- Southeastern Integrated Care LLC (Whiteville, NC)
- …involved with the recipient about the recipient's diagnosis, symptoms, and treatment.Performs Intensive Case Management functions of linking and arranging ... Summary: The Team Leader is responsible for the supervision and management of team operations and staffing. Team Leader ensures that services are provided to the… more
- Marion County (Salem, OR)
- …ABILITIESWorking knowledge of community mental health concepts or chemical dependency case management and treatment services; individual assessment, treatment ... assessment and treatment services, crisis intervention, and treatment services, including intensive services, to individuals and their families with complex needs… more
- UCLA Health (Los Angeles, CA)
- …planning and appropriate access to care + Working directly with Concurrent Nurses and Intensive Case Management Nurses + Review pending claims for approval ... Health. Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the RN Asst. Director for Utilization Review, Intensive Case Management , you will support and perform duties to ... and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to enhance the quality...BSN Degree + Minimum of 2 years' experience in utilization management , Inpatient CM or clinical Experience… more
- Little City Foundation (Palatine, IL)
- … case manager ratio), in-depth, person-centered, and assertive multi-disciplinary case management approaches across processes: screening and intake, ... Intensive Intervention Case Manager Job Details...care team members as relevant.11. On-Call: Participates in rotating case management on-call schedule outside regular business… more
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers ... MH nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self-awareness while caring for patients living with… more
- The Home for Little Wanderers (Dorchester, MA)
- …CSA Park Street located in Dorchester, seeks a Full-Time Mental Health Intensive Care Coordinator to facilitate the development and implementation of an Individual ... Care Plan and risk management /safety plan for MassHealth youth with serious emotional disturbance....disturbance. Under the direction of Program Director and Senior Intensive Care Coordinator; facilitates the development and implementation of… more
- The Home for Little Wanderers (Roslindale, MA)
- …(CBHI). The Hyde Park CSA, located in Roslindale, seeks a Full-Time Intensive Care Coordinator to facilitate the development and implementation of an Individual ... Care Plan and risk management /safety plan for MassHealth youth with serious emotional disturbance....may include extensive telephone contact and scheduling and attending case conference meetings. Facilitate communication between and among various… more
- Prime Healthcare (National City, CA)
- …the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, ... will follow up on all denials while working closely with the Corporate/Facility Utilization review teams, Business Office and Case Managers. The Utilization… more
- Universal Health Services (Houston, TX)
- …Coordinator PRN to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides administrative case management ... Responsibilities Utilization Management Coordinator -PRN Opportunity West...license. + Experience Required: Minimum of one year of case management experience and one year inpatient… more
- Universal Health Services (Dover, DE)
- …we do! Dover Behavioral Health system is seeking qualified candidates for our Utilization Management Coordinator - Full-Time position. In this role, you will ... Registered Nursing License + One (1) year experience in case management and/or hospital experience Preferred: +...experience Preferred: + One (1) year experience as a Utilization Management Coordinator at a long-term care… more
- Universal Health Services (Conway, SC)
- …planners and patients. 0THER REQUIREMENTS : One to three years of experience in utilization review, case management , or discharge planning preferred. Three ... communication, documentation, clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred.… more
- Providence (Everett, WA)
- **Description** ** Utilization Management Assistant (279237)** **Schedule: FTE 1.0, Monday-Friday 08:00AM - 4:30PM PST (8HR SHIFT), Day** The primary ... responsibility of the position is to maintain standard compliance and performance related utilization management data. Process of daily, weekly and monthly UM… more
- Providence (Everett, WA)
- …years, OR recent Utilization Management experience **Preferred qualifications:** + Utilization review or case management experience + Experience with ... **Description** Oversee utilization management and review of patients...remain in effect. Exceptions will be considered on a case -by- case basis at each facility by the… more
- Providence (Mission Hills, CA)
- …strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, and patient status determination. The ... Utilization Management RN must effectively and efficiently manage a diverse...remote UR environment or working as an acute hospital case manager. **Preferred Qualifications:** + Bachelor's Degree - Nursing.… more
- Houston Methodist (Nassau Bay, TX)
- …Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work department. This position is an integrated, ... entity committees as a voice for the department. + Sets direction for Case Management /Social Services which supports strategic and operational plans, and overall… more
- Providence (Anaheim, CA)
- …qualifications:** + Bachelor's Degree in Healthcare related field. + 3 years' Experience in utilization management or case management . **Why Join ... **Description** Care Management is a collaborative practice model including the...women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... management and social work department to facilitate efficient utilization of resources and discharge planning including referrals ...administrative duties of a higher complexity in support of Case Management operations. In addition, the CM… more
- Guthrie (Corning, NY)
- …optimize case reimbursement. 4. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care ... assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs).… more
- HCA Healthcare (Fort Pierce, FL)
- **Description** Introduction Are you ready to manage in a new era as a Manager of Case Management where building a healthier tomorrow is more than a job? Our HCA ... Healthcare facility. Be an impact as a(an) Manager of Case Management where your passion for leading...supporting a balance of optimal care and appropriate resource utilization . What qualifications you will need: + 2 year… more
