- Amentum (Fort Carson, CO)
- …all seven continents and is headquartered in Germantown, MD If you are an experienced Case Management Analyst seeking a way to positively impact US National ... Case Management Support Analyst I Amentum is a leading provider of enduring support for the essential missions of the US government, its allied partners and… more
- Conduent (CA)
- …donde la individualidad se nota y valora todos los dias. **Bilingual RN Telephonic Case Management Analyst ** **About the role:** As a Clinical Services ... Manager - RN Telephonic Case Management , you will ensure optimum recovery on every claim while establishing trust, providing education, delivering information,… more
- Leidos (Mclean, VA)
- **Description** ** Case Management Analyst ** **Are you looking for an opportunity to make an impact?** At Leidos, we deliver innovative solutions through the ... your resume with us today!** **In this role you will:** + Support Case Management services for injured, ill or recovering clients, + Accurately collect and… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. Position Summary A Site of Care Case Management Analyst is a professional who helps organize patient ... Analyzing complex cases and finding resolutions The Site of Care Case Management will promote a positive working environment and initiate suggestions to… more
- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. Position Summary : Analyst , Case Management (ACM) drive and support care ... impact member outcomes and care planning with appropriate referral to clinical case management or crisis intervention as appropriate. + Utilizes… more
- The Cigna Group (Bloomfield, CT)
- …required. + **Job Description** + This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement ... specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services… more
- The Cigna Group (Bloomfield, CT)
- …current licensure. **Job Description** This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the ... Summary Delivers specific delegated tasks assigned by a supervisor in the Case Management job family. Handles moderately-complex cases. Performs prospective,… more
- CVS Health (Springfield, IL)
- …change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance… more
- CVS Health (Richmond, VA)
- …provider in healthcare decision-making. Monitoring, Evaluation, and Documentation of Care;-Utilizes case management processes in compliance with regulatory and ... travel 25-40% of the time to meet with members - 2+ years of case management experience working with people who have been designated as having a serious mental… more
- The Cigna Group (Nashville, TN)
- …other weekend (Tuesday ALT Day).** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to ... report and summarize required changes to all levels department management and staff. + Support the implementation of new...implementation of new process as needed. + Based on case work and departmental reporting, ability to identify and… more
- The Cigna Group (Bloomfield, CT)
- …in order to facilitate appropriate health care outcomes for customers. Ensures that case management program objectives are met by evaluating the effectiveness of ... Resolve any immediate issues for customers after screening but prior to routing for Case Management . + Evaluate each case for quality of care, document and… more
- The Cigna Group (Carlsbad, NM)
- …efficient, high-quality and cost-effective manner. Refers to appropriate clinical partners (ie complex case management and / or Specialty Case management ... programs to support outcomes. + Identifies cases appropriate for complex case management and follows process for referral. + Works effectively with Cigna's… more
- Dignity Health (Los Angeles, CA)
- …within the department and establishing and maintaining effective systems support for case management /utilization management and hospital revenue flow. This ... **Requirements:** + A minimum of three years of experience supporting the Case Management department + Strong database management experience is required. +… more
- The Cigna Group (Birmingham, AL)
- …in participating provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical ... Nursing * Three to Five (3-5) years recent experience in an acute-care environment, case - management or utilization management position (experience can be a… more
- The Cigna Group (Hattiesburg, MS)
- …in participating provider practices + Identifies high-risk/high-cost patients for possible case management intervention. + Interfaces with providers of medical ... Nursing + Three to Five (3-5) years recent experience in an acute-care environment, case - management or utilization management position (experience can be a… more
- The Cigna Group (Bloomfield, CT)
- …+ Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient medical services for ... regular trainings and other collaborative meetings as appropriate. + Works with management team to achieve operational objectives and financial goals. + Supports… more
- CVS Health (Columbus, OH)
- …in, or at risk for involvement in, multiple child-serving systems. The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education… more
- CVS Health (Denver, CO)
- …change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance… more
- Walmart (Charlotte, NC)
- …Summary What you'll do Conducts investigations by developing investigative plans based on varying case type; identifying case approach methods based on case ... type and historical approaches; gathering, evaluating, and investigating case matters and materials, including conducting interviews; analyzing findings within the… more
- CVS Health (Frankfort, KY)
- …utilizes critical thinking and clinical judgment to collaborate and implement the case management process, in order to facilitate appropriate juvenile justice ... healthcare decision-making. Monitoring, Evaluation and Documentation of Care: + Utilizes case management and quality management processes in compliance with… more