- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- UNC Health Care (Chapel Hill, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in accordance… more
- UNC Health Care (Hendersonville, NC)
- …daily with the Care Manager to manage level of care transitions & appropriate utilization of services. Coordinates with the appropriate staff/payers ... the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review… more
- Intermountain Health (Las Vegas, NV)
- …of staffing, escalations, barrier triage, and coordination with compliance and legal to support care delivery. The Manager Care Management I reports to the ... 5:30 pm Holiday and weekend coverage when needed. The Manager of Care Management I leads and... Care Management I leads and collaborates with care management operations across utilization review, acute… more
- Helio Health Inc. (Syracuse, NY)
- …to track, review, and analyze data relating to continuous quality improvement. The Utilization Case Manager will work on a Full-Timebasis supporting ourSyracuse ... as appropriate. + Assist in developing and administering policies and procedures for utilization . + Negotiating access to care for individuals seeking services… more
- Children's Mercy Kansas City (Kansas City, MO)
- …nursing + required within 4 years of hire + 1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse ... and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing… more
- Prime Healthcare (Lynwood, CA)
- …Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience preferred. At least one ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn-case- manager utilization… 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 with ... 1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse (LVN) - CA Board of Vocational...Will Do** To provide discharge planning and coordination of care for members hospitalized in the acute care… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …and utilization review principles in monitoring the delivery of care and promoting optimal communication among treatment team members, intra and ... hospitalization and to facilitate transfer to the appropriate alternative level of care setting for continued treatment. Employs the utilization management… more
- Molina Healthcare (North Las Vegas, NV)
- …of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, ... Essential Job Duties * Assists in implementing health management, care management, utilization management, behavioral health and...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care … more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …for consideration is: 11/28/2025. The Mental Health Integrated Services (MHIS) Program Manager is directly responsible to the Associate Chief of Staff for Mental ... planning, establishing, and implementing policies and procedures for the Primary Care Mental Health Integration (PCMHI) Program, Health Behavior Coordination (HBC),… more
- Dignity Health (Red Bluff, CA)
- …and Federal and State regulations. The position's emphasis will be on care coordination, communication and collaboration with utilization management, nursing, ... **Job Summary and Responsibilities** **Position Summary:** The RN Care Coordinator is responsible for overseeing the progression...five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or… more
- Elevance Health (Asheville, NC)
- …be considered for employment, unless an accommodation is granted as required by law._ The Manager I Care Management ( Manager I GBD Special Programs) is ... include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HealthTrust Workforce Solutions (Savannah, GA)
- **RN (Registered Nurse) or LCSW ( Licensed Clinical Social Worker) Manager Case Management** **Memorial Health University Medical Center** **Full-Time - Days - No ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . **Qualifications you...care setting * InterQual experience preferred * Currently licensed as a Registered Nurse in the state(s) of… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …5005, Part II, chapter 3, section A, paragraph 3.j Grade Determinations: Licensed Professional Mental Health Counselor - Program Manager , GS-13 Experience, ... EDRP application. Former EDRP participants ineligible to apply. Responsibilities Licensed Professional Mental Health Counselor (LPMHC) Program Managers have broad… more
- Select Medical (San Diego, CA)
- **Overview** **Select Specialty Hospital** **Critical Illness Recovery Hospital (LTACH)** **Case Manager (PRN)** Licensed Social Workers Only **Pay: $52/hr** ... doing well by doing what is right. The Case Manager is responsible for utilization reviews and...via focus on resource management within the plan of care . + Demonstrates compliance with facility-wide Utilization … more
- Pearle Vision (Columbus, OH)
- GENERAL FUNCTION: The major responsibility of the Store Manager is to drive profitable sales growth through the delivery of outstanding patient experience. Lead team ... in a positive and productive environment, modeling exemplary patient care . Develop and maintain outstanding associate and doctor satisfaction and retention. MAJOR… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and collaboration to ensure delivery of consistent and quality health care services. Examples may include: Utilization Management, Quality, Behavioral ... program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and… more
- Veterans Affairs, Veterans Health Administration (Edinburgh, IN)
- …Nurse works under the direction of an RN and reports to the primary care manager . The LPN is responsible for observing, recording, and reporting changes ... through collaboration with PACT team to ensure continuum of care and optimal utilization of healthcare resources....body in the jurisdiction in which the individual is licensed as qualifying for full LPN/LVN licensure will be… more
- WellSpan Health (Chambersburg, PA)
- …of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education relative to health ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
Related Job Searches:
Care,
Care Manager,
Licensed,
Licensed Care Manager,
Manager,
Utilization,
Utilization Manager