- Humana (Salt Lake City, UT)
- …resources, schedules and goals. The Manager , Utilization Management Behavioral Health uses clinical knowledge, communication skills, and independent ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Molina Healthcare (UT)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… 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
- Molina Healthcare (Midvale, UT)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- CAI (Salt Lake City, UT)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care...referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management +… more
- Molina Healthcare (Layton, UT)
- **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Certified Case Manager (CCM) Certified Diabetes Educator To all current… 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
- 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
- Molina Healthcare (UT)
- … Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... learners to understand and apply. + Creates and uses clinical case scenarios to simulate how training...case , disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery… more
- Molina Healthcare (Provo, UT)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Intermountain Health (Provo, UT)
- …years of clinical nursing experience. + Three years of experience working as a case /care manager in a healthcare setting. + Record as a safe driver. Will be ... Provides longitudinal care management services for identified patients. Utilizes clinical expertise to perform care management screening, assessment/evaluation, and… more
- Molina Healthcare (Orem, UT)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...LMSW, LMHC, LMFT, or LPC licensure with previous UM, Case Management, and managed care experience. Candidates with project… more
- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The Nurse Care Manager works collaboratively with physicians and other members of the health care team to improve the health of patients with ... addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. **Job Specifics** + Pay Range: $39.99… more
- Intermountain Health (Salt Lake City, UT)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… 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
- Highmark Health (Salt Lake City, UT)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… 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