- Henry Ford Health System (Wyandotte, MI)
- …of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. ... years. PART TIME 20 HOUR DAYS GENERAL SUMMARY: The Case Manager is a member of the hospital or...and family's health care needs. The goals of the case manager are to promote patient safety, quality of… more
- CVS Health (Charleston, WV)
- …preference: (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac) with Medicare members. - 2 years Case Management, Discharge Planning, and/or ... to 10 to 25% travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise Help… more
- SUNSHINE ENTERPRISE USA LLC (Cypress, CA)
- …of experience in Long Term Care, Community Health, Managed Care Medi-Cal, Medicare programs. Active Commission for Case Manager (CCM) certification. Bilingual ... in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). Current, unrestricted Registered Nurse (RN) license to practice in the state of California required. more
- Henry Ford Health System (Clinton, MI)
- …of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. ... Under the direction of VP Operations, CNO, the Regional Director of Case Management is responsible for the development, implementation, and/or monitoring of the… more
- Optum (Delano, MN)
- …Care and discover the meaning behind Caring. Connecting. Growing together . The Case Manager RN is responsible and accountable for coordination of patient services ... and psychosocial approach through the continuum of care. Through concurrent case management, patients will be assessed to determine appropriateness of admission,… more
- Optum (Boulder, CO)
- …a global scale. Join us to start Caring. Connecting. Growing together. The Case Manager RN is responsible and accountable for coordination of patient services ... and psychosocial approach through the continuum of care. Through concurrent case management, patients will be assessed to determine appropriateness of admission,… more
- Pyramid Consulting, Inc. (Austin, TX)
- …and procedures for the pharmacy department Participate in the coordination of the Medicare MTM program Assist case management team with members including ... reviews medication prior authorization requests and coverage determinations for the Medicaid, Medicare and Health Exchange lines of business. Day 2-day roles: A… more
- StateJobsNY (Bronx, NY)
- …for Emergency Limited Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have: *Bachelor's degree in social work, psychology, nursing, ... a competitive class appointment if they are reachable on the current Intensive Case Manager eligible list. OR Candidates within State Service can be considered for… more
- ACI Health (Torrance, CA)
- We are seeking a dedicated and compassionate Case Manager to join our team. The ideal candidate will play a crucial role in supporting individuals and families by ... of Experience: 2 year(s) Charting System: Required , Epic Skills The successful Case Manager will possess the following skills: Strong knowledge of behavioral health… more
- Pair Team (Sacramento, CA)
- …Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, ... on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager,… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... Twitter and LinkedIn. Brief summary of purpose: The Nurse Case Manager (NCM) is an integral part on an...processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach,… more
- Kaiser Permanente (Atlanta, GA)
- …and families to develop discharge planning, identification of patients for ambulatory case management, communication with case managers, home care reviewers, ... related to acute and chronic illness. Refers patients to the ambulatory case managers, care managers and/or social workers as appropriate. Documents all admissions… more
- Orlando Health (Ocoee, FL)
- …use of hospital resources. Assists with planning an individual comprehensive case management plan addressing patient/family needs and transition to the next ... with review requirements for Managed Care contracts, governmental payors (ie Medicare , Medicaid, and Champus) and departmental review policies; adheres to… more
- Gaylord Specialty Healthcare (Wallingford, CT)
- …reviewers, physicians and hospital staff. Administers notices of non-coverage to Medicare patients who do not meet medical necessity. *Performs comprehensive ... Acts as the principal communicator to the patient, families and external case managers regarding insurance benefits / reimbursement, treatment plan, progress, length… more
- Integritus Healthcar (East Longmeadow, MA)
- …skilled nursing and rehabilitation, hospice and senior living solutions. As a Medicare Certified Home Health agency, the Integrihome providers offer expertise and ... established Standards of Nursing Practice and Home Health procedures. The RN Case manager will: Assesses patient/family learning needs, style and limitations and… more
- Hope At Home Health Care (Romulus, MI)
- …dedicated to helping people excel in the comfort of their home. We offer Medicare certified skilled services. Whether you are recovering from injury or illness, or ... simply want to reinvigorate your mobility and health, HOPE At Home Health Care has a solution for you. We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability… more
- Healogics (Gadsden, AL)
- …the Wound Care Center patients as scheduled. The position may also serve as a Case Manager to a group of assigned Wound Care Center patients, as assigned and ... federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential...Healogics Vein Clinic training completed May also serve as Case Manager to a group of patients as assigned.… more
- The Ohio State University Wexner Medical Center (Columbus, OH)
- …Centerburg, Newark, Johnstown, Westerville HOW YOU'LL MAKE A DIFFERENCE: As a Registered Nurse Case Manager (RNCM) you will make a difference in the lives of our ... for the assessment of the patient condition and plan of care. You will case manage and provide clinical care under the direction of the physician. You'll educate… more
- Dungarvin (Longview, WA)
- …and enrich people's lives. Our Housing team is responsible for providing case management services and life skill development for homeless individuals and families. ... and interviews with clients to determine eligibility. Develop and update action plans, case notes, and other documents related to a client's file. Provide ongoing… more
- Sevita (Tyler, TX)
- …through Medicaid, Medicare , Social Security, and private insurance. Maintain up-to-date case records with the status of case activity, including progress ... for infants, children, adolescents, Military Service Members and Veterans. Case Manager The Case Manager meets and works with individuals to gather information;… more
