Top 4814 Manager utilization management Jobs

Social Services Manager
The Orchards —Chester, WV
- Full-time
- Skilled nursing facility
- 5 years
- Word processing
Quick Apply
Nurse Manager Psychiatric Services
Concord Hospital —Franklin, NH
- Full-time
- Nursing
- Psychiatry
- RN License
Nurse Manager | Medical Oncology & Medical Specialties
Concord Hospital —Concord, NH
- Full-time
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
RN Clinical Manager
Patients First Home Care LLC —Bradenton, FL
- $80,000 - $90,000 a year
- Full-time
- Background check
- CPR Certification
- Current TB test
- Continuing education credits
- Paid holidays
Quick Apply
Outpatient Program Manager-Northern Region
KAIROS —Eugene, OR
- $80,870.40 - $98,259.20 a year
- Full-time
- LMFT
- Clean driving record
- Addiction Medicine
- AD&D insurance
- Paid holidays
Quick Apply
RN - Assistant Nurse Manager (8a-5p) MedSurg/6200-6300 - Johnson City, TN
Ballad Health —Johnson City, TN
- Weekends as needed
- Nursing
- RN License
- PALS Certification
Assistant Nurse Manager - NICU - Hopewell - Full Time - DAYS
Capital Health —Pennington, NJ
- $47.68 - $63.56 an hour
- 8 hour shift
- Nursing
- Surgery
- RN License
- AD&D insurance
- Disability insurance
Patient Care Manager - Floater (RN)
VITAS Healthcare —Lombard, IL
- $0.70 per mile
- Full-time
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Disability insurance
Quick Apply
RN - Assistant Nurse Manager (3p-11p) W3 Oncology - Kingsport, TN
Ballad Health —Kingsport, TN
- Full-time
- Nursing
- RN License
- PALS Certification
Business Office Manager
the Fitch Design Studio (Fitch Construction, Inc.) —Fairport, NY
- $24 - $30 an hour
- Full-time
- Office
- Administrative experience
- QuickBooks
- 401(k)
- Paid time off
Quick Apply
Clinical Supervisor – Child & Family Services (Lebanon)
West Central Behavioral Hea —Lebanon, NH
- $68,500.00 - $104,483.09 a year
- Customer service
- Computer literacy
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
Pharmacy Manager
Weis Markets —Burnham, PA
- $94,000 - $155,000 a year
- Full-time
- Background check
- Bachelor of Science
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Care Manager - Registered Nurse
Crouse Hospital —Syracuse, NY
- $80,000 - $86,000 a year
- Weekends as needed
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Manager
Heart of Kansas Family Health Care, Inc. —St. John, KS
- $26 - $40 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Continuing education credits
- Mileage reimbursement
Quick Apply
14d
Case Manager
Valley Springs Youth Ranch —Black, MO
- From $37,440 a year
- Full-time
- Mid-level
- Residential
- Working with children
- Paid training
- Health savings account
Quick Apply
8d
Manager - Substance Use Treatment Clinic
MaineHealth —Rockland, ME
- Licensed Clinical Social Worker
- Mid-level
- Outpatient experience
- Paid parental leave
- Parental leave
RN Hospice Case Manager
Audubon Hospice Care —Baton Rouge, LA
- Full-time
- Background check
- Vital signs
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
11d
Case Manager - Bronson Battle Creek
Bronson Healthcare —Battle Creek, MI
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
Rehab Manager-OT/PT
INNOVATIVE INTEGRATED HEALTH —Bakersfield, CA
- $130,000 - $140,000 a year
- Full-time
- CPR Certification
- Microsoft Outlook
- Writing skills
- Health savings account
- Health insurance
Clinical Supervisor
Murtis Taylor Human Services System —Cleveland, OH
- $58,000 - $65,000 a year
- Weekends as needed
- LMFT
- Nursing
- Mid-level
- Health savings account
- Health insurance
Quick Apply

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Social Services Manager

The Orchards -
Chester, WV

Quick Apply

Job Details

Full-time

Qualifications

LSW
Working with families

Full Job Description

Social Services

For over the last seventy years, The Orchards have continued the traditional values inspired by the Fox Family: respect for one another, concern for each resident’s well-being, and encouragement of individual interests and enjoyment of life’s pleasures. These values are a gift The Orchards staff members share every day with residents and each other.

Position Summary

The Social Services coordinator works closely with residents and their families to ensure all matters of resident care are coordinated from admission to discharge.

The ideal candidate is compassionate, organized and skilled at connecting individuals with community resources, support services and interdisciplinary teams to promote positive outcomes and improve quality of life for those served. They should demonstrate problem solving skills, maintain confidentiality and effectively manage multiple cases or responsibilities in a fast-paced environment.

