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PATIENT CARE COORDINATOR CASE MANAGER

Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness f...

CompanyKaiser Permanente
AddressSan Jose, CA
CategoryInformation Technology
Date Posted just now See detail

Patient Care Coordinator Case Manager New

Kaiser Permanente

San Jose, CA

Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness f...

just now seen See more...

MANAGED CARE ASSISTANT New

Continental General

Austin, TX

$40,000 - $45,000 a year

Listen and empathize with policyholders and/or their representatives to understand their needs and resolve any issues they may express regarding moderately complex inquiries, policy coverage's and/or their claim status. Ability to...

9 hours ago seen See more...

Registered Nurse Care Management Transition of Care MHB 1 New

Mercy Hospital Of Buffalo

Buffalo, NY

$37.93 - $51.21 an hour

BSN degree or RN with BSW, BS Education, or BS in Health related field. Registered Nurse, licensed (unrestricted) in New York State New York State PRI & Screen certification hospital and community or obtained within six (6) months...

15 hours ago seen See more...

Field Care Manager RN New

Premise Health

Port Arthur, TX

Develops personalized treatment plans using provider care plans and member preferences using a coach approach and the pillars of Lifestyle Medicine Supports a proactive, multidisciplinary team approach directed toward prevention,...

23 hours ago seen See more...

Field Care Manager RN New

Premise Health

San Antonio, TX

Develops personalized treatment plans using provider care plans and member preferences using a coach approach and the pillars of Lifestyle Medicine Supports a proactive, multidisciplinary team approach directed toward prevention,...

23 hours ago seen See more...

Senior Care Manager, Telephonic Behavioral Health

Humana

Delaware, United States

$63,400 - $87,400 a year

Performs accurate & timely initial and ongoing treatment reviews with documentation in referral and authorization system reflecting determination of appropriateness of level of care according to established Humana Government Busin...

2 days ago seen See more...

Clinical Pharmacist-Care Management (SCAN Temp)

Scan Group

Long Beach, CA

Base salary range: $60to $65per hour. This is a temporary role with SCAN. Excellent 401(k) Retirement Saving Plan with employer match and contribution. Robust employee recognition program. Tuition reimbursement. An opportunity t...

a month ago seen See more...

Associate Managed Care Analyst

Highmark Health

Remote - Pennsylvania, United States

Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%). Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts.(25%). Collaborates wit...

4 days ago seen See more...

Wound Care Certified Home Health Utilization Management Nursing, RN

Centerwell Home Health

Tampa, FL

$69,800 - $78,700 per year

Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.Use your skills to make an impact Typically requires Bachelors degree or e...

2 days ago seen See more...

Manager Nursing - Wound Care - Now Hiring

Houston Methodist Hospital

Houston, TX

Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turn...

2 days ago seen See more...

Case Manager - Foster Care - Now Hiring

Molina Healthcare

Henrico, VA

$21.6 - $46.81 per hour

Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment...

2 days ago seen See more...

Care Manager

Doylestown Health

Doylestown, PA

$60K - $76K a year

Job Title:Care Manager - Health Quality Partners - Full-Time - Days Req:2024-0170 Location:Off Site Department:Health Quality Partners Schedule:....

3 days ago seen See more...

Care Management Coordinator

Springpoint Senior Living

New Jersey, United States

$30 - $35 an hour

Marketing and promotion of all SAH services with a focus on Care Management. Promotes client psychosocial wellbeing and self-determination. Coordinate with doctors, family members, trust officers, accountants, and other members of...

3 days ago seen See more...

CVS Accountable Care - Field Case Manager RN Long Island, NY

Cvs Health

New York, United States

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

3 days ago seen See more...

Utilization Mgmt Reviewer - System Care Management - Per-diem

The Guthrie Clinic

Sayre, PA

$42.8K - $54.2K a year

The Utilization Reviewer: Secures authorization as appropriate Documents payer authorization Screens the appropriateness of level of care/service Facilitates issue resolution with payer sources in collaboration with other...

3 days ago seen See more...

RN Care Coordinator, Utilization Management -Per diem - Days

Hackensack Meridian Health

Hackensack, NJ

$81.2K - $103K a year

BSN or BSN in progress and/or willing to acquire within 3 years of hire or transfer into the position. Effective decision-making skills, demonstration of creativity in problem-solving, and influential leadership skills. Excellent...

