- MedPro Healthcare Staffing (Greensboro, NC)
- …Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager , Case Management, Utilization Review , Case Manager RN ... Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse, a sharp case manager , or a behavioral ... services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape better… 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 ... (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… more
- Boston Childrens Hospital (Boston, MA)
- …experience required, pediatric experience preferred. Experience as a Case Manager (Discharge Planning and or Utilization Management) preferred. Licensure/ ... Job Posting Description Department Summary: The UM Case Managers at Boston Children's review ...a Registered Nurse (RN) A certification as a Certified Case Manager (or other pediatric specialty certification… more
- Valley Health System (Paramus, NJ)
- POSITION SUMMARY: Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on ... appropriate utilization review guidelines and documentation in accordance...experience in clinical nursing, minimum of 3 years in case management/ utilization . SPECIAL SKILLS: Registered Nurse,… more
- Kaiser Permanente (Los Angeles, CA)
- …the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. ... occurrences related to quality, risk and/or patient safety which are identified during case review or other activities. Reviews, analyses and identifies … more
- Amazon (Doylestown, PA)
- …years medical advisory experience in occupational health, worker compensation, disability, health case management, or utilization review . 3+ years clinical ... Clinical Case Manager At Amazon we believe...Clinical Case Manager At Amazon we believe that every day...(STD/LTD claims) Knowledge of FMLA, ADAAA, EEOC, OFCCP regulations Utilization review experience CCM or CDMS certification… more
- Encompass Health (Vero Beach, FL)
- …Participate in utilization review process: data collection, trend review , and resolution actions. Participate in case management on-call schedule as ... Encompass Health Rehabilitation Hospital of Treasure Coast is seeking a Case Manager II, Full-Time, with Benefits the First Day of Employment Case Manager… more
- Clark University (Worcester, MA)
- …its thriving cultural scene, and as a vibrant food hub. Job Description: The Care Case Manager is an integral part of Clark's wrap-around support services for ... and upstream solutions that foster student well-being, retention, and persistence. The Case Manager will provide coordination of services and support to… more
- Highmark Health (Erie, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... techniques BSN LICENSES or CERTIFICATIONS Required None Preferred ACM Certification (Accredited Case Manager ) - American Case Management Association -… more
- Blue Cross and Blue Shield of Minnesota (Duluth, MN)
- …us. The Impact You Will Have Blue Cross and Blue Shield of Minnesota is hiring a Case Manager on the Behavioral Health, Medicaid team. The Case Manager ... Skills and Experiences 1+ years of managed care experience; eg case management/health coach, utilization management and/or auditing experience. Outstanding… more
- American Traveler (Salem, MA)
- American Traveler is hiring an experienced RN Case Manager with strong case management and discharge planning skills for a dayshift inpatient role. Job ... Utilization Management, and Discharge Planning skill set required, *Certified Case Manager credential preferred, *COVID-19 and Influenza vaccines required;… more
- Seattle Children's Hospital (Seattle, WA)
- …Clinical experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or ... previous case management or utilization review leadership experience Compensation Range $115,277.00 - $172,915.00 per year Salary Information This… more
- The Salvation Army Central Territory (Davenport, IA)
- …Army business. Certificates, Licenses, Registrations: Successfully completes The Salvation Army's Case Manager Certification within 90-days of hire. Physical ... human needs in His name without discrimination. Summary/Primary Purpose: Provide case management services for individuals and families receiving housing services… more
- PACS (Oceanside, CA)
- …needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and ... Licensee in the state you are working. Certificate as a certified Case Manager (CCM) a plus. Must maintain all required continuing education/licensing. Must… more
- Centers Health Care (Woodbury, NJ)
- Deptford Center is hiring an Insurance Social Worker/ Case Manager !! Job Summary: The Social Worker / Case Manager in an insurance setting is responsible ... and critical thinking skills. Knowledge of insurance policies, benefits, and utilization review practices. Excellent communication, negotiation, and advocacy… more
- Integral Care (Austin, TX)
- Case Manager (QMHP) Job Number: 25-12036 Job Summary: The Crisis Specialist QMHP - Office or Residential Based is responsible for ensuring the provision of ... Therapist, Counselor QMHP Keywords: Qualified Mental Health Professional, QMHP, Case Manager , Rehabilitation Specialist, Service Coordinator, Mental Health… more
- Baptist Memorial Health Care Corporation (Southaven, MS)
- …to identify the patient's health goals and coordinate services with the RN Case Manager for an effective transition plan. Meets directly with patient/family ... the safe movement of patients through the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review … more
- Northwell Health (Riverhead, NY)
- … management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. Keeps ... another level of care according to regulatory standards. * Performs concurrent utilization management Conducts chart review for appropriateness of admission and… more
- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... time requirements and addresses the discharge appeal process in collaboration with the Director/ Manager and/or Social Worker/RN Case Manager . Performs other… more
