- 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 ... Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health...US Preferred Skills and Experience * 2+ years of managed care experience; eg case … more
- Elevance Health (St. Louis, MO)
- …therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope ... + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + Ability to talk and type… 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
- HCA Healthcare (Nashville, TN)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As an AVP Managed Care with Surgery Ventures, you can be a manager in ... by location._** Come join our team as an AVP Managed Care . We care for...Net Revenue, Percentage of Charge Revenue, Net Revenue per Case , Contribution Margin, etc.), and (b) be consistent with… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …follow-up coordination. + Stay informed on behavioral health regulations, evidence-based practices, and managed care policies. + Presents case for patients ... nursing experience, including behavioral/mental health + Experience in a managed care , case management, or...Bachelor's or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification +… more
- Beth Israel Lahey Health (Wakefield, MA)
- …taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… 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
- Banner Health (Phoenix, AZ)
- …we want to hear from you. As the RN Case Manager in Care Coordination,...members of the health care team on case management and managed care ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- Banner Health (Tucson, AZ)
- …and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you will have the opportunity to ... members of the health care team on case management and managed care ...require a minimum of one year Case Manager experience in an acute care hospital.… 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
- Mount Sinai Health System (New York, NY)
- …a. Develops and maintains effective working relationships with interdisciplinary team and Case Managers within the managed care organizations. 7. ... **Job Description** **RN/ Case Manager MSH Case ...**Job Description** **RN/ Case Manager MSH Case Management PT Days**...population; b. Provides the clinical information requested by the managed care companies as part of the… more
- Highmark Health (Dover, DE)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet… more
- University of Southern California (Los Angeles, CA)
- In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an ... treatment, all while controlling the cost of quality patient care . The Case Manager will...within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and… more
- Arnot Health (Elmira, NY)
- … participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... average caseload will be: 15-25. The Case Manager will work cooperatively with in the care...to reduce length of stay and resource consumption within case managed populations , implements these strategies… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …any legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: ... and Experience * Fluent bilingual Spanish speaker * 1+ years of managed care experience; eg case management/health coach, utilization management and/or… more
- Charter Care Health Partners (North Providence, RI)
- …required. Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly desirable. Interrelationships: Patient ... Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions,… 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 PRN (CM) position is...communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and… more
- Athena Health Care Systems (Pittsfield, MA)
- …of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager when assigned by Clinical ... We are hiring full-time, part-time, and per diem RN Case Managers to join the Hospice of Western &...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Athena Health Care Systems (Barnstable, MA)
- …nurtured to allow you to grow within the company. You plan, organize, and direct hospice care as an RN Case Manager . The professional nurse builds from the ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Immigration and Customs Enforcement (Washington, DC)
- Summary The Behavioral Health Case Manager is a non-supervisory role within. The incumbent coordinates behavioral health services for individuals in ICE custody, ... placed on SMI (Serious Mental Illness List). Work with Managed Care Coordinators to absorb Accessibility to...National Association of Social Work (NASW) Board Certification in Case Management or Case Manager … more
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