- University of Miami (Coral Gables, FL)
- …triage assessment, individual and group counseling, outreach, consultation and administration. The Case Manager will primarily maintain and monitor a clinical ... provide continuity of care for clients. In addition, the Case Manager will also provide ongoing counseling...of referral resources and community services. + Collaborate with UM Counseling Center "UMCC" staff, community providers and other… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program… more
- Molina Healthcare (Los Angeles, CA)
- …Collaborates with multidisciplinary teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or ... locality with reliable transportation. **State Specific Requirements:** Must be licensed for CALIFORNIA **Preferred Experience** Previous experience in Hospital… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Case Mgmt Social Svcs position is responsible for functional and operational aspects of the Case Mgmt./Social Work ... corporate and hospital administrators, medical staff, and defined customers related to the Case Mgmt. system. The Manager Case Mgmt./Social Work position… more
- Covenant Health (Nashua, NH)
- …and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care to, the High-Risk ... procedures. + Maintains/enhances professional development/skills required to function as a Case Manager and fulfills organizational requirements (ie, data entry,… more
- Elevance Health (Norfolk, VA)
- …on the continuum of Behavioral Health treatment strongly preferred. + Certification as a Case Manager is preferred. Please be advised that Elevance Health only ... and hold licensure in the state of Virginia.** The ** Manager of Behavioral Health - Virginia SED/SMI Case...for leading a team of behavioral health clinicians and non- licensed support staff to provide SED/SMI Case … more
- Lakeview NeuroRehabilitation Center (Waterford, WI)
- …a member of the Case Management Team, consisting of the Lead Case Manager , the MD Chair of the UM committee, the Medical Social Worker, and other ... The Scope of Practice for the RN Case Manager includes responsibility for management...Hospital and Rehab is a Joint Commission Accredited and licensed long term acute care hospital (LTACH) and Inpatient… more
- Dartmouth Health (New London, NH)
- …care and resulting outcomes. * FUNCTIONAL DUTIES AND RESPONSIBILITIES * Clinical Case Management * Determines patient needs and resources within 1-2 business days ... of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of stay.… more
- University of Virginia (Charlottesville, VA)
- …related to utilization management ( UM ) team, providing guidance and support to the UM staff. The Manager works closely and collaborates with UM ... or assist with Utilization Review Committee related items. The Manager provides effective leadership to UM Nurses...for continuous improvement, increased efficiencies. + Works with the Case Management Manager to develop education and… more
- Sharp HealthCare (San Diego, CA)
- …acute patient care, SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... **FTE** 0 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational...hospital stay beginning with the admission review of the case manager and reviews with the … more