- Regency Integrated Health Services (Cuero, TX)
- …from the referral source(s). Ensures accurate and timely completion of all Medicare /Medicaid case -mix documents to assure appropriate reimbursement for services ... Medicare /Managed Care Assessments. Tracks Skilled (MRA/MCO/MCG/MMP) customers utilizing Case Management Tools to determine continued and appropriate Medicare… more
- OPCO Skilled Mangement (New Orleans, LA)
- …government agencies. *Assigns, assists, and instructs staff in the RAI Process, PPS Medicare , Medicaid ( Case Mix as required) and clinical computer system in ... of nursing experience in a Skilled Nursing Facility preferred. *Excellent knowledge of Case -Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as… more
- Deaconess (Evansville, IN)
- …staff communication and education, and optimal transition/discharge planning following CMS ( Medicare 's) Condition of Participation. The RN Case Manager serves ... opportunities Explore All Benefits: https://www.deaconess.com/For-You/Employees/Employee-Benefit-Resources/Documents Job Overview The RN Case Manager demonstrates the knowledge, critical thinking, and judgment… more
- Cambridge Health Alliance (Everett, MA)
- …effective and efficient patient care consistent with the Centers for Medicaid and Medicare Conditions of Participation. The RN Case Manager will collaborate with ... Days: 8-4:30pm including weekend rotation Category: Registered Nurse Department: Inpatient Case Management Everett Job Type: Per Diem Work Shift: Day Hours/Week:… more
- CommuniCare Family of Companies (Allison, IA)
- …timely completion of mds assessments and coordination of the RAI process. Provides Medicare , Medicaid ( case mix), and managed care oversight to ensure ... long term care environment preferred Experience with the MDS/RAI process and/or case management preferred JOB RESPONSIBILITIES The MDS Nurse RAC (Resident Assessment… more
- Avera Health (Aberdeen, SD)
- …legal and ethical standards. Participates in QI activities. Develops expertise in Medicare , MDS assessment, Case Mix, payer sources and reimbursement issues. ... Maintains financial integrity of the unit via accurate patient charges. Reviews, updates and standardizes forms. Maintains current procedure manual and policies. Serves as a resource person to other healthcare professionals, nursing students and community… more
- Pyramid Consulting, Inc. (Tampa, FL)
- …and procedures for the pharmacy department. Participate in the coordination of the Medicare MTM program. Assist case management team with members including ... clinical rounds presentations. Key Requirements and Technology Experience: Key Skills:Registered Pharmacist ,Prior authorization ,Pharm D . Bachelors / PharmD . Current states pharmacist license . Our client is a leading Healthcare Industry, and we are… more
- UofL Health (Louisville, KY)
- …or questions cases. Educates the healthcare team about the role of the RN: Case Manager. Is accessible to the healthcare team as a resource. Appropriately refers ... is unable to be resolved Ensure delivery of Discharge Medicare Important Message (IM) and Medicare Outpatient...where applicable Acknowledges, addresses, and completes are Consults to Case Management on respective units in EMR Other Functions:… more
- University of Southern California (Los Angeles, CA)
- …care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, ... Duties: Clinical Care Coordination *Able to effectively manage a case load of 18-20 patients *Utilizes the on line...are met. *Participates in physician and unit rounds. *Completes Medicare One Day Stay forms timely. *Completes disposition form… more
- Kaiser Permanente (Arlington, VA)
- …decrease inappropriate utilization of medical services. In close collaboration with the nurse case manager and other members of the health care team, develops and ... efficient, and timely manner. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department… more
- Kaiser Permanente (Decatur, 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
- Medix (Chatsworth, CA)
- …position at one of our clients. Job Summary Our client is seeking a Case Management Manager responsible for overseeing the Case Management Department. This ... position involves ensuring adherence to policies, monitoring case assignments, and timely completion of Individualized Care Plans (ICPs) and Interdisciplinary Care… more
- Bayview Hunters Point Foundation (Culver City, CA)
- Case Manager I (Sepulveda Adult Services) This is a hybrid position, and you have the option to elect into a 9/80 flex work schedule. The pay range for this role is ... 1,000 dedicated employees and volunteers make Didi Hirsch's work possible. Summary As a Case Manager I (internally referred to as a Care Coordinator I), you will… more
- WMC Health Network (Suffern, NY)
- The Case Manager (RN) is responsible for implementing and supervising the day-to-day operations of the Case Management programs at Bon Secours Charity Health ... care. RESPONSIBILITIES: Oversees the patient assessment process within the Case Management department to identify pertinent/potential patient problems. Addresses… more
- PACS (Arvin, CA)
- Job Posting: Part-Time Case Manager (Non-Licensed) Location: Arvin Post Acute Schedule: Part-Time (24-30 hours/week) Starting Pay: $16.58/hour We are seeking a ... highly organized and communicative Case Manager to join our team on a part-time...healthcare or long-term care setting strongly preferred Knowledge of Medicare and Medi-Cal/Medicaid programs is a plus Strong organizational,… more
- White Rock Medical Center (Dallas, TX)
- …in inpatient acute care. At least 1 year of experience in case management, discharge planning, or utilization review preferred. Familiarity with insurance coverage ... policies including Medicare , Medicaid, and commercial payors. Working knowledge of electronic medical records and hospital workflows. Strong communication,… more
- Courtyard Healthcare Center (Davis, CA)
- Case Manager Position Summary: Coordinates the delivery of rehabilitation services to patients in collaboration with the facility staff. Continually monitors and ... medical records to ensure accurate census and payment of managed care and Medicare residents Benefits : Competitive pay Health Benefits - Medical, dental, and vision… more
- Trinity Health (Schenectady, NY)
- …Care for the Elderly (PACE)a unique model that is both the Medicare /Medicaid insurer and healthcare providergiving us maximum ability to customize services to ... are at full risk, with the ability to combine Medicare and Medicaid resources to provide care in creative...service, adult daycare program, home delivered meals, activities, RN case management, social work, and more! We provide a… more
- AdvisaCare (Flint, MI)
- …you looking for a challenging and rewarding position as a Hospice RN Case Manager ? We are searching for compassionate, dynamic, energetic, organized and efficient ... revisions as needed Compliance with AdvisaCare Hospice Policies and Procedures, Medicare compliance Consulting with and educating the patient/family on disease… more
- The University of Miami (Miami, FL)
- …The UHealth System at the University of Miami has an exciting opportunity for a Case Manager RN in the Population Health Department. SUMMARY The Case Manager RN ... and performs duties as directed and under the supervision of RN Manager Case Management. Collaborates with Primary Care Providers to develop and execute longitudinal… more
