- Highmark Health (Salt Lake City, UT)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- Summary The Registered Nurse - GI Nurse Manager functions as a clinical expert and is responsible and accountable for all elements of the nursing process ... and creating innovative process improvement initiatives. Responsibilities The GI Nurse Manager (NM) is the designated first-line...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Molina Healthcare (Salt Lake City, UT)
- …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... be discussed during our interview process. This is a remote position. Work hours: Monday- Friday: 8:00am -5:00pm. Michigan...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
- Highmark Health (Salt Lake City, UT)
- …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
- Molina Healthcare (Salt Lake City, UT)
- **Job Description** Licensed Social Worker Case Manager residing in the state of UT, will work in remote setting supporting our Medicaid SMI (Severe Mental ... assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Highmark Health (Salt Lake City, UT)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Sedgwick (Salt Lake City, UT)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager will cover our ... week position.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Sharecare (Salt Lake City, UT)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Takeda Pharmaceuticals (Salt Lake City, UT)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
- Highmark Health (Salt Lake City, UT)
- …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