Case Manager Utilization Review

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to...

Senior RN Utilization Review/Management (Acute InPatient) JR116937 Location: Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is primarily a remote position but may be required to go in for meetings/training. MUST RESIDE IN THE STATE OF FLORIDA. Work Hours: 8am - 5pm, Monday - Friday. 2 Holidays per year and ...

Job Description : Clinical Operations Medical Director Utilization Management of Medical Oncology Benefits Carelon Benefits Management $20,000 Sign On Bonus Location : The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations with the opportunity to work remotely from home. A proud member of the...

Develops, manages and directs the Utilization Management programs for the primary care clinics. The key objective is to drive cost-effective, high-quality care with high provider and patient satisfaction. Develops and manages data-driven programs that emphasize appropriate admissions as well as concurrent and retrospective review of care. Responsible for...

Job DescriptionJob DescriptionDevelops, manages and directs the Utilization Management programs for the primary care clinics. The key objective is to drive cost-effective, high-quality care with high provider and patient satisfaction. Develops and manages data-driven programs that emphasize appropriate admissions as well as concurrent and retrospective...

Case Manager RNJob Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...

Looking for qualified Case Manager to join our team! We are searching for a Case Manager to join our community that is resident and family focused, a team builder, and excited about the opportunity to assist in building a culture. If you are a Case Manager that has business acumen, is team-oriented, driven, and excited about the opportunity to build a...

Case Manager RNJob Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...

Clinical Reviewer Job Description As a Clinical Reviewer, you will play a pivotal role in recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for your assigned and non-assigned post-acute care (PAC)...

Clinical Reviewer Job Description As a Clinical Reviewer, you will play a pivotal role in recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for your assigned and non-assigned post-acute care (PAC)...

Firm Summary White & Case is an elite global law firm serving leading companies, financial institutions and governments worldwide. Our long history as an international firm means we are perfectly placed to help our clients resolve their most complex legal challenges wherever they may be. With lawyers operating from more than 40 locations, working in...

Firm Summary White & Case is an elite global law firm serving leading companies, financial institutions and governments worldwide. Our long history as an international firm means we are perfectly placed to help our clients resolve their most complex legal challenges wherever they may be. With lawyers operating from more than 40 locations, working in...

100% RemoteJob Description:Provides timely assessment of reported clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and can communicate with Study Lead any findings. Provide review of safety-related data from clinical trials for...

Case Manager RN Job Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...

Case Manager RN Job Description: The Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...

Case Manager RN -Kennedy Emergency DeptThe Case Manager is responsible for ensuring patient progress and meeting and facilitating a safe and sustainable transition plan. Collaborates with Physician and Interdisciplinary Team to determine plan of care, treatment, estimated LOS, and likely discharge disposition (home, LTAC, SNF, or ALF). Ensures that...

Job DescriptionJob DescriptionA Florida stablished Law Firm is looking for an ambitious attorney for its Tampa office, specifically for its First-Party Property division. Responsibilities:Handle a comprehensive caseload from initiation through post-trial.Participate in hearings, depositions, mediations, and trials.Draft pleadings, manage discovery and...

Job Description: Disaster Case Manager Reports to: Disaster Case Management Supervisor, Program Manager Status: Full-time Exempt Grant Funded Will work in the following counties: Charlotte, Collier, Desoto, Glades, Hardee, Hendry, Highlands, Monroe, Okeechobee, Palm Beach and Sarasota BACKGROUND Disaster Case Management is a time-limited process by which a...

Job DescriptionJob DescriptionA Florida stablished Law firm is seeking an ambitious attorney in its Tampa office. The ideal candidate for the position must have a passion for insurance defense litigation.Responsibilities:Manage significant caseload from inception to post-trial.Attend hearings, depositions, mediations, and trials.Prepare pleadings,...