- CAI (Carson City, NV)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... move, apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's members… more
- Molina Healthcare (Reno, NV)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial… 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
- Cardinal Health (Carson City, NV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Cardinal Health (Carson City, NV)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- CenterWell (Reno, NV)
- **Become a part of our caring community and help us put health first** The Manager Care/ Case Management is responsible for managing a team of nurses, community ... and services they need to reach optimal health. The Manager is also responsible for building strong partnerships with...RN license + 5 years or more prior nursing, case management, disease management and/or social work experience +… 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
- Cardinal Health (Carson City, NV)
- …**Responsibilities** * Handle customer escalated cases through investigation and case review * Contact customers to confirm approval/denials of coverage, ... doctors and/or patients checking on the status of the case * Maintain quality while providing an empathetic and...* Support manufacturer field team members as required on case updates * Works internally with team members regarding… more
- Travelers Insurance Company (Carson City, NV)
- …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. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- Humana (Carson City, NV)
- …coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work ... part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to… more
- Molina Healthcare (Reno, NV)
- …PMP, Six Sigma Green Belt and/or comparable coursework desired. Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification ... of illness and the site of service. The Program Manager (BH) is responsible for overseeing internal business projects...one or more of the following areas: utilization management, case management, care transition and/or disease management. + 2+… more
- Highmark Health (Carson City, NV)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Gentiva (Carson City, NV)
- …just one piece. Salary Range -$88,000.00 - $93,000.00 **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and… more
- Commander, Navy Installations (Fallon, NV)
- …and the resources and services available to them. Coordinate with the FAP case manager on developing appropriate plan of assistance/intervention, which provides ... for the safety of the victim and their family members. Ensure that the clinical case manager is fully aware of the victim's situation. When FAP case managers… more
- Prime Healthcare (Reno, NV)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... Assists with case management referrals and authorizations. Maintains and coordinates Medicaid...TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care… more
- Molina Healthcare (Reno, NV)
- …Clinical Social Worker (LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education and Promotion (CHEP) ... public health or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical or behavioral health settings.… more
- BrightSpring Health Services (Carson City, 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 ... bony prominence + Reports on patient's condition and significant changes to the Case Manager + Also aware of the caregiver or other individuals living with the… more
- Gentiva (Reno, NV)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... Patient Care Manager Senior and will maintain primary control and professional...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more
- Sevita (Reno, NV)
- …participants, and PT/PTA students. + Write service summaries as requested by case manager /program director and maintains daily billing summaries and turns ... them into the appropriate staff. **_Qualifications_** + Bachelor's Degree in Physical Therapy + One year's experience preferred + State licensure in physical therapy. + **Heavy work.** Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of… more
- Sevita (Reno, NV)
- …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... them into the appropriate staff **_Qualifications:_** + Bachelor's Degree in Physical Therapy + One year's experience preferred + State licensure in physical therapy + Heavy work: Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force… more