- University Medical Center of El Paso (El Paso, TX)
- …of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Able to work with people of all ... Job Summary The Case Manager comprehensively plans for ...direct patient care experience in an acute care setting; previous case management experience or… more
- University Medical Center of El Paso (El Paso, TX)
- …of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. 5. Able to work with people of all ... direct patient care experience in an acute care setting. 2. Previous case management experience...B. License/Registration/Certification: 1. Current Texas RN License. 2. Certified Case Manager (CCM) preferred. C. Education and… more
- Southeast Georgia Health System (Brunswick, GA)
- …and are the key to our culture of Service Excellence. As a Case Manager , you will coordinate the care and services for patient populations through the acute ... and/or family member. Overseeing process/procedure of notification for Medicare and Medicare Managed Care beneficiary's rights per CMS regulations inclusive of… more
- Integrated Resources, Inc (Detroit, MI)
- …in discharge planning, hom e health care , rehabilitative medicine, community health, or managed care typical case ratio 1:21-25; will not meet with each ... Job Title: Integrated Case Manager Job Location: Detroit, MI...Population Health is an interdependent member of the patient-centered care team or treatment team responsible for the collaborative… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Position: Care Manager I (RN) Location: Remote-CA (PST, but MUST have CA licensure) Duration: 2 Months Education/Experience : Graduate from an Accredited School ... a clinical, acute care , or community setting. Knowledge of healthcare and managed care preferred. Florida residency required. Knowledge of healthcare and … more
- RestoraCare Staffing (Houston, TX)
- …in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or ... management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre-acute and...and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the… more
- Oak Crest Village by Erickson Senior Living (Parkville, MD)
- …Home Health (certified) and Home Support (private duty) agencies, ensuring patient care is coordinated and managed appropriately.Supervising the clinical staff ... Senior LivingOak Crest is a beautiful 87 acre continuing care retirement community located in Parkville, MD. Oak Crest...part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of… more
- Trinity Health (Fresno, CA)
- …Reporting to the Director, CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- Elevance Health (Arlington, VA)
- ** Case Manager ( Managed Care Coordinator)** **MUST LIVE WITHIN 50 MILES OF THE ARLINGTON PULSEPOINT** A proud member of the Elevance Health family of ... and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall management… more
- Elevance Health (Norfolk, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- CVS Health (Hartford, CT)
- …- Compact RN License - Case Manager experience - Certified Case Manager (CCM) - Managed Care experience - Home Care experience - Telephonic ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our... more personal, convenient and affordable. Position Summary: This Case Manager RN position is 100% remote… more
- CVS Health (Raleigh, NC)
- …+ Compact RN License + Case Manager experience + Certified Case Manager (CCM) + Managed Care experience + Home Care experience + Telephonic ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...convenient and affordable. Requisition Job Description Position Summary: This Case Manager RN position is 100% remote… more
- CVS Health (Columbus, OH)
- …Qualifications: - Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Managed Care experience - Hospital experience in ICU, ... solutions to make health care more personal, convenient and affordable. This Case Manager RN position is 100% remote and the employee can live in any state.… more
- UCLA Health (Los Angeles, CA)
- …degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a hospital, medical ... analyzing volumes and financial data for clinical services and case types. You will manage a portfolio of contracts...health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...and provider (per diem, capitation, discount from charge, DRG, case rate, bundled payments, pay for performance programs ,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …change at any point. Job Summary: Under the direction of the Sr. Managed Care Coordinator and Surgery Practice Manager initiate and process managed ... APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with… more
- CVS Health (Albany, NY)
- …Working schedule is Monday-Friday; will work between 8am - 6pm EST. The Hybrid Case Manager works in the field in provider offices, skilled nursing facilities, ... of care and treatments as appropriate. Can act in the role of embedded case manager within the provider partner(s) offices to meet with the beneficiaries in… more
- Highmark Health (Dover, DE)
- …LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of ... a Case Manager as needed. This is a...a Case Manager as needed. This is a full time community... management experience + Medicare and Medicaid experience + Managed care experience **SKILLS** + Leadership skills… more
- Arnot Health (Elmira, NY)
- …participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources...of care meetings related to the appropriate case managed population. d. Manages the appropriate… 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 ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
