- Sharp HealthCare (San Diego, CA)
- …Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); ... Bachelor's Degree in Nursing; Master's Degree; Certified Case Manager (CCM) - Commission for ...head as indicated. + Utilization review and utilization managementThe RN CM II will:Conduct initial… more
- Elevance Health (Washington, DC)
- …4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management** **ll** is responsible for managing a team of physical ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary duties may… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II ...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn- case - manager ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred.… more
- HCA Healthcare (Thousand Oaks, CA)
- …efficiently. **Are you passionate about delivering patient-centered care?** Submit your application for RN Case Manager II BID position and spend more time ... supporting a balance of optimal care and appropriate resource utilization . + You will provide case management...your career! We are interviewing candidates for our RN Case Manager II BID opening.… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager is ... Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II ** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within… more
- Elevance Health (Grand Prairie, TX)
- **Nurse Case Manager II ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... from 11:30 AM to 8:00 PM EST. The **Nurse Case Manager II ** is responsible...providers, claims or service issues. Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Sutter Health (San Francisco, CA)
- …nursing **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted criteria for… more
- US Tech Solutions (MI)
- **Timing: M-F 8-5** **Job Description:** The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and ... comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan… more
- The Salvation Army (Syracuse, NY)
- …Salvation Army Syracuse Area Services Position Overview: The FFT Program is expanding. Level II Case Planner available for a career minded individual who is ... Overview FFT CW Case Planner II Full-time-35 hrs., $28.00/hour...needed under direction of their supervisor and the DSS Case Manager . + Timely completion of required… more
- Elevance Health (Los Angeles, CA)
- **Behavioral Health - Care Manager II ** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... as required by law. The **Behavioral Health - Care Manager II ** is responsible for managing psychiatric...there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range… more
- Sutter Health (Modesto, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- HCR Home Care (Canton, NY)
- …the Health Home Program. This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. Essential Functions ... and short - term plans, when appropriate, including the utilization of community support with the goal of reducing...to success. + Prepare concise, accurate , and timely case notes which are incorporated into the client's records.… more
- HCA Healthcare (Kissimmee, FL)
- **Description** **Introduction** Are you ready to manage in a new era as a Manager Case Management where building a healthier tomorrow is more than a job? Our ... an HCA Healthcare facility. Be an impact as a(an) Manager Case Management where your passion for...supporting a balance of optimal care and appropriate resource utilization .** What qualifications you will need: + (RN) Registered… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …Health Care System as a Registered Nurse - Home and Community Based Services (HCBS) Case Manager . In this vital role, you'll ensure Veterans receive quality home ... State or territory The Registered Nurse - Home and Community Based Services (HCBS) Case Manager is responsible for coordinating the review and disposition of… more
- Ellis Medicine (Schenectady, NY)
- …patient's required needs and covered services. Support services provided by the Case Manager include, but are not limited to, utilization review, case ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for ...inpatient experience in a hospital environment preferred. + Previous case management, utilization review, and discharge planning… more
- Access Dubuque (Dubuque, IA)
- …quality improvement including tracking of resource utilization and outcome measures. The Case Manager is + accountable for improving service using cost and ... RN Case Manager PRN Dubuque **MercyOne** 1...care services, including invasive cardiology and open-heart surgery, Level II trauma center, Level II regional neonatal… more
- HCA Healthcare (Wichita, KS)
- …at Wesley Medical Center have the opportunity to make a real impact. As a(an) RN Case Manager Lead you can be a part of change. **Benefits** Wesley Medical ... positive outcomes for your patients as a (an) RN Case Manager Lead. We want your knowledge... management regulatory guidelines per CMS. + Manages VPro utilization for case management vendors + Assists… more
- ZOLL Medical Corporation (Houston, TX)
- …Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other duties include selling the value ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more