3 days ago seen See more...

Case Manager (Managed Care Coordinator)

Elevance Health

Arlington, VA

Performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. Using tools and pre-def...

6 days ago seen See more...

Resident Care Manager - Avamere Rehab of Eugene

Avamere Rehab Of Eugene

Eugene, OR

$42 - $53 an hour

Tuition assistance. Mentorship opportunities & Career development. Employee assistance program featuring counseling services, financial coaching, free legal services and more. Generous employee referral program. Paid time off/sick...

3 days ago seen See more...

Pharmaceutical Sales- Associate Territory Manager- Primary Care

Biospace

Statesboro, GA

Develops a strong understanding of territory and reimbursement landscape and utilizes appropriate business insights tools to analyze and adapt to business needs.. Systematically navigates the everchanging healthcare environment to...

3 days ago seen See more...

Staff Utilization Management Pharmacist (Contract)

York State Department Of Labor

New York, NY

Bachelor's degree/Pharm.D. Must have an active license with the Board of Pharmacy in the state of residence. Pharmacy degree from an accredited college of pharmacy. Ability to participate in Federal prescription programs (Medicare...

3 days ago seen See more...

Critical Care/Emergency Medicine Flex/PRN Clinical Pharmacist

Uchealth

Colorado, United States

Bachelor's Degree in Pharmacy from an accredited school of Pharmacy. State licensure as a Pharmacist and any relevant life support certification as determined at position level. Completion of a PGY2 critical care residency or PGY1...

3 days ago seen See more...

Assistant Manager, Immediate Care Center - Frankfort, Days- shifts vary

Norton Healthcare

Frankfort, KY

$38K - $48.1K a year

One year experience in a medical office setting High School Diploma or GED...

4 days ago seen See more...

Intermittent Nurse (PC, Care Manager)

Department Of Veterans Affairs

Brookings, OR

Competitive

Provides Direct Veteran care including scheduled clinic visits, walk-in or urgent visits, group visits, telephone visits, incoming telephone requests, triage/place orders by protocol, and manage pertinent Clinical Recommendations....

4 days ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

Bronx, NY

$65,000 - $68,900 a year

Must be able to understand Managed Care contracts, create project spreadsheets for submission to payers, write reconsideration appeals and send to MCOs, and be able to communicate both internally and externally for resolution of c...

a week ago seen See more...

Utilization Managed Care Nurse

Access Healthcare Physicians, Llc

Spring Hill, FL

From $65,000 a year

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Day shift. Monday to Friday. Medical records: 1 year (Preferred). CTST: 1 year (Required). RN: 5 years (Required). HEALTH P...

a week ago seen See more...

RN Care Manager-Quest Integration

Kaiser Permanente

Wailuku, HI

Provides care management (CM) and care coordination to both QI community and institutional members. Completes the Face to Face Health Functional Assessment and Service plan. Care management is provided across the continuum of heal...

4 days ago seen See more...

Care Manager(CNA/HHA)

Summit Place Senior Living

Glassboro, NJ

$18.00 - $18.50 an hour

Competitive wages. Access to wages before payday. Flexible scheduling options with full-time and part-time hours. Paid time off and Holidays (full-time). Full benefit package including health, dental, vision and more (full-time)....

4 days ago seen See more...

RN Case Manager - Virtual Care

Sanford Health

United States

RN Case Manager - Virtual Care Careers With Purpose is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50...

4 days ago seen

Palliative Care Nurse Practitioner Manager (NP)

Tandym Health

New York, NY

Manage a cohort of participants with complex care need including frailty, multiple chronic illnesses and end of life care. Review and include the most appropriate diagnosis codes, in addition to correct billing and procedure codes...

5 days ago seen See more...

Case Manager & Care Coordinator-N.I.

Kaiser Permanente

Wailuku, HI

Implements Continuing Care programs and initiatives with Continuing Care providers and PCP Team. Assists with integrating programs and initiatives into daily practice. Makes clinic/location-specific adaptations as necessary to ins...

2 weeks ago seen See more...

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