- Public Consulting Group (Providence, RI)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Child & Family Services of RI (Middletown, RI)
- … case management services to participants who are part of the Conflict Free Case Management Model. The Case Manager provides in-home visits, monthly ... plan development, personalized services budgeting, oversite, referrals, and monitoring. The case manager assists with care coordination to ensure the… more
- Guardian Life (Providence, RI)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- Charter Care Health Partners (North Providence, RI)
- …required. Center Case Management (CCM) (R) board certification or Accredited Case Manager (ACM (TM) ) is highly desirable. Interrelationships: Patient ... or designee. Provides coordinated care support to Physician leadership and Clinical Manager (s) of respective services. Makes daily rounds and collaborates with the… more
- Brown University (Providence, RI)
- Job Description: The Clinical Case Manager will oversee the comprehensive care of students with various health needs, ongoing health conditions, and mental ... in maneuvering through the complexities of the healthcare system. The Clinical Case Manager will serve as a crucial link, ensuring seamless coordination between… more
- Cardinal Health (Providence, RI)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Prime Healthcare (Woonsocket, RI)
- …accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. ... maintain current. #LI-DQ1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/199166/bonus-available%21 case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark Medical Center LocationUS-RI-Woonsocket… more
- Guardian Life (Providence, RI)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- Athena Health Care Systems (Warwick, RI)
- …the patient's efforts toward self-sufficiency and optional comfort care. + Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility ... We are hiring per diem Hospice Registered Nurse Case Managers (RN) to join the Athena Hospice of Rhode Island team! Prior experience in hospice care is required.… more
- Cardinal Health (Providence, RI)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Providence, RI)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Highmark Health (Providence, RI)
- …the appropriate clinical interventions and referrals, the incumbent will 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 management including but is not limited to: developing a care plan, encouraging behavior… more
- HUB International (Providence, RI)
- …**Additional duties and responsibilities include:** + Consult on recommendations and solutions for case design with a focus on the customers' needs + Enter new ... with all other internal departments to assist financial advisor with unique client or case circumstances + Respond to the client and financial advisor inquiries in a… more
- Cardinal Health (Providence, RI)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- South County Hospital (Wakefield, RI)
- …Accredited by The Joint Commission (TJC), SCH is made up of South County Hospital, South County Home Health, and South County Medical Group. South County Health has ... received numerous distinctions for patient care and safety, including a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A's for hospital quality and patient safety by The Leapfrog Group. Having celebrated over 100 years… more
- Public Consulting Group (Providence, RI)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Evolent (Providence, RI)
- …Pacific Coast time during standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus - Preferred + Knowledge and ... experience teaching self-management. - Preferred + Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.- Preferred + Strong work ethic built on a… more
- Sedgwick (Providence, RI)
- …Rehabilitation Counselor (CRC), Certified Disability Management Specialist (CDMS) or Certified Case Manager (CCM) designation preferred. **Experience** Four (4) ... employment positions as requested by referral sources or employers; to assist case management staff with client competence decisions for individual positions; to… more
- South County Hospital (Wakefield, RI)
- …medical home model offering strong collaboration with a pharmacist and nurse case manager to support high-risk patient populations. The Center allows ... our physicians to coordinate care with specialists within the group. Practice patients receive breathing, intravenous antibiotics, and other treatments, suturing and other procedures, and after-hours care by the adjacent Express Care, enabling seamless… more
- CompuCom (Providence, RI)
- …operating goals + Prepares reports and records on department activities for use during case management or for team/program manager as requested + Call scrubbing ... following and offering suggestions to better improve procedures and policies, case management, case dispatch, entry level technical case review and triage,… more