- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) ... authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role...RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** +… more
- Stanford Health Care (Palo Alto, CA)
- …work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely Discharge Department ... put your bedside RN experience to great use in case management working in conjunction with the...improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in… more
- Menorah Medical Center (Leawood, KS)
- Description Introduction Do you have the career opportunities as a(an) PRN Registered Nurse Case Manager you want with your current employer? We have an exciting ... you want to work as a(an) PRN Registered Nurse Case Manager where your passion for creating...team Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to… more
- Stanford Health Care (Palo Alto, CA)
- …teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- Baptist Memorial Health (Southaven, MS)
- …3284 - RN- Case Manager Facility: BMH - Desoto Hospital Department: DC Case Management Admin BMH Desoto Category: Nurse RN Type: Clinical Work Type: Full ... : RN with 3 years of clinical experience with Case Management experience in a hospital or...Problem solving; and governmental regulations. Training Preferred : Certified Case Manager About Baptist Memorial Health Care… more
- ERP International (Anchorage, AK)
- …software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with social work ... **Overview** ERP International is seeking a **Registered Nurse Case Manager ** for a full-time position... Manager Certification Certified Case Manager (CCM) o Certification of Disability Management … more
- ERP International (Hurlburt Field, FL)
- …software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with social work ... for Case Manager Certification Certified Case Manager (CCM) Certification of Disability Management Specialists Commission: Certified Disability … more
- Battelle Memorial Institute (Tampa, FL)
- …Research and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government ... comprehensive support for those who serve. As a Nurse Case Manager , you will contribute to impactful... by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing… more
- ERP International (Twentynine Palms, CA)
- …software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with social work ... **CORE Duties:** - Participate in all phases of the Case Management Program (CMP) and ensure that... Manager Certification Certified Case Manager (CCM) o Certification of Disability Management … more
- ERP International (Tinker AFB, OK)
- …software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with social work ... seniors, and groups. * **Certification** :Certified Case Manager by Commission for Case Management (CCM) or American Nurses Credentialing Center… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... Commission on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with… more
- Luke Staffing (Agana Heights, GU)
- …to Government and professional clinical standards and clinical protocols. . Participate in Utilization Management / Case Management meetings to review and ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER ** **SITE OF SERVICE:** ....Manager (s) in the development and implementation of the Case Management Program (CMP). . Develop local… more
- Centers for Independence (Milwaukee, WI)
- …wellbeing of individuals with severe mental illness and/or substance use disorders. The Case Manager will work collaboratively with an integrated treatment team ... Skills, & Abilities:** - Knowledge of Milwaukee County TCM, CCS and/or CSP/ACT Case Management . - Experience with individuals with dual diagnoses is preferred.… more
- Centers for Independence (Milwaukee, WI)
- …wellbeing of individuals with severe mental illness and/or substance use disorders. The Case Manager will work collaboratively with an integrated treatment team ... to a personal vehicle. + Knowledge of Milwaukee County TCM, CCS and/or CSP/ACT Case Management . + Experience with individuals with dual diagnoses is preferred. +… more
- Stony Brook University (Stony Brook, NY)
- …communication skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the ... RN Case Manager **Position Summary** At Stony...following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity… more
- ERP International (Luke AFB, AZ)
- …of care; and utilization of resources. Monitors and evaluates the facility's case management program per DoD, AF and local policies and guidelines. - ... community resources. - Integrate CM and utilization management (UM) and integrating nursing case ...Nurse, any state. Clinical Certification:** Certified Case Manager by Commission for Case Management… more
- Somatus (Tucson, AZ)
- …can leverage existing high-speed internet service Preferred Qualifications: - BSN - Certified Case Manager (CCM) - Diabetic educator experience - ICU, Cardiology ... basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care...or Critical Care experience - Telephonic case management experience - Experience with discharge… more
- Stanford Health Care (Palo Alto, CA)
- … case management . + Provide regular feedback to providers, inpatient case managers, and utilization management coordinators on the appropriateness of ... skilled nursing facility concurrent review and complex and episodic case management , including the care plan development...Care **What you will do** + Inpatient & SNF Utilization Management & Care Coordination: + Support… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... does not have direct reports. Essential Duties & Responsibilities: Provider Relationship Management - Serve as the primary relationship manager and point… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …patient/family by collaborating with the multidisciplinary team to develop and implement a case management plan to ensure quality patient outcomes, and customer ... years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of… more
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