- NY CREATES (Albany, NY)
- …epicenter of high-tech innovation and commercialization. Job Description: Job Description for Manager of Device Integration JOB SUMMARY The Manager of Device ... group in support of NY CREATES 300mm research and development programs. The Manager of Device Integration will lead and manage the engineers who support NY… more
- Optum (Portland, ME)
- …benefits, and discover the meaning behind: Caring. Connecting. Growing together.? The Care Manager , RN provides leadership in the coordination of ... with all members of the healthcare team. Through clinical care coordination drives efficient utilization of resources...Bachelors Degree in Nursing (BSN) Previous background in managed care Certified Case Manager (CCM) 1+ years… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …rounds. Manage department budget, staffing, and training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN) ... relevant certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care , utilization review, case management. Strong working knowledge of… more
- Johnson Controls (Wichita, KS)
- …time Comprehensive benefits package including 401K, medical, dental, and vision care On the job/cross training and promotional opportunities Encouraging and ... is responsible, under the guidance of the Advanced Manufacturing Engineering Manager , for facilitating Industrial Engineering and Lean activities within the plant… more
- Cottage Health (Goleta, CA)
- Job Description Cottage Health seeks a Utilization Review Manager , Registered Nurse for their Clinical Denials and Appeals department responsible for the overall ... for all patient status and clinical appeal inquiries. Responsibilities include: The manager 's primary responsibility is to oversee utilization review functions… more
- Optum (Minnetonka, MN)
- Explore opportunities with Optum , in strategic partnership with ProHealth Care . ProHealth Care is proud to be a leader in health care services, serving ... a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of...meaning behind Caring. Connecting. Growing together . The Case Manager RN is responsible and accountable for coordination of… more
- American Traveler (Salem, MA)
- …adult inpatient medical/surgical patients, *Collaboration with multidisciplinary teams to coordinate care and resource utilization , *Parking may not be validated ... American Traveler is hiring an experienced RN Case Manager with strong case management and discharge planning skills for a dayshift inpatient role. Job Details *Work… more
- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …Salary Range $128752.00 - $165048.00 Salary Description SUMMARY OF POSITION: The Utilization Management (UM) Nurse is a licensed nursing professional responsible for ... The UM Nurse will work closely with the UM/QI Manager , MSO UM team, MSO Medical Director, and MSO...with the MSO Case Management team on coordinating patient care to ensure patients can access the necessary medical… more
- Optum (Aurora, CO)
- Optum is a global organization that delivers care , aided by technology to help millions of people live healthier lives. The work you do with our team will directly ... improve health outcomes by connecting people with the care , pharmacy benefits, data, and resources they need to...us to start Caring. Connecting. Growing together. The Case Manager RN is responsible and accountable for coordination of… more
- American Traveler (Roseville, CA)
- …prior to consideration, Additional Information *Responsible for comprehensive case management, utilization review, and coordination of care within an integrated ... American Traveler is seeking an experienced RN Case Manager with at least 2 years of recent...utilization review, observation status, and post-acute levels of care , *Familiarity with healthcare reimbursement systems and regulatory requirements… more
- Life Care Center of McMinnville (Mcminnville, OR)
- …and work-life balance Employee recognition and referral programs Position Summary The RN Care Manager is responsible for the coordination of the patient's ... One (1) year of clinical experience in post acute care setting preferred Prior case management, utilization ... review, and discharge planning experience preferred Certified Case Manager (CCM) or Board Certification in Nursing Case Management… more
- Commonspirit Health (Seattle, WA)
- …plans, paid vacation, adoption assistance, annual bonus eligibility, and more! Responsibilities Care Manager is responsible for providing care management ... collaboration and coordination of healthcare and community resources, the RN Care Manager assists patients to gain self-efficacy/management skills, achieve… more
- Providence Health & Services (Tarzana, CA)
- Job Description RN Manager of our Care Management team at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA. This management position is Full-Time ... relates to the management of the patient along the continuum of care , utilization activities, disease management appropriateness, discharge planning, patient… more
- Riverside Health System (Hampton, VA)
- …continued stay medical necessity reviews and communicates the findings to physicians and Care Management team members based upon a thorough medical record review and ... guidelines when completing concurrent medical necessity assigning levels of care to admitted patients. Communicates effectively and professionally regarding… more
- EvergreenHealth (Kirkland, WA)
- …appropriate utilization of resources. Ensures continuity and coordination of care for patients before, during and after hospitalization, and ensures that payer ... conditions are met. Primary Duties: Under the direction of the department Director/ Manager of Care Management, supervises the day-to-day activities of the … more
- UnitedHealthcare (Indianapolis, IN)
- …team who will manage complex members, the Care Coordinator will be the primary care manager for a panel of older adult members with a variety of medical ... members medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care...on some tough challenges. Primary Responsibilities: Serve as primary care manager for high medical risks /… more
- CareAbout (Florham Park, NJ)
- …toward common goals: higher quality, lower cost, better outcomes. Role Title: Care Manager , LPN-Hybrid FLSA Category: Non-exempt Role Location: Remote Reporting ... Care Management. Role Summary and Responsibilities: The Care Manager , LPN facilitates patient continuity of...lifestyle choices, adopt life-long healthy behaviors, close gaps in care , and reduce unnecessary ER utilization and… more
- Blue Shield of California (Oakland, CA)
- …Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization Management (BH UM). In this role ... care environment preferred Strong understanding of Behavioral Health Utilization Management including ability to apply and interpret admission and continued… more
- UnitedHealthcare (Albuquerque, NM)
- …Growing together. The Field Care Coordinator will be the primary care manager for a panel of members with low-to-medium complexity medical/behavioral ... on supporting members medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care . This position… more
- D-H Lebanon-MHMH (New London, NH)
- …resources necessary and appropriate for the provision an achievement of patient care outcomes, in collaboration with the clinical team, providing leadership for the ... management of patient care and resulting outcomes. FUNCTIONAL DUTIES AND RESPONSIBILITIES Clinical Case Management Determines patient needs and resources within 1-2… more
