- Highmark Health (Columbus, OH)
- …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job has primary...regulatory agency requirements and applicable standards of practice for case management including those published by CMSA… more
- Tenet Healthcare (Detroit, MI)
- Clinical Social Worker Case Management Contingent Days - 2506001069 Description : DMC Sinai-Grace Hospital is DMC’s largest hospital, offering a ... and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Director Clinical Case Management today with HCA Healthcare. **Benefits** HCA Healthcare, offers a ... location._** Come join our team as a Director Clinical Case Management . We care for our community!...cases. + Provides subject matter expertise and oversight in complex care management and discharge planning. +… more
- NANA Regional Corporation (Herndon, VA)
- …in support of the Federal Agency and reporting: Obtain data from case management systems. + Perform in-depth analysis of complex processing issues. + Prepare ... Akima Global Logistics (AGL) seeks a Case Management Analyst III located in...and trends. + Performs work under minimal supervision. Handles complex issues and problems and refers only the most… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This ... The NCM reports to and assists the Director of Case Management in providing ongoing education to...interdisciplinary rounds on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION: The Case Manager coordinates,...is BSN prepared will be a leader in the Case Management practice. The Case Manager ... procures services resources for and manages the care of complex patients to facilitate achievement of quality and cost,...the guidelines. ** 3. Identifies the appropriate patients for Case Management services. ** 4. Maintains a… more
- NANA Regional Corporation (Herndon, VA)
- …Southeastern United States capable of evaluating and improving a federal agency's case management program by analyzing data, schedules, processes, and outcomes ... program effectiveness. Data Analysis encompassing the collection, interpretation, and analyzation of case management data to identify trends, patterns, and areas… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Job Description : Summary: This position serves as the expert and leader for case management activities and overall coordination within the Case ... position oversees the clinical and administrative operations and implementation of Case Management activities, including systematic approaches to improve member… more
- ICF (Asheville, NC)
- Description ICF seeks a ** Case Manager Lead** to..., you will work closely with other members of the Case Management Team, Project Team and the Program ... Manager; clearly communicate case management production, and provide guidance and...and deadlines. + Ability to learn, analyze, and understand complex documents such as tax returns, property deeds, insurance,… more
- ICF (Fort Myers, FL)
- Description ICF seeks a ** Case Manager Lead** to..., you will work closely with other members of the Case Management Team, Project Team, and the Program ... Manager; clearly communicate case management production, provide guidance and oversight...and deadlines. + Ability to learn, analyze, and understand complex documents such as tax returns, property deeds, insurance,… more
- NANA Regional Corporation (Herndon, VA)
- Akima Global Logistics (AGL) seeks a Senior Case Management Analyst located in the Southeastern United States capable of Data Analysis and Reporting. Analyze ... case management data: Identify trends, patterns, and...with a high degree of latitude. Handles the most complex issues. + May act as a lead. **Qualifications**… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** The Assistant Director of Case Management supports the Director of Case Management with the overall operation of the Case ... efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- RWJBarnabas Health (Rahway, NJ)
- … ManagementReq #:0000183145 Category:Nursing Status:Per Diem Shift:Day Facility:RWJ Rahway Department: Case Management Location: RWJUH Rahway Hospital, 865 Stone ... hospital setting + Minimum of one year experience in Case Management /Utilization Management or Home...with Medical/Surgical patients. Other Duties: Please note this job description is not designed to cover or contain a… more
- The County of Los Angeles (Los Angeles, CA)
- …SERVICE COORDINATOR, CCS (Registered Nurse, Pediatrics - Case Management ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) Apply ... MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse, Pediatrics - Case Management ) Salary $99,205.68 - $148,498.56 Annually Location Los Angeles County, CA Job… more
- ICF (Fort Myers, FL)
- …on case status + Coordinate with program team members, including the case management lead, QA/QC staff, and construction teams, to ensure applications are ... Description ICF seeks a ** Case Manager**...eligibility and other required information in electronic databases and case management systems + Prepare letters to… more
- Guthrie (Corning, NY)
- …assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). ... of the hospital computer system as it relates to case management . Education, License & Cert: BSN...care needs. e) Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse (RN), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman Barnabas Medical ... Center Department: Case Management Location: Cooperman Barnabas Medical Ctr,...treatment and care. Other Duties: Please note this job description is not designed to cover or contain a… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... Third Party Payor requirements preferred. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
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