• Kaiser Permanente (San Francisco, CA)
    …Qualifications: Minimum two (2) years of experience in utilization review, case management , and discharge planning preferred. Bachelors degree in nursing ... and non-Kaiser providers and facilities regarding patients transitions and discharge planning . In conjunction with physicians, develops...patient care delivery, OR completion of Masters degree in case management program in lieu of minimum… more
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  • CVS Health (Oak Park, IL)
    …documentation experience and Microsoft Office applications Preferred Qualifications Case management and discharge planning experience Managed care ... with heart, each and every day. Position Summary The Case Management Coordinator utilizes critical thinking and... planning components with appropriate referral to clinical case management or crisis intervention as appropriate.… more
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  • CVS Health (Machesney Park, IL)
    …for mileage reimbursement as per company policy Preferred Qualifications Case management and discharge planning experience preferred (2 years) Managed ... heart, each and every day. Position Summary This Analyst, Case Management Field position is with Aetna's... planning components with appropriate referral to clinical case management or crisis intervention as appropriate.… more
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  • CVS Health (Miami, FL)
    …experience Computer proficiency in Microsoft Word, Excel, Outlook required Case Management and Discharge Planning experience Education Bachelor's degree ... face to face assessing, planning , implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
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  • CVS Health (Miami, FL)
    …Computer proficiency in Microsoft Word, Excel, and Outlook required Case management and discharge planning experience Education Bachelor's degree ... face to face assessing, planning , implementing, and coordinating all case management activities with members to evaluate the medical needs of the member… more
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  • CVS Health (Tampa, FL)
    …Computer pro?ciency in Microsoft Word, Excel, and Outlook required Case management and discharge planning experience Education Bachelor's Degree ... business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case more
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  • UPMC (Harrisburg, PA)
    …Harrisburg, West Shore and Community Osteopathic. Purpose In conjunction with the Discharge Planning team, the Associate coordinates the appropriate support ... served required. No license required. Experience No experience in discharge planning /care coordination. Clinical/patient-facing experience preferred. Knowledge… more
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  • Humana (Austin, TX)
    …participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. The curiosity to learn,… more
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  • Sharp HealthCare (San Diego, CA)
    …in-patient Care Management program that includes initial and concurrent review; case management / discharge planning activities. Responsible for ... in collaboration with regional medical directors, ambulatory care managers and hospital case management departments. Participates in the development of the… more
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  • UnitedHealth Group (Las Vegas, NV)
    …(assessing, planning , implementing, coordinating, monitoring and evaluating). This includes case management , coordination of care, and medical management ... 1+ years of experience within Medical/Oncology Case management experience Experience or exposure to discharge ... management experience Experience or exposure to discharge planning Experience in a telephonic role… more
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  • Mount Sinai Health System (New York, NY)
    …Reviews all new admissions to identify patients where utilization review, discharge planning , and/or case management will be needed using standardized ... Job Description RN/ Case Manager MSH Case Management...and documentation of variances affecting the LOS and the discharge planning process. c. Conducts follow-up of… more
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  • Christus Health (San Antonio, TX)
    …the population to be served is required. Case Management /Resource Management and discharge planning experience preferred. Milliman (MCG) Guideline ... the functions of case management , resource management , clinical documentation management , and discharge planning (Conditions of Participation… more
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  • Kaiser Permanente (Olympia, WA)
    …TO ELIGIBLE EXTERNAL HIRES! ** RN CASE MANAGER LIAISON NURSE - INPATIENT DISCHARGE PLANNING - ONSITE: ST. PETER HOSPITAL - OLYMPIA VARIABLE MON-FRI - ... ROTATION - ALTERNATING HOLIDAYS MUST HAVE PRIOR ER OR CASE MANAGEMENT WORK EXPERIENCE - NIGHT SHIFT...TITLE: Case Manager Liaison Nurse - ER Discharge Planning - 30 hrs/wk Olympia (St.… more
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  • UPMC (Harrisburg, PA)
    UPMC is hiring a Discharge Plan Manager for our Case Management department in Harrisburg! This is a full time, day shift position that requires an every 4th ... and active Registered Nurse license. At least one year of experience in discharge planning /care coordination required.OR2) Bachelor's degree in social work or… more
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  • UnitedHealth Group (Niles, MI)
    …cost-effective manner. Care coordination includes case management , disease management , discharge planning , transition planning , and addressing ... Preferred Qualifications: RN or LMSW, LLMSW, LCSW 1+ years of medical case management experience Demonstrated experience/additional training or certifications in… more
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  • Humana (Bloomington, IL)
    management activities. Monitors case management activities, post- discharge calls, discharge planning and pre-assessment of elective admissions. ... Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators...Advanced degree in nursing or business health field. Certified Case Manager (CCM). Previous experience working in a managed… more
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  • Christus Health (Santa Fe, NM)
    …In collaboration with the patient/family, physicians and interdisciplinary team, the Case Management Coordinator ensures patient progression through the ... care in an efficient and cost effective manner. The Case Management Coordinator is responsible for identifying,...overall evaluation of individual patient needs. Care coordination, and discharge planning are accountabilities of this role.… more
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  • UnitedHealth Group (Seattle, WA)
    … of care needs and lifestyle changes to promote health Support proactive discharge planning and manage/coordinate care transition Advocate for members and ... Bilingual: English and Spanish Preferred Qualifications: CCM certification 1+ year of Case Management experience coordinating care for individuals with complex… more
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  • Molina Healthcare (Dallas, TX)
    …experience in health care, with at least 1 year of experience in hospital discharge planning , care management or behavioral health setting, or equivalent ... proficiency. Preferred Qualifications Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). Hospital discharge planning or… more
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  • Rush University Medical Center (Chicago, IL)
    …and/or level of care management processes. In accordance with the case management external faxing policy and HIPPA guidelines, communicates clinical ... Offers may vary depending on the circumstances of each case . Summary: The Care Management Navigator I...one or more areas within the Division. The Care Management Navigator may contribute to transitional care planning more
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