- UCLA Health (Los Angeles, CA)
- …a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the ... more at UCLA Health. Under the direction of the Utilization Management , Assistant Manager, you will play...computer applications and logs + Monitor members/patients followed by Case Management + Work directly with a… more
- Little City Foundation (Palatine, IL)
- … case manager ratio), in-depth, person-centered, and assertive multi-disciplinary case management approaches across processes: screening and intake, ... Intensive Intervention Case Manager Job Details...care team members as relevant.11. On-Call: Participates in rotating case management on-call schedule outside regular business… more
- LA Care Health Plan (Los Angeles, CA)
- …in an acute hospital setting. Previous experience to have a strong understanding of Utilization Management / Case Management practices including, but not ... Utilization Management Admissions Liaison RN II...facility, outpatient needs (home health, physical therapy, infusion), and case management referrals (5%) Performs prospective, concurrent,… more
- Providence (Mission Hills, CA)
- **Description** The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management ... California Region. The Manager assists the Regional Director of Utilization Management , Appeals & Clinical Training through...Degree in Nursing or other related area + Coursework/Training: Case Management Certification + 2 years minimum… more
- Providence (Mission Hills, CA)
- **Description** Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing support to ... CHAA (If in California) + 3 years of EPIC Case Management and ADT Patient Access **Why...women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum… more
- Houston Methodist (Baytown, TX)
- …(MSW) + Master's in nursing preferred **WORK EXPERIENCE** + Five years experience in inpatient case management , social work or utilization management or ... to ensure operational effectiveness and efficiency of admission, concurrent and retrospective utilization management and medical claims functions to meet and… more
- LifePoint Health (Bullhead City, AZ)
- …promote continuity of care and cost effectiveness through the integrating and functions of case management , utilization review and management of ... 16 emergency department beds, 12 acute rehabilitation beds, 12 intensive care beds, 6 major operating rooms and 2...years management experience, five (5) years of utilization review / case management … more
- Guthrie (Sayre, PA)
- …and optimize case reimbursement. + Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care ... outcomes in timely, coordinated, and cost- effective manner. The Manager-of Case Management supports utilization management , discharge planning, denial… more
- Guthrie (Binghamton, NY)
- …and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative ... in an acute care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case … more
- HCA Healthcare (Fort Pierce, FL)
- …care and appropriate resource utilization . Skills + In-depth knowledge of case management , discharge planning, and utilization review practices and ... manage in a new era as a Manager of Case Management where building a healthier tomorrow...offer the area's only Level III Neonatal and Pediatric Intensive Care Units. At HCA Florida Lawnwood Hospital patients… more
- HCA Healthcare (Riverside, CA)
- …you will need:** + Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + ... **Are you passionate about delivering patient-centered care?** Submit your application for Case Management Coordinator position and spend more time at the… more
- The Home for Little Wanderers (Dorchester, MA)
- …CSA Park Street located in Dorchester, seeks a Full-Time Mental Health Intensive Care Coordinator to facilitate the development and implementation of an Individual ... Care Plan and risk management /safety plan for MassHealth youth with serious emotional disturbance....disturbance. Under the direction of Program Director and Senior Intensive Care Coordinator; facilitates the development and implementation of… more
- Guthrie (Corning, NY)
- …optimize case reimbursement. 4. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care ... assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs).… more
- HCA Healthcare (Overland Park, KS)
- **Description** **Introduction** Are you ready to manage in a new era as a Manager of Case Management where building a healthier tomorrow is more than a job? Our ... Healthcare facility. Be an impact as a(an) Manager of Case Management where your passion for leading...supporting a balance of optimal care and appropriate resource utilization . + Serves as a role model and functions… more
- HCA Healthcare (Myrtle Beach, SC)
- …integrity. We care like family! Jump-start your career as a **Nurse Manager Case Management ** today with Grand Strand Medical Center. **Benefits** Grand Strand ... location._** Come join our team as a **Nurse Manager Case Management ** . We care for our...supporting a balance of optimal care and appropriate resource utilization . **What qualifications you will need:** + Associate Degree… more
- Houston Methodist (Baytown, TX)
- …ethics/healthcare law, clinical skill, etc. + Expert knowledge of discharge planning, utilization management , case management , performance improvement ... team for special project activities related but not limited to, throughput, readmissions, and utilization management to align with the visions and goals of the… more
- Alameda Health System (San Leandro, CA)
- …goals and focus of these service efforts are to provide timely delivery of intensive case management servicesduring the transitional period beginning with ... in the State of California. **Additional Information** Note: Must have Hospital Case Management or Utilization Review experience. **Qualifications:**… more
- The Home for Little Wanderers (Roslindale, MA)
- …(CBHI). The Hyde Park CSA, located in Roslindale, seeks a Full-Time Intensive Care Coordinator to facilitate the development and implementation of an Individual ... Care Plan and risk management /safety plan for MassHealth youth with serious emotional disturbance....may include extensive telephone contact and scheduling and attending case conference meetings. Facilitate communication between and among various… more
- Hawaii Pacific Health (Lihue, HI)
- …care, community or long term care, or related field. **Preferred Qualifications:** Current Case Management or Utilization Management certification. ... The medical center also has four birthing suites, seven intensive care beds and 20 same-day surgery beds. Wilcox...caregivers working together to create a healthier Hawai'i. The Case Management team puts great emphasis on… more
- Houston Methodist (Nassau Bay, TX)
- …for state, local and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management , performance improvement ... PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated unit(s). This… more