priorities of care. In collaboration with the Clinic Manager, assist with the management of OMC services, such that the delivery... $99,258.00 - $158,808.00 Supervise day to day operations of Overlake Medical Clinics (OMC) services at our Issaquah Primary Care & Specialty Care Clinics...
engages early and often to execute across the entire patient journey – from care navigation and management to payment...: As a Utilization Management Nurse Supervisor, you will lead a team of utilization review nurses by providing guidance, mentorship...
Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Case Management certification... supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience...
Responsibilities The working Supervisor of Case Management is responsible for providing supervision to the Case... that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works...
working Supervisor of Case Management is responsible for providing supervision to the Case Managers, Coordinators... from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate...
The Medical Review Supervisor is responsible for overseeing activities and personnel involved in the day to day... operations of CommunityCare’s medical claim review program. The Supervisor guides individuals in implementing auditing...
Works with BH utilization management team to resolve complex BH care member issues related to BH Maintains knowledge... Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management... Collaborates with utilization management team to resolve complex care member issues Maintains knowledge of regulations...
Role Overview Under the supervision of the Manager for Utilization Management, this position is responsible... for providing daily oversight of Utilization Management Reviewers, Utilization Management Review Technicians and staff members...
team members at the Pediatric Center. This position reports to the CN Director of Integrated Care Management with matrix..., utilization review, discharge planning, case management, social work, care coordination and denial prevention and recovery...
Position Overview Now Hiring: Lead Care Manager (Enhanced Care Management) Job Type: Fulltime. Shift-based... and Federal government. Job Summary: The Lead Care Manager (LCM) is responsible for providing comprehensive case management...
Anticipated End Date: 2025-11-22 Position Title: Manager I Care Management (DSS Region 6) Healthy Blue Care Together... term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North...
Anticipated End Date: 2025-11-19 Position Title: Manager I Care Management (DSS Region 2) Healthy Blue Care Together... term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North...
Anticipated End Date: 2025-11-19 Position Title: Manager I Care Management (DSS Region 3) Healthy Blue Care Together... term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North...
coordination needs as directed by the RN Case Manager. As part of the Case Management team is responsible for the health care... Supervisor, Manager or Director of Care Management Job Requirements: Experience: Required: Minimum 1 year experience...
The Utilization Management (UM) – RN will utilize key principles of utilization management, while conducting prospective... both medical and behavioral health including addiction services pertinent to all age populations. Identify care management needs...
knowledge of changes in state and federal regulatory requirements related to the provision of care management services in the... Hospital Care Managers and SW Hospital Care Managers to resolve payer related barriers. Maintains care management knowledge...
Location/s: Main Campus Jackson Job Title: RN - Ambulatory - Part-Time - Pain Management Clinic Job Summary: To assess... RN License Knowledge, Skills & Abilities Knowledge of clinical nursing care procedures and protocols. Verbal...
Imagine360 is seeking a Utilization Management, RN to join the team! The RN Utilization Management Nurse is responsible... appropriate referrals to Case Management Program or other Care 360 Services. Communicates professionally and effectively...
requirements. Keywords: director of case management, dcm, rn case manager, acute care, inpatient rehab, ltach, utilization...Job ID: 134291 Direct Hire Director of Case Management (RN) Role $95,000-$110,000 per year in Tallahassee, Florida...