• Trusted Resource Associates (TRA) (Modesto, CA)
    Trusted Resource Associates (TRA) is seeking a local contract nurse RN Case Management for a local contract nursing job in Modesto, California.Job Description & ... security compared to with an outside agency. The RN Case Manager is responsible to facilitating care...acute care experience and at least one year of Case Management experience in an Acute Care… more
    JobGet (06/30/24)
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  • Almost Family (Fond Du Lac, WI)
    The Clinical Manager is responsible for the coordination of high quality, cost-effective patient care. This position is responsible for the operations and ... and appropriateness for home care services and establishment of frequencies and utilization for new admissions. Works closely with the Agency Director regarding… more
    JobGet (06/27/24)
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  • Central Missouri Home Health (Jefferson City, MO)
    We are hiring for a full-time Home Health Patient Care Manager RN to join our passionate team in Jefferson City, MO! This is an office position. At Capital Region ... a new level of caring. Apply today! The Home Health Patient Care Manager is responsible for the overall supervision and coordination of clinical services.… more
    JobGet (06/27/24)
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  • Advocate Aurora Health (Adell, WI)
    …Health Job ID #R106418. Posted job title: Home Health Physical Therapy Case Manager - Sheboygan AreaAbout Advocate Aurora HealthAdvocate Aurora Health's 22,000 ... plan for obtaining adaptive devices as needed.Discusses caseload issues and changes in case census with management . Communicates problems to physicians and … more
    JobGet (06/30/24)
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  • Case Manager - Utilization

    Prime Healthcare (Redding, CA)
    …#LI-YD1 #hiringnow #casemanager #rn Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166207/ case - manager utilization - management ... Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (06/27/24)
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  • Case Manager - Utilization

    Prime Healthcare (National City, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/165000/ case - manager utilization - management ... other Bachelor degree in a related field. At least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within… more
    Prime Healthcare (06/21/24)
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  • LVN Case Manager ( Case

    Molina Healthcare (Long Beach, CA)
    …and will need to work PACIFIC hours.** **This is a telephonic hybrid position for utilization management and case management . You can work 100% ... **We are seeking a LVN CASE MANAGER (CALIFORNIA LICENSED VOCATIONAL NURSE),... (CALIFORNIA LICENSED VOCATIONAL NURSE), Bilingual Spanish with PEDIATRICS CASE MANAGEMENT experience for this role. Must… more
    Molina Healthcare (06/25/24)
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  • Utilization / Case Manager RN

    Mountains Community Hospital (Lake Arrowhead, CA)
    Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH ... to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case more
    Mountains Community Hospital (06/26/24)
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  • Appeals and Utilization Management

    Trinity Health (Darby, PA)
    … to provide support to the Emergency Department Case Manager , Utilization RNs, and Utilization Management support staff. Also adheres to the ... Care Coordination Manager , provides support to the utilization management , denials and appeals process for...training and audits as required + Assists with appropriate case referral to the Utilization Management more
    Trinity Health (06/20/24)
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  • Discharge Planner

    Ellis Medicine (Schenectady, NY)
    …Planner's primary function is to work with the Social Worker, Nurse Case Manager , or Utilization Management Nurse to facilitate patient discharge plans, ... per CMS Conditions of Participation at the direction of the Case Manager . + Utilization Management Activities: + Collaborates with Case Managers and… more
    Ellis Medicine (06/11/24)
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  • RN Case Manager , Inpatient…

    Children's Hospital Boston (Boston, MA)
    …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (04/19/24)
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  • RN Case Manager , weekend only,…

    Children's Hospital Boston (Boston, MA)
    …a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Regular Remote ... 72065BRJob Posting Title:RN Case Manager , weekend only, on-site (16...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (04/05/24)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager more
    LA Care Health Plan (06/01/24)
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  • Utilization Manager UM II - Transfer…

    Sharp HealthCare (San Diego, CA)
    …(MCG) + Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager (ACM) - American Case ... Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management... Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized… more
    Sharp HealthCare (06/29/24)
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  • Clinical Resource Coordinator Per Diem Role

    Penn Medicine (Philadelphia, PA)
    …critical thinking skills and being a strong patient advocate.The case manager conducts utilization management activities, communication with insurers, ... fearful you will miss patient contact?If so, our nurse case manager role at Penn Medicine is...community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management more
    Penn Medicine (05/01/24)
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  • Clinical Services Trainer (Remote in TX)

    Molina Healthcare (Dallas, TX)
    …Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... Responsible for the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. Leads… more
    Molina Healthcare (06/27/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management , and Discharge Planning. The ... outcomes with adherence to regulations and compliance. *Essential Functions* 1. Case Manager independently performs initial and ongoing discharge… more
    LifePoint Health (05/30/24)
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  • Case Manager RN

    Amergis (Los Angeles, CA)
    …hr days Mon-Fri 8a-5p The Case Manager is responsible for utilization reviews, resource management , discharge planning, treatment plan management and ... Case Manager - Travel or Local Local Rate- $2,080 weekly for 40 hr days Travel Rate- $2,300 for 40… more
    Amergis (06/27/24)
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  • RN- Case Management

    LifePoint Health (Wilson, NC)
    …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... - Current/active North Carolina or compact RN license BLS optional **Job:** ** Case Management /Social Services* **Organization:** ** **Title:** *RN- Case more
    LifePoint Health (06/20/24)
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  • Case Manager - Case

    Arnot Health (Elmira, NY)
    …processes related to the management of patient care. The Case Manager will review all patients for utilization management and appropriate discharge ... will be a leader in the Case Management practice. The Case Manager ... case managers. f. The Case Manager tracks and trends LOS, resource utilization ,… more
    Arnot Health (06/28/24)
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