- The University of Vermont Health Network (Camp Johnson, VT)
- …a profound difference in people's lives? Join our Community Hospice team as a Case Manager Registered Nurse and build lasting connections with patients and their ... families. We're dedicated to providing compassionate, expert care that allows individuals to remain comfortably at home...time roles Relocating individuals eligible for $8,200 in a managed budget and $1k cash allowance Links: How UVM… more
- Sutter Health (Goleta, CA)
- …AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... Nurse of California + BLS-Basic Life Support Healthcare Provider + CCM - Certified Case Manager (certification may be required by entity and time to acquire… more
- CVS Health (Columbus, OH)
- …Qualifications:** - Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Managed Care experience - Hospital experience in ICU, ... solutions to make health care more personal, convenient and affordable. This Case Manager RN position is 100% remote and the employee can live in any state.… more
- CVS Health (Olympia, WA)
- …Qualifications** + Behavioral Health experience + Certified Case Manager + Case Management experience + Managed care experience + Strong telephonic ... is Monday - Friday, 8:00am - 4:30pm PST. Nurse Case Manager is responsible for telephonically and/or...by the company) + 3+ years' experience of acute care and/or case management + 2+ years'… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- …and physical / drug screen. Responsibilites of the Registered Nurse (RN) Case Manager : + Provides communication to the managed care providers regarding a ... Registered Nurse (RN) Case Manager - Monday thru Friday,...care setting. + Proficient in ability to interpret Managed Care /Medicare Advantage Contracts and provide education… more
- Sharp HealthCare (San Diego, CA)
- …care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including governmental ... the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for...key contract data elements which are populated into the Managed Care database including addition of new… more
- City of New York (New York, NY)
- …(MCP), interfaces with managed care delivery systems comprised of Managed Care Organizations (MCOs) and case management providers through which ... Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of...the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health… more
- Houston Methodist (Houston, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement. + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) Certified position is...communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state,… more
- Molina Healthcare (Bronx, NY)
- … Management program . We are seeking a Registered Nurse with previous Case / Care Management and managed care experience. Candidates with experience in ... of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case … more
- ManpowerGroup (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). + ... **Title:** ** Managed Care Coordinator UM II** **Location:...Experience: 7 years-healthcare program management. Preferred Licenses and Certificates: Case Manager Certification, clinical certification in specialty… more
- Guthrie (Binghamton, NY)
- … Manager monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager collaborates cooperatively with the ... patient and members of the interdisciplinary health care team. The Acute Case ...positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary… more
- Molina Healthcare (Lexington, KY)
- …external activities, member enrollment and eligibility, and member recruitment in a managed care environment preferred. + Comprehensive knowledge of Kentucky ... opportunities exist and work with One Stop Help Center Manager to develop an outreach strategy to increase and...Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Healthcare, health care , managed care , health, medical… more
- ManpowerGroup (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). + ... **Title: Coordinator, Managed Care I** **Location: Columbia SC**...Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) experience + Training will be onsite… more
- Dignity Health (Northridge, CA)
- …Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care ... Nursing (BSN)) or related healthcare field. preferred + Certified Case Manager (CCM), Accredited Case ...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- Banner Health (Gilbert, AZ)
- …your future. Apply today. Our Care Coordination staff is seeking an RN Case Manager to work closely with patients and their families, physicians, and other ... members of the health care team on case management and managed care ...require a minimum of one year Case Manager experience in an acute care hospital.… more
- Banner Health (Sun City, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- Banner Health (Mesa, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- Mount Sinai Health System (New York, NY)
- …+ Develops and maintains effective working relationships with interdisciplinary team and Case Managers within the managed care organizations. 7. ... **Job Description** **RN/ Case Manager MSH Case ...**Job Description** **RN/ Case Manager MSH Case Management FT Days**...population; + Provides the clinical information requested by the managed care companies as part of the… more
