- Elevance Health (Arlington, VA)
- …and depression, and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall ... ** Case Manager ** **Location :** This is...pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Sharp HealthCare (San Diego, CA)
- …care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- Elevance Health (Roanoke, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- Beth Israel Lahey Health (Westwood, MA)
- …taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… more
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed Care ... care . This role coordinates with the Medicaid managed care plans as the liaison for...placement changes including: Access to healthcare. Facilitate a single case agreement when a child is place outside of… more
- Molina Healthcare (Fredericksburg, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- CVS Health (Albany, NY)
- …Working schedule is Monday-Friday; will work between 8am - 6pm EST. The Hybrid Case Manager works in the field in provider offices, skilled nursing facilities, ... of care and treatments as appropriate. Can act in the role of embedded case manager within the provider partner(s) offices to meet with the beneficiaries in… more
- Arnot Health (Elmira, NY)
- …participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources...of care meetings related to the appropriate case managed population. d. Manages the appropriate… more
- Molina Healthcare (Canton, MI)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… more
- Athena Health Care Systems (Haverhill, MA)
- …to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care . The professional nurse builds from the ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager... care for assigned caseload. About Athena Health Care Systems: Hospice Services of Massachusetts is managed… more
- Banner Health (Phoenix, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- Banner Health (Greeley, CO)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- Banner Health (Tucson, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- National Health Care Associates (Troy, NY)
- …appreciated. We invite you to join our team! **-** **What You'll Do:** As a Case Manager , your advocacy will ensure our short-term, skilled nursing patients are ... Develop and maintain relationships with insurance representatives and facilitate managed care team meetings If you are...positive patient outcomes, consider joining our team as a Case Manager ! Make a real difference in… more
- Highmark Health (Columbus, OH)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet… more
- Sharp HealthCare (San Diego, CA)
- …Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care payers. ... resources and current standards of clinical practice. + Knowledge of managed care , Health Plan contracts, and benefits. + Experience with MCG Guidelines.… more
- Houston Methodist (Baytown, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) Advanced position is...in communicating medical information required by external review entities, managed care contractors, insurers, fiscal intermediaries, state,… more
- Charter Care Health Partners (Providence, RI)
- …required. Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly desirable. Interrelationships: Patient ... Care Facilities and agencies, Durable Medical Equipment and Ambulance companies, managed care (insurance) personnel and physician office. Working Conditions,… more
- The Arora Group (Bethesda, MD)
- …outcomes, across the continuum of care . + Serves as a clinical case manager and patient advocate, providing advanced practice clinical, administrative, and ... efficient, comprehensive, and cost effective service for case - managed patients, throughout the continuum of care ....+ American Nurses Credentialing Center Nurse Case Manager (RN-NCM) + National Academy of Certified Care… more
- The Cigna Group (Bloomfield, CT)
- …and resolve problems through effective decision making. + Experience in medical management and case management in a managed care setting is highly desirable. ... Job Description For this position, Nurse Case Manager Senior Analyst, through the...skills. + Ability to work independently. + Knowledge of managed care preferred. + Effective coaching/education skills… more