- Battelle Memorial Institute (Colorado Springs, CO)
- …to optimize care delivery and outcomes. Additionally, the Nurse Case Manager facilitates referrals, collaborates with healthcare providers, and manages ... sensitive treatment plans which delineate the expected process of care delivery for selected case managed...care goals **Key Qualifications** + Certified as a case manager by a recognized certifying organization,… more
- Somatus (Renton, WA)
- …+ Telephonic case management experience + Experience working within a managed care environment **Hourly Range** $85,000 to $97,000 per year _Compensation ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...+ BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience… more
- MJHS (New York, NY)
- …continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are ... on their own terms. Reporting to the Supervisor of Care Management this position will provide case ...other team members, to help meet the member's needs. managed care nurse, managed … more
- Stony Brook University (Stony Brook, NY)
- …Training + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in Case Management, UR, Quality or Risk + ... Outpatient Care Manager **Position Summary** At Stony...all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/… more
- Commonwealth Care Alliance (Boston, MA)
- …management Desired Experience (nice to have): - Experience working with managed care organizations, value-based programs, or community-based behavioral health ... care for members. In this role, the Program Manager acts as an account manager , relationship...across BH and Health Home providers. - Participate in case review meetings and rounds as needed to enhance… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for patients of ... and utilization management and/or discharge planning experience. Thorough knowledge of managed care , utilization management, discharges planning, and continuous… more
- Commonwealth Care Alliance (Boston, MA)
- …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer...Utilization Management experience in a managed care setting + 2 or more… more
- The Toro Company (Bloomington, MN)
- Senior Product Manager , R&D Technology - The Toro Company Who Are We? With roots dating back to 1914, The Toro Company was built on a tradition of quality and caring ... and historic sites around the world. Your Opportunity: The Senior Product Manager , R&D Technology supports the business objectives of the Landscape and Contractor… more
- Henkel (Rocky Hill, CT)
- Senior Facility Manager , Rocky Hill, CT **_About_** **_this_** **_Position_** At Henkel, you'll be part of an organization that's shaping the future through ... impact at Henkel. ** **What you'll do** The Facility Manager is responsible for the leading and delivery in...USD. + Ensure annual facility operating budget is responsibly managed . + Oversight and responsibility for onsite facilities and… more
- University Health (Hondo, TX)
- …a registered nurse is required. National certification in related field is desirable. Case Manager Certification (CCM, CPHQ, or ANCC) or Certified Diabetes Nurse ... managed group to enhance financial outcomes. Will coordinate the transition of care and the interdisciplinary treatment for Medicare managed patients across… more
- CyrusOne (Chandler, AZ)
- …+ Knows and understands the Owner's building operations rules for the building(s) under his care and as provided by the DC Manager . + Uses and teaches others ... Under the direction of the Senior Facility Manager this role works as a team member...Perform Level 1 response on Windows servers for both non- managed and managed clients, including initial troubleshooting,… more
- CHRISTUS Health (Euless, TX)
- …knowledge of discharge planning, case management, performance improvement, and managed care reimbursement. Must understand pre-acute and post-acute levels of ... Leadership: Mentor, train, and support the team of nurse case managers, ensuring high-quality care and adherence...required One of the following certifications is required Certified Case Manager (CCM) by CCMC Nursing … more
- Insmed Incorporated (NJ)
- …possible for patients with serious diseases. Reporting to the Compliance Manager , Analytical Services, you'll be essential to maintaining the integrity, accuracy, ... documentation, due to the nature of the documents being managed .Proficiency with Veeva or similar electronic document management systems.Strong...it. You deserve a workplace that reflects the same care you bring to your work each day, with… more
- Katmai (Fort Carson, CO)
- …ensure appropriateness of referrals. + Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide ... of professional and patient care activities. + Interface with the Managed Care Support Contractor (MCSC) and multidisciplinary personnel as needed to… more
- Katmai (Fort Carson, CO)
- …ensure appropriateness of referrals. + Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide ... of professional and patient care activities. + Interface with the Managed Care Support Contractor (MCSC) and multidisciplinary personnel as needed to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …possible, and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this ... work in the US Preferred Skills and Experience * 2+ years of managed care experience; eg case management/health coach, utilization management and/or auditing… more
- Providence (Mission Hills, CA)
- …Schedules and coordinates all meetings attended by Administrative Director of Managed Care , Contract Manager , Case Managers and UM supervisors. Provides ... Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- Guthrie (Sayre, PA)
- … Manager monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager...positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary… more
- Houston Methodist (The Woodlands, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement. + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) Certified position is...communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state,… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
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