Duties & Responsibilities

Effective leadership that includes supporting core values, addressing zero tolerance behaviors and maintaining active communication with all employees.
Reviews and prioritize grid of organizational and Minimum Data Set (MDS) assessments with various staff members each day including, but not limited to sections C, D, E, and Q of the MDS. Reviews charting and data regarding residents' cognition, psychosocial information, behaviors, and moods.
Interacts daily with residents and their families to counsel, intervene, and report on action items including but not limited to: admissions, room changes, potential payer changes, resident life issues or concerns (can be walk-ins or scheduled in advance).
Coordinates and completes insurance authorizations and updates for various managed care and commercial insurance.
Complete and maintain PASRRs, HENS, and other documents required for SNF admission and/or continued stay
Complete and maintain NOMNCs and SNF ABNs as required
Coordinates discharges from the Orchards including, but not limited to making needed referrals, transportation, doctors’ orders (with nursing), pharmacy needs, and family meetings as needed.
Coordinates, manages, and evaluates facility concern and grievance programs
Attends meetings with other staff to discuss residents and to participate in care planning, restorative care planning, discharge planning, utilization review, falls, obtain/order DME when appropriate, case management, alleged abuse investigations, and quality assessment activities and analysis. Attend other meetings as required or appropriate for position.
Serves as resident and campus liaison for SNF, ALF, and ILF with APS, the Ombudsman, and other resident stakeholders or groups
Travels to other campuses as required to provide social services support as required.

Supervisory Responsibilities

Directly supervises Social Service Coordinators and carries out supervisory responsibilities in accordance with the organization’s policies at the OEL and SP campuses.

Education & Experience

Bachelor’s degree in social services or related field eligible to qualify for WV licensure.
Licensed in West Virginia Social Work (LSW) – Required
Minimum of five (5) years of related experience and/or training in a geriatric care facility preferred; or an equivalent combination of education and experience.
Ability to complete all annual state-mandated training requirements, including regular in-service education and external training programs.

Clinical Support & Quality Improvement

Assist with performance improvement initiatives and continuous quality improvement efforts.
Support survey readiness/compliance activities.
Serve as a resource for regulatory standards, case mix management, and quality measures.
Participate in resident care problem-solving conferences and interdisciplinary collaboration.
Support initiatives that improve clinical outcomes, operational systems, and resident safety.

Compliance and Resident Safety

Maintain current knowledge of federal, state, and local regulations.
Promote an environment focused on resident safety, risk reduction, and error prevention.
Demonstrate knowledge of proper identification, reporting, and resolution of healthcare errors.
Collaborate with department supervisors to maintain compliance with organizational standards and regulatory requirements.

Skills and Abilities

Experience in long-term care, senior living, rehabilitation, or related healthcare setting preferred.
Knowledge of state and federal healthcare regulations and survey processes.
Strong leadership, organizational, communication, and interpersonal skills.
Ability to work collaboratively across departments and support a team-centered culture.
Skills specific to communicating with geriatric residents and their families are needed. May need additional skills with special-need geriatric residents, such as those with dementia, Alzheimer's, or those requiring advanced health care.
Strong knowledge of spreadsheet and word processing software for creating reports and correspondence.

Why Join The Orchards?

At The Orchards, we believe exceptional care begins with exceptional people. We are committed to creating a supportive environment where employees are valued, residents are respected, and professional growth is encouraged.

The Orchards is an Equal Opportunity Employer and is committed to creating an inclusive and respectful workplace for all employees and applicants. We consider all qualified applicants for employment without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.

Quick Apply

Refine Your Search

manager utilization management jobs

Social Services Manager

Nurse Manager Psychiatric Services

Nurse Manager | Medical Oncology & Medical Specialties

RN Clinical Manager

Outpatient Program Manager-Northern Region

RN - Assistant Nurse Manager (8a-5p) MedSurg/6200-6300 - Johnson City, TN

Assistant Nurse Manager - NICU - Hopewell - Full Time - DAYS

Patient Care Manager - Floater (RN)

RN - Assistant Nurse Manager (3p-11p) W3 Oncology - Kingsport, TN

Business Office Manager

Clinical Supervisor – Child & Family Services (Lebanon)

Pharmacy Manager

Care Manager - Registered Nurse

Registered Nurse Manager

Case Manager

Manager - Substance Use Treatment Clinic

RN Hospice Case Manager

Case Manager - Bronson Battle Creek

Rehab Manager-OT/PT

Clinical Supervisor

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