- Public Consulting Group (Salt Lake City, UT)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- University of Utah Health (Salt Lake City, UT)
- …and families. + Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients ... their scope of practice and according to State Law. **Sign-on Bonus - RN Case Manager ** University of Utah Health Hospitals and Clinics is embarking on a new… more
- Molina Healthcare (Taylorsville, UT)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... the state of UT. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Molina Healthcare (Layton, UT)
- …health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… more
- Guardian Life (Salt Lake City, UT)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- CVS Health (Salt Lake City, UT)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Cardinal Health (Salt Lake City, UT)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Sedgwick (Salt Lake City, UT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to facilitate progressive medical… more
- Sedgwick (Salt Lake City, UT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Cardinal Health (Salt Lake City, UT)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Salt Lake City, UT)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Salt Lake County (South Salt Lake, UT)
- Job Description JOB SUMMARY Provide case management utilizing acceptable case management practices addressing community safety, and client needs, and ensuring ... ESSENTIAL FUNCTIONS + Refers clients for court-ordered services. Utilizes acceptable case management practices regarding maintenance of the file and updating… more
- Highmark Health (Salt Lake City, UT)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Salt Lake City, UT)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** + Case Managers must demonstrate a willingness to assist external and internal ... customers + Create and complete applications for enrollment within program timeframes + Review forms and supporting documentation thoroughly for any missing or new information + Handle inbound and outbound correspondence when necessary to support the needs of… more
- Cardinal Health (Salt Lake City, UT)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- University of Utah Health (Salt Lake City, UT)
- …services as directed by the attending physician, referring physician and clinical case manager . The incumbent oversees the delivery of individualized services ... patients and families regarding financial matters and assists social workers and case managers in accessing financial and community resources. + Assists in… more
- Public Consulting Group (Salt Lake City, UT)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Service Source (Clearfield, UT)
- …the Temporary Assistance for Needy Families (TANF) program + Collaborate with the case manager and youth transition specialist, as needed, to ensure ... vendors. + Accurately complete and submit monthly billing reports, participant records, case notes, and other documentation in a timely manner, ensuring compliance… more
- University of Utah Health (Salt Lake City, UT)
- …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources. +… more
- Salt Lake County (Salt Lake City, UT)
- …worked with all age groups and in many different settings throughout my career as a case manager and mental health therapist. When I was looking for a change ... develops, documents, and implements treatment plans. Provides direct treatment and case management services. Works with prisoners' families, health care providers,… more