Top 17904 Certified case manager Jobs

Utilization Review Coordinator
Neuropsychiatric Hospitals —Huber Heights, OH
- Full-time
- Nursing
- Psychiatry
- Mid-level
- Health insurance
- Dental insurance
Manager, Integrated Case Management - Sarasota Campus
Sarasota Memorial Health Care System —Sarasota, FL
- $49.40 - $74.10 an hour
- Full-time
- Background check
- Master of Social Work
- Nursing
- Free parking
- Disability insurance
Quick Apply
Case Manager – Heir Location & Unclaimed Property Claims
Lauth Investigations International —Boulder, CO
- $80,000 - $110,000 a year
- Full-time
- Research
- Mid-level
- 3 years
- Wellness program
- Health savings account
Quick Apply
Social Work Case Manager II
Santa Clara Family Health Plan —San Jose, CA
- $100,968 - $151,451 a year
- Full-time
- Spanish
- Clean driving record
- Microsoft Outlook
Quick Apply
7d
Behavioral Health Single Case Specialist
New Horizons Child & Family Institute —California
- $30 - $36 an hour
- Part-time
- Mid-level
- Associate's degree
- 2 years
- Continuing education credits
- Paid holidays
Quick Apply
2d
Executive Case Manager (Remote)
Valeris —Remote
- Remote
- Bilingual
- Background check
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
Telephonic Case Manager
Enlyte —Missouri
- $74,000 - $86,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health savings account
- AD&D insurance
CSO/Case Manager (Adult Probation)
Harris County —Houston, TX
- $4,709.41 - $5,676.66 a month
- Overtime
- Background check
- Pass drug screening
- Mid-level
- Disability insurance
- Health insurance
Telephonic Case Manager I
CorVel Corporation —Nottingham, MD
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Case Manager
ASHLIN Management Group, Inc. —Washington, DC
- Bilingual
- Computer literacy
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Virtual Nurse Case Manager/Neurology (12-9p EST)
Momentum Life Sciences —Remote
- $38 - $40 an hour
- Full-time
- Remote
- Nursing
- RN License
- English
Case Manager and Companion
LF OFFICE LLC —New York, NY
- $125,000 - $200,000 a year
- Full-time
- CPR Certification
- 5 years
- Office
- Health insurance
- Dental insurance
Quick Apply
Remote Mental Health Case Manager
2C-Health Solutions —Remote
- $23 - $30 an hour
- 8 hour shift
- Spanish
- Addiction Medicine
- Mid-level
- Flexible schedule
Quick Apply
3d
Workers Comp Case Manager
Enlyte —Fort Worth, TX
- $74,000 - $90,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health savings account
- AD&D insurance
Case Manager
FAMILYTIES OF SC LLC —Florence, SC
- $25 - $30 an hour
- Part-time
- Mid-level
- Bachelor's degree
- 2 years
Quick Apply
Psychiatrist
Valor Healthcare, Inc. —McMinnville, TN
- $360,000 - $400,000 a year
- Full-time
- Medicine
- Psychiatry
- BLS Certification
Quick Apply
Certified Hand Therapist- Part Time
Vail Health Hospital —Basalt, CO
- $45.95 - $63.41 an hour
- 8 hour shift
- Hospital
- 5 years
- Computer literacy
- 403(b) matching
- Loan repayment program
Quick Apply
Psychiatrist
Valor Healthcare, Inc. —Bowling Green, KY
- $360,000 - $400,000 a year
- Full-time
- Medicine
- Psychiatry
- BLS Certification
Quick Apply
Certified Hand Therapist- PRN
Vail Health Hospital —Frisco, CO
- $45.95 - $63.41 an hour
- PRN
- 5 years
- Computer literacy
- BLS Certification
8d
Occupational Therapist (Sign on Bonus $10,000)
VNA of Albany —Amsterdam, NY
- $42.00 - $54.22 an hour
- Full-time
- Background check
- Management
- Customer service
- Health savings account
- Health insurance
Quick Apply

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Utilization Review Coordinator

Neuropsychiatric Hospitals -
Huber Heights, OH

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Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
Employee discount

Qualifications

Customer communication
Employee relationship building
Transitional care planning in clinical case management
Bachelor's degree
Clinical data entry
Utilization management
Resource utilization in healthcare
Managing patients as a clinical case manager
Hospital experience
Quality data entry

Full Job Description

About Us:

Healing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day

Overview:

North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.

Benefits of joining NPH

Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart

Responsibilities:

Filing documents as needed.
Initial Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensures that CON’s/RON’s and CMS certifications are completed by provider.
Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
Complies with hospital expectations regarding ethical behavior and standards of conduct.
Complies with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provides education to nursing staff. leadership team, and providers regarding documentation.
Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.

Qualifications:

Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.

Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.

Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.

Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

Apply Now

Refine Your Search

certified case manager jobs

Utilization Review Coordinator

Manager, Integrated Case Management - Sarasota Campus

Case Manager – Heir Location & Unclaimed Property Claims

Social Work Case Manager II

Behavioral Health Single Case Specialist

Executive Case Manager (Remote)

Telephonic Case Manager

CSO/Case Manager (Adult Probation)

Telephonic Case Manager I

Case Manager

Virtual Nurse Case Manager/Neurology (12-9p EST)

Case Manager and Companion

Remote Mental Health Case Manager

Workers Comp Case Manager

Case Manager

Psychiatrist

Certified Hand Therapist- Part Time

Psychiatrist

Certified Hand Therapist- PRN

Occupational Therapist (Sign on Bonus $10,000)

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