- University Health (Seguin, TX)
- …Three years recent, full time hospital experience preferred. Work experience in case management , utilization review, or hospital quality assurance experience is ... managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Case Management Managed Care Consultant? At HCA Healthcare, you ... and you have the opportunity to make a difference. We are looking for a dedicated Case Management Managed Care Consultant like you to be a part of our… more
- Tenet Healthcare (Detroit, MI)
- …denial information for UR Committee, Denial and Revenue Cycle Collaborate with Patient Access, Case Management , Managed Care and Business Office to ... RN Utilization Review - Case Management - 2506004107 Description :...patient is in the appropriate status and level of care based on Medical Necessity and submits case… more
- Banner Health (Phoenix, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... review as normally obtained through the completion of a bachelor's degree in case management or health care . Requires current Registered Nurse (RN) license… more
- Banner Health (Tucson, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... review as normally obtained through the completion of a bachelor's degree in case management or health care . Requires current Registered Nurse (RN) license… more
- HCA Healthcare (Derry, NH)
- …Registered Nurse license + Two or more years of clinical experience. + Case Management , Utilization & Managed Care experience and 1 or more years of ... of clinical care , medical necessity, admission status, level of care , and resource management . + The RN Case Manager Team Lead will coordinate… more
- Banner Health (Glendale, AZ)
- …care . 7. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into ... Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care Those who have joined the Banner mission come...required by state. Must have a working knowledge of care management , hospital and community resources. Must… more
- Banner Health (Scottsdale, AZ)
- …care . 7. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into ... (BBHH) in Scottsdale** is looking for a **Behavioral** **Health Case Manager** who may float between adult and adolescent...by stat** e. **Must have a working knowledge of care management , hospital and community resources.** Must… more
- Corewell Health (Southfield, MI)
- …Master's Degree Social work + 5 years of relevant experience LMSW - clinical and/or case management / managed care or related field + Master Social ... SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd Department Name Care Management DSNP - PH Managed Benefits Employment Type Full time Shift… more
- Actalent (Jacksonville, FL)
- …obstetrics, high-risk antepartum, or NICU. + 3-5 years of experience in case management within a managed care organization, health plan, or insurance ... Actalent is Hiring a Team of Remote Nurses // Case Management / Must be a Licensed...of maternal health quality measures (HEDIS). + Experience in managed care or health plan settings. +… more
- Sutter Health (San Francisco, CA)
- …**SKILLS AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive ... status. + Working knowledge of laws, regulations and professional standards affecting case management practice in an integrated delivery system: including but… more
- Sutter Health (San Francisco, CA)
- …**SKILLS AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive ... level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across… more
- Sutter Health (Roseville, CA)
- …**SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive ... level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across… more
- Corewell Health (Grand Rapids, MI)
- …Health Ludington Hospital) Required + 2 years of relevant experience clinical nursing and or case management / managed care or related field Required + 5 ... years of relevant experience clinical nursing and or case management / managed care or related field Preferred + Registered Nurse (RN) - State of Michigan… more
- Corewell Health (Grand Rapids, MI)
- …(Spectrum Health Ludington Hospital) + 2 years of relevant experience clinical nursing and or case management / managed care or related field Required + 5 ... years of relevant experience clinical nursing and or case management / managed care or related field Preferred + Registered Nurse (RN) - State of Michigan… more
- Fairview Health Services (Minneapolis, MN)
- …identified issues. + Mentors internal members of the health care team on case management and managed care concepts. + Understands and focuses on key ... and Mom/Baby at Masonic Children's Hospital. They provide comprehensive care coordination of patients as assigned. The care...year RN experience + Registered Nurse **Preferred Qualifications** + Case Management Nurse + Basic Life Support… more
- Hartford HealthCare (Bridgeport, CT)
- … setting, diversified clinical nursing experience, including medical/surgical nursing. . Case management , home care , and/or managed care experience ... work/life balance. Every moment matters. And this is *your moment*. **Job:** ** Care / Case Management * **Organization:** **St. Vincent's Medical Center*… more
- Corewell Health (Big Rapids, MI)
- …clinical experience preferred + 2 years of relevant experience of clinical nursing and or case management / managed care or related field Required How ... the application of educational concepts / skills and preventive care in a managed care ...to PCPs, specialists and other members of the health care team regarding care management … more
- Hartford HealthCare (Hartford, CT)
- …diversified clinical nursing experience, including medical/surgical nursing is required; case management , home care , and/or managed care experience ... implement transition planning activities; utilize and document aspects of care in our case management specific computer applications; and collaborate with… more
- Elevance Health (Atlanta, GA)
- …years' experience in acute care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. ... criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic … more
