- Guardian Life (Carson City, NV)
- …Identifies potentially fraudulent cases. + Follows the designated escalation process to the Nurse Case Manager as applicable. **Communication (Verbal and ... what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively...interacts and consults with key partners including: Clients, Claimants, Nurse and Disability Case Managers, Risk Management.… more
- Army National Guard Units (Carson City, NV)
- Summary This position is for a NURSING ( CASE MANAGER ), PD# T5637P01, part of the Nevada National Guard. This position is located in the Office of the State ... in the state with appropriate staff to schedule meetings with SM in case management, update unit leadership, attend medical synchronization meetings and may provide… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The Case Manager provides quality case management and psychotherapeutic services to all patient and their families. Serves as a member of interdisciplinary ... mental health practitioners to meet patients' aftercare needs. + Master's level Case Manager provides individual, group, and family psychoeducation-oriented care… more
- CVS Health (Carson City, NV)
- …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... RN licenses if needed, company will provide. **Education** + Associates Degree or Nursing Diploma Required + Bachelors Degree Preferred **Pay Range** The typical pay… more
- Highmark Health (Carson City, NV)
- …the appropriate clinical interventions and referrals, the incumbent will 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 management including but is not limited to: developing a care plan, encouraging behavior… more
- Highmark Health (Carson City, NV)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Maxim Healthcare Services (Reno, NV)
- …patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician ... and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required +...+ Supports professional practice by observing the following; o Nurse Practice Act o Standards of Nursing … more
- BrightSpring Health Services (Carson City, NV)
- …the patient's efforts toward self-sufficiency and optional comfort care + Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to ... improvement teams and activities Qualifications + Graduate of an accredited school of Nursing + Current Registered Nurse licensure in State and American Heart… more
- BrightSpring Health Services (Dayton, NV)
- …when given a patient's assignment and attends his/her requests promptly + Reports to the Case Manager immediately, if unable to perform a certain task + Provides ... Reports on patient's condition and significant changes to the Case Manager + Also aware of the...in ambulation and exercise as instructed by the hospice nurse or therapist + Provides normal range of motion… more
- Option Care Health (Carson City, NV)
- …strategies. + Manage multiple internal (CL, Intake, Branch Staff) and External ( case manager , hospital administration) relationships and process to ensure ... + Partner with internal team members (Specialty Sales, Clinical Liaison, RSD, Nursing ) who provide specialized knowledge and experience to grow relationships and… more
- United Therapeutics (Carson City, NV)
- …diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight of ... end-to-end case safety management activities spanning across our global commercial...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
- CenterWell (Carson City, NV)
- …As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled nursing visits for home health patients. + ... Administer on-going care and case management for each patient, provide necessary follow-up as...patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial… more
- Molina Healthcare (Reno, NV)
- …Time Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... + May conduct staff trainings as needed. + Communicates with QA supervisor/ manager about issues identified and works collaboratively to resolve/correct them. **JOB… more
- Highmark Health (Carson City, NV)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with applicable state,… more
- Sharecare (Carson City, NV)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner ... by providing high-quality telephonic Case or Care Management with... or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Highmark Health (Carson City, NV)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- J&J Family of Companies (Carson City, NV)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... Johnson, we all belong. The Site Activation CAR-T Senior Manager , Cell Therapy Experience reports into the Johnson and...and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD / MSN) +… more
- Baylor Scott & White Health (Carson City, NV)
- …may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review, you guide and supervise staff. You oversee care coordination ... resource management, and budget control. Departments involved are Utilization Management, Case Management, and Disease Management. + Ensure all regulations, policies… more
- CenterWell (Reno, NV)
- …to care. + Assesses any relationships of the patient's medical and nursing needs in the home setting, financial resources, and available community resources. ... reports changes in patients' condition and response to treatment to the Clinical Manager and the Participates in the discharge planning process + Participates as a… more