- 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
- 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
- Humana (Sacramento, CA)
- …Rico. + Bachelor's Degree. + Minimum 3 years of experience working in a clinic, hospital case management , managed care / healthcare setting - working with ... duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes… 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
- Elevance Health (Denver, CO)
- …+ Minimum 2 years' experience in acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + ... required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic … more
- Providence (Mission Viejo, CA)
- …+ 3 years Experience in utilization management or case management . + Managed care experience. **Why Join Providence?** Our best-in-class ... gastrointestinal surgery, and excellence in women's services by Healthgrades and Newsweek. Care Management is a collaborative practice model including the… more