- Elevance Health (Washington, DC)
- …**Schedule:** 8:30 AM - 5:00 PM. Monday through Friday. The ** Nurse Case Manager I** is responsible for performing care management within the scope of ... ** Nurse Case Manager I** **Location:** 609...criteria used to determine medical necessity strongly preferred. + Utilization management experience is preferred but not… more
- Fresenius Medical Center (Lanham Seabrook, MD)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- BAYADA Home Health Care (Falls Church, VA)
- The **Program Manager ** will be a highly motivated, relationship-focused Registered Nurse , PT, OT, COTA, PTA or SLP who will guide a team of nurses and ... skills with experience in both the home care and outpatient setting. Management experience, strong interpersonal skills and experience working in or with senior… more
- Highmark Health (Washington, DC)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- The Arora Group (Washington, DC)
- …leave and 11 paid Federal holidays. DUTIES OF THE SOCIAL WORKER CASE MANAGER : + Provides case management , care coordination and discharge/disposition planning ... and guidelines; established principles, ethics and standards of practice of professional nursing ; the Case Management Society of America (CMSA); American… more
- EAB (Washington, DC)
- …For more information, visit our Careers page. The Role in Brief: Collections Manager The Collections Manager will manage the daily operations and strategic ... customer collections process through the design, implementation, maintenance and management of accounts receivable business functions, including collections, loss… more
- Huron Consulting Group (Washington, DC)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Elevance Health (Washington, DC)
- …responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment ... + Develops, maintains and enhances the claims review process. + Assists management with developing unit goals, policies and procedures. + Investigates potential… more
- Elevance Health (Alexandria, VA)
- …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social… more
- Elevance Health (Alexandria, VA)
- …VA. The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more