- Genesis Healthcare (Los Angeles, CA)
- …impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical , administrative, and financial oversight of ... Director, assists with the development, implementation, and maintenance of a case management model which meets the clinical and financial goals of Genesis… more
- CVS Health (Columbus, OH)
- …appropriate treatment/services. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, ... (Includes West, Central, South and Northeast regions) Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate...of care to meet the member's goals. + Utilizes case management and quality management … more
- Aveanna Healthcare (Fresno, CA)
- …+ Collaborating with the operations and business development team + Internal case management , evaluation and development of nursing talent + Ensure ... RN Case Manager - Clinical Supervisor -Hybrid...salary plus quarterly incentive potential, cell phone and mileage reimbursement Why Choose a RN Case Manager… more
- CVS Health (Oak Brook, IL)
- …that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - ... with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is...decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management … more
- Hackensack Meridian Health (Hackensack, NJ)
- …These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management , and transitions of care, as ... Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical… more
- Hackensack Meridian Health (Hackensack, NJ)
- …These include but are not limited to utilization review, hospital reimbursement , clinical compliance, case management , and transitions of care, as ... The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical … more
- CVS Health (Salt Lake City, UT)
- …effective utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses ... Motivational Interviewing and engagement interventions to optimize member participation in case management programs. + Completes a Comprehensive Assessment and… more
- Meriter-UnityPoint Health (Madison, WI)
- …Psychiatry OP Location:Child/Adolescent Psych Hospital Job Description: The Child and Adolescent Clinical Resource Nurse and Outpatient Case Manager serves four ... participant in the IOS program. + .Assists with utilization management to ensure optimal clinical and financial...the needs of all staff on campus. The two Clinical Resource Nurse and Outpatient Case Coordinator… more
- Northern Rivers Family Services (Hudson, NY)
- Clinical Case Manager Job Details Job Location Castleton-NPCS - Castleton-on-Hudson, NY Position Type Full Time Salary Range $21.00 - $21.00 Hourly Travel ... Percentage Up to 50% Description As a Clinical Case Manager in the Intensive Aftercare Prevention Program, you will provide six to nine months of intensive… more
- Devereux Advanced Behavioral Health (Warwick, RI)
- …a case load of 4 to 6 therapeutic foster homes/placements and provide both case management and clinical services to support both the families and the ... Foster Care in Warwick, RI) has an immediate opening for a Per-Diem Clinical Case Coordinator (bilingual preferred but not required)._** **2 days paid… more
- Guthrie (Sayre, PA)
- …financial outcomes. Identifies opportunities to continue or reduce costs and optimize case reimbursement . a) Identifies cost/ clinical outlier patients for ... based on assessed needs and available resources. The Acute Case Manager monitors clinical approaches and make... management , utilization review, and payer knowledge. A Case Management certification or obtaining a … more
- Mount Sinai Health System (New York, NY)
- …other clinicians to expedite diagnostic testing, treatment and consultations. d. Documents all clinical reviews in Case Management Documentation system. e. ... **Job Description** **RN/ Case Manager MSH Case Management...(ELOS). The CM works collaboratively with physicians, social workers, clinical nurses, home care services, and other members of… more
- Houston Methodist (Houston, TX)
- …Physician Advisor position is responsible for teaching, consulting, and advising the case management department, clinical documentation specialists, medical ... Advisor position will conduct clinical reviews on cases referred by case management and/or other healthcare professionals in accordance with hospital… more
- Carnival Cruise Line (Miami, FL)
- …employing over 160,000 crew members. **Essential Functions:** + Case Management Oversight + Manage high-complexity cases involving clinical challenges, cases ... empathy. + Review clinical care plans for appropriateness and support the case management team in decision-making. + Oversee care coordination for referred… more
- Houston Methodist (Houston, TX)
- …community resources/services to uninsured patients as requested Case Management staff + Participates in reimbursement /certification and authorization-related ... At Houston Methodist, the Case Management Representative position is responsible...post-acute needs, as directed, and in collaboration with the clinical team. Follows payor/ reimbursement practices and regulations… more
- Brockton Hospital (Brockton, MA)
- …of staff (RNs, LPN's,SWs and non- clinical support), evaluation and maintenance of case management skills and outcomes, management of all policies and ... of staff (RNs, LPN's, SWs and non- clinical support), evaluation and maintenance of case management skills and outcomes, management of all policies and… more
- Carnival Cruise Line (Miami, FL)
- …empathy. + Review clinical care plans for appropriateness and support the case management team in decision-making. + Oversee care coordination for referred ... the attention of risk management and the case management (MD), clinical governance,...Personal and professional learning and development resources including tuition reimbursement + On-site Fitness center at our Miami campus… more
- Henry Ford Health System (Detroit, MI)
- …+ Associate's degree in Nursing (ADN) with at least two years of acute care case management experience is acceptable. + ADN candidates must enroll in an ... + Minimum of three years of recent acute care nursing experience. + Prior case management experience is highly preferred. Certifications: + Certification in … more
- Select Medical (Lake Worth, FL)
- …and doing well by doing what is right. As the Director of Case Management **,** you will use your clinical knowledge and contribute to the overall functions ... **Overview** **Critical Illness Recovery Hospital** **Director of Case Management ** **$10,000 Sign On Bonus**...coordinating with payor sources in order to ensure proper reimbursement for hospital provided services and to promote cost… more
- University of Michigan (Ann Arbor, MI)
- …one of the following classifications: nursing management (supervisor or higher); case management ; demonstrated advancement in clinical career ladder ... competency and individual development planning process + Maintains current knowledge of case management , utilization management , and discharge planning ,… more