- CVS Health (Frankfort, KY)
- …Jackson, Laurel, Clay, Whitley, Knox, Bell, and Harlan counties). Candidate must reside in the Cumberland Service Region. Develop, implement, support, and ... Aetna. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management and clinical… more
- CVS Health (Plainfield, IL)
- …needs/eligibility using care management tools and recommends an approach to case resolution. **Required Qualifications** + Candidate must reside in Will or ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- CVS Health (Springfield, IL)
- …Summary:** Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case ... paid holidays, and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for telephonically and/or face to face… more
- CVS Health (Chicago, IL)
- …Summary** Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. + Coordinates and… more
- CVS Health (Urbana, IL)
- …in behavioral health, social services or human services field -Minimum 2 years of case management experience -Willing and able to travel 50-75% of the time ... to make health care more personal, convenient and affordable. ** MUST RESIDE IN** **Macon, Moultrie, Piatt, or Champaign Counties**...requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate… more
- CVS Health (Tallahassee, FL)
- …Summary** We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case ... effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinator will utilize critical thinking and judgment to… more
- ASM Research, An Accenture Federal Services Company (Columbus, OH)
- The Bilingual Case Management Analyst III is...IRS, DOD, VA, SSA or another federal agency). + Must be a US Citizen or Authorized to work in ... business requirements to achieve the project goals, will complement the role as a case analyst . + Employee is expected to undertake any additional duties as… more
- Amentum (Fort Carson, CO)
- …and national security solutions to customers around the world. If you are an experienced Case Management Analyst seeking a way to positively impact US ... ** Case Management Support Analyst ...** Case Management Support Analyst I** Amentum is...**The Basic Qualifications for this position are as follows:** Must be able to obtain and maintain facility credentials/authorization.… more
- The Cigna Group (Bloomfield, CT)
- …transition of care, product rate negotiations, and accurately calculates medical cost savings. Case Managers performs case management evaluation to identify ... and Required Results** + Obtains informed verbal consent from customers for case management services + Establishes a collaborative relationship with the… more
- MyFlorida (Arcadia, FL)
- CHILD SUPPORT CASE PROCESSING ANALYST - 73005271 Date: Jan 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... . Requisition No: 845185 Agency: Department of Revenue Working Title: CHILD SUPPORT CASE PROCESSING ANALYST - 73005271 Pay Plan: Career Service Position Number:… more
- MyFlorida (Naples, FL)
- CHILD SUPPORT CASE PROCESSING ANALYST - 73005308 Date: Jan 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... . Requisition No: 844982 Agency: Department of Revenue Working Title: CHILD SUPPORT CASE PROCESSING ANALYST - 73005308 Pay Plan: Career Service Position Number:… more
- Beth Israel Lahey Health (Burlington, MA)
- …Description:** The Utilization Analyst works with physicians, the payers and inpatient case management team to validate the medical necessity of the hospital ... review, clinical documentation improvement and revenue integrity, these specialized case managers analyze medical documentation to ensure that proper reimbursement… more
- The Cigna Group (Montgomery, AL)
- **Evernorth Nurse Case Management Senior Analyst (Home-Based TOC)** Objective: Prevention of readmission for high-risk members by leveraging telephonic and ... and health plans upon conclusion of the program to support transition, including Case Management referrals for ongoing services License Requirements: + Current… more
- University of Washington (Seattle, WA)
- …job opportunity for an **Applications Analyst 2 - Epic ClinDoc / Clinical Case Management / Behavioral Health** position. **WORK SCHEDULE** + 100% FTE - 40 ... equivalent combination of education/experience + Currently holds **Epic ClinDoc and Clinical Case Management and/or Behavioral Health** certification + 2+ years'… more
- CVS Health (Columbus, OH)
- …appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case ... to make health care more personal, convenient and affordable. ** MUST LIVE IN OHIO need to live in Montgomery...for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of … more
- The Cigna Group (Pittsburgh, PA)
- …to meet commitments aligned with organizational goals.** **Understands and adheres to Case Management performance measures to deliver on key results.** ... a case manager will possess a URAC-recognized certification in case management .** **Excellent communication skills including telephonic (verbal) and digital… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY/PRIMARY FUNCTION: The Senior (Sr.) Application Analyst is responsible for participating in the overall design, implementation, training, ... design, implementation, and optimization of their specific application. The Sr. Application Analyst takes general direction from their supervisor or manager. The Sr.… more
- University of Utah Health (Salt Lake City, UT)
- …administration, a related field, or equivalency. + Two years of experience in case management activities with third party payers. **Licenses Required** + Current ... services as directed by the attending physician, referring physician and clinical case manager. The incumbent oversees the delivery of individualized services to… more
- City of Cincinnati (Cincinnati, OH)
- SUPERVISING MANAGEMENT ANALYST (NC) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/4798923) Apply SUPERVISING MANAGEMENT ANALYST ... Benefits + Questions General Statement of Duties The Supervising Management Analyst position will be within the...or employee information. Required Education and Experience Qualified applicants must meet all criteria in one of the following… more