- Accounting Now (Carson City, NV)
- …does involve some member facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are directed to the ... telephonic or written review Will use appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary… more
- Staffing Now (Carson City, NV)
- …does involve some member facing activities such as collecting information and using clinical knowledge and expertise to ensure our members are directed to the ... telephonic or written review. Will use appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary… more
- CVS Health (Carson City, NV)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care:** * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- Highmark Health (Carson City, NV)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Molina Healthcare (Reno, NV)
- **_We are seeking a RN (Registered Nurse) Case Manager for Washoe County, NEVADA. Qualified candidate must currently live in Washoe County. Excellent computer ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Highmark Health (Carson City, NV)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Sharecare, Inc. (Carson City, NV)
- …leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for ... college pre-requisites is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification… more
- Molina Healthcare (Reno, NV)
- **JOB TITLE : Nurse (REGISTERED NURSE) Lead, Healthcare Services ( Clinical )** **This position supports our NEVADA health plan. Nevada residents preferred. Applicants ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...illness and the site of service. The Lead, HCS ( Clinical ) functions as clinical staff lead in… more
- Molina Healthcare (Reno, NV)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... **JOB TITLE : Manager , Healthcare Services** **This position supports our NEVADA...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Somatus (Placer County, CA)
- …and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, ... market.** Responsibilities + Conduct comprehensive assessments that include the medical, behavioral , pharmaceutical, and social needs of the patient, identify gaps… more
- Guardian Life (Carson City, NV)
- …Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + Excellent verbal and communications ... agencies to control costs and identify similar benefits. + Collaborate with Disability Clinical & Vocational Services staff and case managers to move toward… more
- Intermountain Health (Carson City, NV)
- …+ Demonstrated ability to exercise critical thinking skills. **Preferred Qualifications** + Case Management Certification. + Experience working in clinical care ... **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members...barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. **Job Specifics** + Pay… more
- Sevita (Carson City, NV)
- …as supervising the providers and individuals served. **_Salary: $51,000 Annually Plus Manager Compensation Bonus Plan Eligibility_** + Services and Supports + Act as ... + Maintain and foster communication and relationships with individuals, families, case managers, managed care contractors, and other stakeholders; monitor customer… more
- Humana (Carson City, NV)
- …business/growth strategy execution from conception to implementation, including business case development + Ability to support strong organizational performance ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more
