- Select Medical (Springdale, AR)
- **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...documentation. You will report directly to the Director of Case Management and provide social work services,… more
- Walmart (Bentonville, AR)
- …denial of the claim; and reserving file for payments that exceed authority for manager and serious case review. Minimizes legal exposure by securing services of ... indexing information received on each claim in the claim/image management system. Handles monetary aspects of assigned claims by...counsel invoices; assessing the impact claim may have on case law and precedent prior to making claim payment;… more
- Highmark Health (Little Rock, AR)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by… more
- CVS Health (Little Rock, AR)
- …is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH ... This position consists of working intensely as a telephonic case manager with patients and their care...overcome barriers to meeting goals and objectives + Utilizes case management processes in compliance with regulatory… more
- Baptist Memorial (Jonesboro, AR)
- …Degree in Nursing Experience Preferred: RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting Minimum: RN with ... and computer skills. Problem solving; and governmental regulations. Training Preferred: Certified Case Manager About Baptist Memorial Health Care At Baptist, we… more
- UNUM (Little Rock, AR)
- …others, and join Team Unum today! **General Summary:** The AVP, National Client Manager is the relationship steward for our largest, most sophisticated and most ... AVP, NCM develops and implements a customized service strategy for their assigned case (s) and is accountable for retention and growth through strategic management… more
- United Therapeutics (Little Rock, AR)
- …pulmonary diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and ... UT products, including PM GSD workflows; Maintain unified PM Case Management operating procedures and monitor systems...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
- Catholic Health Initiatives (Little Rock, AR)
- **Overview** As a Case Manager Nurse with CHI St...for creative thinking is vital to your success in case management . It shines as you develop ... or ACM Certification within 2 years of hire date + Previous case management , utilization management , or discharge planning experience strongly preferred… more
- Sedgwick (Little Rock, AR)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- Sunrun (Little Rock, AR)
- …in through our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field ... or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and resolution of specific market… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …+ Current Arkansas state LPN license + Experience + LPN with previous case management experience. Effective communication - both written and verbal. Excellent ... of care and cost effectiveness through the integration and functions of case management and utilization review. The person in this position is self-directed, has… more
- Walmart (Bentonville, AR)
- …work together to ensure we operate according to our high ethical standards. The ** Manager , Compliance and Ethics** is a member of the US Ethics team responsible for ... and 2 years' experience in compliance, ethics, legal, project management , or related area OR 4 years' experience in...OR 4 years' experience in compliance, ethics, legal, project management , or related area. 2 years' experience using intermediate… more
- Public Consulting Group (Little Rock, AR)
- …oral presentation and written communication skills. + Solid organization and time management skills. Required Experience: + Bachelor's degree in a human services ... related field such as Social Work, Psychology, Nursing, Sociology + At least one-year experience working with individuals with intellectual and developmental disabilities. + Experience conducting individual assessments with knowledge of behavior rating or… more
- Travelers Insurance Company (Little Rock, AR)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management... case and statutory law and expert litigation management skills. + Extensive claim and/or legal experience and… more
- Baptist Memorial (Jonesboro, AR)
- …to identify the patient's health goals and coordinate services with the RN Case Manager for an effective transition plan. Meets directly with patient/family ... and revising a care plan to ensure good transition management and continuity of care (LOS, discharge delays), cost...Worker LMSW Facility: BMH - NEA Hospital Department: JO Case Mgmt Administration NEA Baptist Jonesboro Category: Social Services… more
- The Robison Group (Little Rock, AR)
- …OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management , etc. Link to this job 0 0 ... Location Little Rock, AR Department Surveillance Employment Type Part time Minimum Experience Mid-level Department Surveillance Employment Type Part time Minimum Experience Experienced more
- HealthEdge Software Inc (Little Rock, AR)
- **Overview** **Position Overview:** AstheTechnical Program Manager for Vulnerability Management , you willbe responsible foroverseeing and coordinating the ... usually provide support through training, research, and skilled leaders. In the case ofHealthEdge, our Centers of Excellence incorporate the Human Resources, IT,… more
- Takeda Pharmaceuticals (Little Rock, AR)
- …point of contact for vendor operations and vendor oversight, including vendors performing case management , case intake (ie, Call Centers), scientific ... for vendor operations including the PV BPO vendor and/or vendors performing case management , case intake, literature review; call centers + Provide Subject… more
- State of Arkansas (Fort Smith, AR)
- …Anticipated Starting Salary: $63,830.00 DDS Children's Special Services (CSS) Case Manager provides case management services to CSS participants and ... physical complaints. Consults with physicians concerning problem cases, provides assistance with case management , and refers patients to appropriate clinic or… more
- Community Health Systems (Bentonville, AR)
- …responsible for coordinating and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role ... collaborative care planning. + Maintains accurate and timely documentation of case management activities, including records of referrals, patient interactions,… more