- Stanford Health Care (Palo Alto, CA)
- …Manager Professional Development Program. Here is a description of the various levels: Level I: Case Manager Level II : Advanced Case Manager Level ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to ... our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department...the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- Stanford Health Care (Palo Alto, CA)
- …Specialists' support for mentorship, education and skill enhancement o Frequent inservices, case studies and journal clubs for continued learning o Both department ... Health Care job.** **A Brief Overview** The Physical Therapist II is an experienced therapist who is fully competent...meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical… more
- Elevance Health (Washington, DC)
- …4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management** **ll** is responsible for managing a team of physical ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary duties may… more
- LA Care Health Plan (Los Angeles, CA)
- …- Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case Management Association ... Utilization Management Admissions Liaison RN II ...setting. Previous experience to have a strong understanding of Utilization Management/ Case Management practices including, but not… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn- case - manager ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred.… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those… more
- Elevance Health (Miami, FL)
- **Telephonic Nurse Case Manager II ** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within… more
- Elevance Health (Columbus, OH)
- **Field Nurse - Nurse Case Manager II ** **Work location:** This field-based role located in the Columbus, OH area enables associates to primarily operate in ... 9am to 5:30pm EST The **Field Nurse - Nurse Case Manager II ** is responsible...and ensuring smooth execution. + Assists with development of utilization /care management policies and procedures, chairs and schedules meetings,… more
- Elevance Health (Charleston, WV)
- **Behavior Health Care Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... the state of West Virginia** The **Behavior Health Care Manager II ** will be responsible for managing...**Preferred Skills, Capabilities, and Experiences:** + Previous experience in case management/ utilization management with a broad range… more
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- US Tech Solutions (MI)
- **Timing: M-F 8-5** **Job Description:** The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- The Salvation Army (Syracuse, NY)
- …Salvation Army Syracuse Area Services Position Overview: The FFT Program is expanding. Level II Case Planner available for a career minded individual who is ... Overview FFT CW Case Planner II Full-time, $28.00/hour with...needed under direction of their supervisor and the DSS Case Manager . + Timely completion of required… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- Summary The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is a Registered Nurse (RN) who assists to control costs for VISN 10 and/or VISN 12 ... of appropriate evidence-based practices for positive outcomes. Responsibilities The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is directly… more
- Elevance Health (FL)
- **Behavioral Health - Care Manager II ** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... as required by law. The **Behavioral Health - Care Manager II ** is responsible for managing psychiatric...there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Applications Manager II Job Category: Information Technology Department: IT Solutions Delivery Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Technical Application Manager II reports to the Senior ...of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management, Care Management, Clinical Case Management,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The **Member Relationship-Program Manager II -** is a highly visible member of the CAPC team who is responsible for designing and implementing ... to brand loyalty, membership retention and renewal revenue. The Senior Member Relations Manager must identify and address the needs of CAPC members to create… more
- Elevance Health (Nashville, TN)
- **Behavioral Health Care Manager II - Licensed Behavioral Analyst** **Candidates must be located in Tennessee, or be willing to relocate to Tennessee to be ... Hours:** Monday - Friday, 8:00AM-5:00PM The **Behavioral Health Care Manager II - Licensed Behavioral Analyst,** is...there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range… more
- Sutter Health (Oakland, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... **CERTIFICATION & LICENSURE** + RN-Registered Nurse of California Required + Certified Case Manager (CCM) Preferred. **EXPERIENCE** + Minimum of 2 years… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …auditor within the group. + Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and ... right for you, we encourage you to apply! Job Description: Conducts case management program activities in accordance with departmental, corporate, NYS Department of… more
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