- CVS Health (Salt Lake City, UT)
- …utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational ... 3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC,… 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 ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...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)
- …+ 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
- University of Utah Health (Salt Lake City, UT)
- …Hospital** **Fulltime FTE's available: .75 and 1.0** + This position provides clinical case management services aimed at enhancing patient-centered care and ... **Overview** **Come join our growing Case Management Team! Utilize your clinical ...Together with the multiple other internal team member the case manager is responsible for establishing, monitoring… more
- Highmark Health (Salt Lake City, UT)
- …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
- HCA Healthcare (Salt Lake City, UT)
- **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager you want with your current employer? We have an exciting opportunity ... of colleagues. Do you want to work as a(an) Case Manager where your passion for creating...case management or 3+ years or experience in clinical nursing required + InterQual experience preferred + Certification… more
- Molina Healthcare (Layton, UT)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...+ Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify… more
- University of Utah Health (Salt Lake City, UT)
- …transportation agencies and others as indicated. + Collaborates with social worker/nurse case manager and others to confirm authorization for services is ... patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care facilities, durable… 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
- Highmark Health (Salt Lake City, UT)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... **EXPERIENCE** **Required** + 5 years with Any combination of clinical , case management, and/or disease/condition management experience,...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Molina Healthcare (Salt Lake City, UT)
- …levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...clinical gaps in care from a medical and/or behavioral perspective to ensure member needs are being met.… more
- Intermountain Health (Salt Lake City, UT)
- …+ 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. **To show our commitment… more
- HCA Healthcare (Salt Lake City, UT)
- …in the plan of care. + Provide crisis intervention and support. + Assist the Case Manager in facilitating patient movement across the continuum of care and ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...**Job Summary and Qualifications** As a Social Worker in Case Management at our facility you will be joining… more
- HCA Healthcare (Salt Lake City, UT)
- …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at St. Mark's Hospital! **Job ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...will: + Under the general direction of the Nurse Manager , independently provide individualized care using the nursing process… more
- HCA Healthcare (Draper, UT)
- …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Lone Peak Hospital! **Job ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...and invasive procedures. Under the direction of the OR Manager you will work with other members of the… more
- Sevita (Riverton, UT)
- …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... of information, and other appropriate meetings/conferences as needed + Attend clinical meetings to exchange, discuss, and evaluate program participant treatment… more