- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... **Organization:** Bay Administration **Position Overview:** Responsible for Utilization Management and accurate bed placement for patients coming in from the ED.… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care ... practice in that it is not intended to provide direct patient care; rather, a Case Manager will be assigned to specific patients to ensure that the medical… more
- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Certification; Bachelor's Degree in Nursing; Master's Degree; Accredited Case Manager (ACM) - American Case...head as indicated. + Utilization review and utilization managementThe RN CM II will:Conduct initial… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II ...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- HCA Healthcare (Thousand Oaks, CA)
- …Los Robles Regional Medical Center have the opportunity to make a real impact. As a(an) RN Case Manager II PRN you can be a part of change. **Benefits** Los ... positive outcomes for your patients as a (an) RN Case Manager II PRN. We...will be making appropriate referrals related to medical necessity, utilization , quality, or risk management and coordinating on-going care… more
- Elevance Health (Costa Mesa, CA)
- ** Utilization Management Representative II ** **Location** : This is a remote position. Candidates must live in the state of **California** . Seeking candidates ... Angeles, Palo Alto, Walnut Creek, Rancho Cordova and Sacramento, CA.** The ** Utilization Management Representative II ** is responsible for managing incoming… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... clinical case management to assure that patients are being treated...pressure and deal with change. This position coordinates the utilization management, resource management, discharge planning, post-acute care referrals… more
- Elevance Health (Houston, TX)
- **Telephonic Nurse Case Manager II ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within… more
- Elevance Health (Cincinnati, OH)
- **Telephonic Nurse Case Manager II ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II ** is responsible for care management within… more
- Elevance Health (Cincinnati, OH)
- …- 6:30pm ET; 1-2 late nights per month required 11:30am - 8:00pm ET The **Nurse Case Manager II ** is responsible for care management within the scope of ... in multiple states. **Preferred skills, capabilities, and experiences:** + Certification as a Case Manager is preferred. + Telephonic Case Management… more
- Billings Clinic (Billings, MT)
- …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Case Manager II or Therapist ... services, which include therapy (individual, group and family), discharge planning, case management, care coordination, crisis intervention as well as addressing… more
- Elevance Health (Mason, OH)
- …contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is ... hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II ** is responsible for providing case management...providers, claims or service issues. Assists with development of utilization /care management policies and procedures. + Within the medical… more
- Sutter Health (San Francisco, CA)
- …of nursing **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California CCM - Certified Case Manager (certification may be required by entity and time to ... CPMC-California Pacific Med Center Davies **Position Overview:** Coordinates the utilization management, resource management, discharge planning, post-acute care referrals… more
- Elevance Health (Greensburg, IN)
- ** Manager II GBD Special Programs, LTSS** **Location:** **This position is an Indiana field-based position.** This role requires face to face interactions in the ... field - mileage reimbursed. (hospitals, clinics, members' homes.) The ** Manager II GBD Special Programs, LTSS** is...program schedule, budget, and resources plan. + Manages resource utilization to ensure appropriate delivery of care to members… more
- Tidelands Health (Murrells Inlet, SC)
- …care team, the social worker is responsible for tracking clinical service utilization of specific patients from admitting to discharge. Tracking includes the ... worker in the state of SC required. **Experience:** + Minimum three years Case management/social work experience in health care delivery acute care setting required.… more
- The Salvation Army (Syracuse, NY)
- …Salvation Army Syracuse Area Services Position Overview: The FFT Program is expanding. Level II Case Planner available for a career minded individual who is ... Overview FFT CW Case Planner II Full-time, $28.00/hour with...needed under direction of their supervisor and the DSS Case Manager . + Timely completion of required… more
- Elevance Health (Grand Prairie, TX)
- **Telephonic Nurse Case Manager II ** Elevance Health supports a hybrid workplace model with pulse point sites (major offices) used for collaboration, ... 10:30 - 7 pm CST. The Telephonic **Telephonic Nurse Case Manager II ** is responsible...or service issues. + Assists with the development of utilization /care management policies and procedures and all member needs… more
- Sutter Health (Sacramento, CA)
- …established plan of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency wide orientation, competency ... be able to meet company productivity standards as indicated by organization and manager . + Objectively and effectively solves unique problems as they arise or… more
- Elevance Health (Wilmington, DE)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Requirements:** + BA/BS in a health ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- Hackensack Meridian Health (Hackensack, NJ)
- …iii. Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status ... patient population and HackensackUMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and… more