• Northeast Georgia Health System, Inc (Gainesville, GA)
    …12 months full-time case management experience supervised by a certified case manager , or 24 months full-time case management experience ... to day operations of the department by supporting the case management and interdisciplinary healthcare team in...not supervised by a certified case manager , or 12 months full-time supervisory experience as a… more
    JobGet (09/22/24)
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  • Blanchard Valley Hospital (Findlay, OH)
    PURPOSE OF THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management ... under the direction of the attending provider. The RN Case Manager will assist in identifying and...for performance improvement planning, and to evaluate effectiveness of case management program. Duty 12: Assists in… more
    JobGet (09/22/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …12 months full-time case management experience supervised by a certified case manager , or 24 months full-time case management experience ... Licensed to practice as an RN in Georgia. CCM ( Case Management Certification) or ACM (American ...not supervised by a certified case manager . Minimum Experience: Three (3) to five (5) years… more
    JobGet (09/22/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …plan and modifies as necessary. Addresses patient's understanding and participation in the case management plan. Escalates issues to the Complex Transitions of ... (3) to five (5) years of experience in direct patient care and/or case management . Financial and discharge planning experience is required. Other: Preferred… more
    JobGet (09/22/24)
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  • Pacer Staffing (Atlanta, GA)
    …legal and regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management , Utilization Management , HIPAA Privacy and ... in a NCL state . Minimum of three years clinical experience . Experience in case management , care coordination or discharge planning in an acute, ambulatory or… more
    JobGet (09/22/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …of improving the health of our communities. About the Role:Job SummaryThe Social Worker Case Manager II is responsible for the provision of medical social work ... as well as disposition needs for each referred patient. Collaborates with RN Case Manager , patients, families, healthcare team members, and community agencies to… more
    JobGet (09/22/24)
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  • Neil & Laura Clark Women & Children's Center (Findlay, OH)
    PURPOSE OF THIS POSITION The purpose of the BVMP Behavioral Health Therapist/ Case Manager is to provide a range of psychological assessment, diagnostic, ... therapeutic, and/or case management services for individuals, couples, groups,...in various committees and meetings to contribute information regarding utilization of services and quality of healthcare for the… more
    JobGet (09/22/24)
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  • Equiliem (Orange, CA)
    …BHT services from behavioral health providers. They are also responsible for utilization management , quality reviews and monitoring activities of BHT services. ... by communicating the Medical Director's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry… more
    JobGet (09/22/24)
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  • Blanchard Valley Health System (Findlay, OH)
    …to the Acute Care Transitions Team, including the disciplines of Social Work, Case Management , Utilization Review, and Emergency Department Care Navigation ... of the interdisciplinary care transition team. The acute care transition manager fosters communication and collaboration across the health system, develop safe,… more
    JobGet (09/22/24)
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  • Cambia Health Solutions, Inc (Lewiston, ID)
    …Qualifications: Associates or Bachelor's Degree in Nursing or related field3 years of case management , utilization management , disease management ... our Care Management RN's provide clinical care management (such as case management ,...at least one of the following: Certification as a case manager from the URAC-approved list of… more
    JobGet (09/22/24)
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  • Cambia Health Solutions, Inc (Lewiston, ID)
    …Behavioral Health (for behavioral health care management ) or related field3 years of case management , utilization management , disease management , ... our Care Management Clinicians provide clinical care management (such as case management ,...have at least one of the following:Certification as a case manager from the URAC-approved list of… more
    JobGet (09/22/24)
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  • Accounting Now (Carson City, NV)
    …Analysis (ABA) services only, and there is licensed staff supervisionPrevious experience in case management / utilization management with a broad range ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
    JobGet (09/22/24)
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  • Staffing Now (Carson City, NV)
    …Analysis (ABA) services only, and there is licensed staff supervision. Previous experience in case management / utilization management with a broad range ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
    JobGet (09/22/24)
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  • Engage Partners, Inc. (Orange, CA)
    …vision and strategy. Responsible for maintaining team productivity and contract utilization . In collaboration with management , develops and maintains good ... reports to perform their roles. Provides coaching, support, and performance management to direct reports to ensure productivity/client care expectations are met.… more
    JobGet (09/22/24)
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  • Remote Case Manager

    Healthfirst (NY)
    **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification performing ... in a related discipline + Experience in managed care, case management , identifying alternative care options, and...identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge… more
    Healthfirst (09/05/24)
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  • Case Manager - Utilization

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174432/ case - manager utilization - management ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (09/14/24)
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  • Registered Nurse - Case Management

    Veterans Affairs, Veterans Health Administration (St. Louis, MO)
    …St. Louis Health Care System (VASTLHCS), St. Louis, Missouri. The Registered Nurse Case Manager ( Utilization Management ) demonstrates leadership, ... package: VA Nurse Total Rewards The primary purpose of this Registered Nurse Case Manager (RNCM) is to deliver fundamental knowledge-based care to assigned… more
    Veterans Affairs, Veterans Health Administration (09/20/24)
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  • Case Manager II - Utilization

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in...process and applicable regulatory requirements; educates the staff on case management ; and provides specific information related… more
    Lucile Packard Children's Hospital Stanford (09/11/24)
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  • Case Manager (RN)…

    Prime Healthcare (Montclair, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/175009/ case - manager -%28rn%29 utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (09/20/24)
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  • Case Manager (RN)…

    Prime Healthcare (North Las Vegas, NV)
    …to intermediate computer skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174491/ case - manager -%28rn%29 utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (09/16/24)
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