- Baylor Scott & White Health (College Station, TX)
- **JOB SUMMARY** Director Comprehensive Care Management ( CCM ) is responsible for planning, developing, and implementing the comprehensive care function of Baylor ... case management and comprehensive care of patients to improve transition of clinical care for BSWH. Develops and implements comprehensive care programs, policies,… more
- VIP Care (Tampa, FL)
- …toward target populations Additional Eligibility and Qualifications: + Experience with Clinical Operations and Medicare + Understanding of Healthcare Best ... Summary/Objective: The Senior Medical Director is responsible for leading efforts to develop...and scalability of Remote Patient Monitoring (RPM) pathway and clinical improvements for Complex Case Management ( CCM )… more
- UNC Health Care (Chapel Hill, NC)
- …campus functions. Summary: Responsible for assisting the Regional Director of Clinical Care Management in overall operations of Care Management Department ... Care Management. This role is responsible for the daily operations of the Utilization Management and Clinical ...to designated department leadership and staff members. Assists Regional Director in ensuring that the department achieves its goals… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work ... promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to enhance… more
- Corewell Health (Grand Rapids, MI)
- …cost ratio. Assures state and federal regulatory compliance applicable to medical operations . #LI-CH Essential Functions - Director Care Management - Priority ... Job Summary - Director Care Management - Priority Health + Develops...Directly oversees case and disease management and medical utilization operations for assigned area(s) targeting at risk populations and… more
- Pipeline Health System, LLC (Toast, NC)
- Job Title: Director of Case Management, CM Job Summary: The Director of Case Management assists the Regional/Market Director with the overall development of ... and coordination of care with other healthcare providers and community resources. The Director of Case Management also plays a key role in ensuring that the… more
- Health First (Rockledge, FL)
- …integrated care programs, and continue optimizing as needed to achieve the desired clinical and business outcomes. 6. Ensure the Care Management team at the Health ... appropriate and member/patient centric plan of care while ensuring clinical , customer/patient satisfaction and achieving financial goals. 8. Develop innovative… more
- LA Care Health Plan (Los Angeles, CA)
- …Care's ECM network. The position reports to the Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management. The ... Enhanced Care Management Clinical Specialist II (RN or LCSW) Job Category:...capacity-building and training activities related to the ECM Program operations . Duties Conduct regular monitoring and coaching with Providers… more
- LA Care Health Plan (Los Angeles, CA)
- …LA Care. Identifies performance issues or opportunities for improvement within delegated clinical operations that impact compliance. Maintains and provides input ... committees as well as regulatory agencies. The position works closely with the Director , Delegation Oversight Audit on clinical issues/ clinical review and… more
- Beth Israel Lahey Health (Boston, MA)
- …both the Senior Director of Nursing and the Regional Operations Director . **Essential Responsibilities:** Using evidence-based medicine, the Regional ... walk-in triage and Coumadin management. Partners with Department of Nursing, Regional Operations Director and Practice Manager(s) to manage the onboarding and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Care Management Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10723 ... compliance, oversight of Plan Partners' and Delegated Provider Groups related operations , oversight of care management related delegated functions, operations … more
- Beth Israel Lahey Health (Dedham, MA)
- …to change at any point. Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the duties ... care or family medicine practice and serves as a clinical resource for the medical practice. The Team Nurse...: Annual Wellness Visits (AWVs) and Chronic Care Management ( CCM ) of our BIDHC patients. (essential) 13. Responsible for… more
- UPMC (Harrisburg, PA)
- …of supervisory experience required. **Licensure, Certifications, and Clearances:** + Certified Case Manager ( CCM ) OR Clinical Social Worker (CSW) + Act 31 Child ... of social work intervention. Holds 24-hour accountability for the department operations . **Responsibilities:** + Takes a leadership role in the overall direction… more
- Beth Israel Lahey Health (Cambridge, MA)
- …point. Job Description Summary Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the ... care or family medicine practice and serves as a clinical resource for the medical practice. The Team Nurse...Summary Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Management (ECM), the ECM Manager will be responsible for overseeing the day-to-day operations of both clinical and non- clinical ECM staff. The primary ... Manager, Enhanced Care Management (RN or LCSW) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Beth Israel Lahey Health (Brookline, MA)
- …Description:** **Job Summary:** Reporting directly to the Practice Manager and Senior Director of Nursing, the Team Nurse position is responsible for performing the ... care or family medicine practice and serves as a clinical resource for the medical practice.- The Team Nurse...: Annual Wellness Visits (AWVs) and Chronic Care Management ( CCM ) of our BIDHC patients. Responsible for INR management… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff's… more
- Houston Methodist (Houston, TX)
- …effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business ... **SERVICE ESSENTIAL FUNCTIONS** + Plans and organizes day-to-day department operations , schedule and activities. Sets priorities and functional standards, giving… more
- AdventHealth (Hinsdale, IL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general ... supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a… more
- AdventHealth (Hinsdale, IL)
- …Manager ensures efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager is under the general ... supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs; development of a… more