- CVS Health (Salt Lake City, UT)
- …utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational ... 3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC,… more
- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, ... case management throughout the continuum of care. The case manager will offer guidance, support, and...beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… more
- University of Utah Health (Salt Lake City, UT)
- …trust that are integral to our mission. EO/AA_ + This position provides clinical case management services aimed at enhancing patient-centered care and maximizing ... and families. + Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients… more
- HCA Healthcare (Salt Lake City, UT)
- …purpose and integrity. We care like family! Jump-start your career as a(an) RN Case Manager today with St. Mark's Hospital. **Benefits** St. Mark's Hospital ... by location._** Come join our team as a(an) RN Case Manager . We care for our community!...case management or 3+ years or experience in clinical nursing required + InterQual experience preferred + Certification… more
- Molina Healthcare (Salt Lake City, UT)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
- Molina Healthcare (Salt Lake City, UT)
- …to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **JOB DESCRIPTION** **Job Summary** This position will be focused on Clinical Program Design. Provides subject matter expertise and leadership to healthcare services… more
- Molina Healthcare (Salt Lake City, UT)
- …suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM). * Experience in behavioral health care management. ... Licensed Social Worker Case Manager residing in the state...equivalent combination of relevant education and experience. * Licensed behavioral health clinician to include: Licensed Clinical … more
- Highmark Health (Salt Lake City, UT)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Molina Healthcare (Salt Lake City, UT)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and… more
- Highmark Health (Salt Lake City, UT)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical , case /utilization management and/or disease/condition management experience, or… more
- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The Emergency Department Pediatric Social Work Care Manager I, utilizes clinical expertise to perform psychosocial assessments, develop and ... + Demonstrated ability to apply critical thinking skills. **Preferred Qualifications** + Case Management Certification. + Experience in clinical care management,… more
- CenterWell (Salt Lake City, UT)
- …and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization… more
- Intermountain Health (Murray, UT)
- …Plans, and fully funded and self-funded Commercial Employer plans. The Care Manager works with Select Health members, their family, caregivers, and a ... to access benefits, resources, and services to meet comprehensive medical, behavioral , and social needs of members while promoting self-management, quality, and… more
- HCA Healthcare (Draper, UT)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Social Work, Case Manager with Lone Peak Hospital you can be a part of ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...our organization. We are looking for an enthusiastic SW Case Manager BSW to help us reach… more
- Sharecare (Salt Lake City, UT)
- …helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more
- HCA Healthcare (Salt Lake City, UT)
- …a(an) RN Heart Failure Coordinator with St. Mark's Hospital, you can be a manager in an organization that is devoted to giving! **Benefits** St. Mark's Hospital, ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- Molina Healthcare (Salt Lake City, UT)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more