by the UM Nurses, Medical Directors or Management. + Processes Extensions… more
- Cedars-Sinai (Beverly Hills, CA)
- …eligibility before processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie ... Little More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review...from IPAs / Medical Groups as requested by the UM Nurses, Medical Directors, or Management. + Processes Extensions… more
- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Manager , Prior Authorization RN manages all staffing and activities related to prior ... review. Along with other members of the medical management leadership team, the Manager is responsible for the quality and cost effectiveness of care provided to… more
- Integra Partners (Troy, MI)
- …Take accountability for overall team performance, escalating issues as needed to the UM Clinical Manager . + Ensure compliance with all regulatory, contractual, ... The Utilization Management ( UM ) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team… more