- NYULMC (New York, NY)
- …of hospital stay. Notifies health care team of outcomes of communication with payor and authorization status. Notifies departmental manager of all unresolved ... to join our team as a Registered Nurse, Care Manager , Day Shift. In this role, the successful candidate...to the patients diagnosis and condition when providing a clinical review to the payor to prevent… more
- VIBRANTCARE REHABILITATION, Inc. (Hayward, CA)
- …ensuring effective cost management. Justifies and processes all capital equipment request to Clinical Operations Director or Manager of Clinical Operations. ... of care through appropriate staffing levels. Identifies open positions and hires clinical staff in conjunction with MCO/COD. Organizes daily work schedule to… more
- Team Select Home Care (Phoenix, AZ)
- …patient's care needs, and name and contact information of the agency's Clinical Manager Performs all other duties as assigned Required ... care notes in our easy-to-use EMR (electronic charting system) Collaborate with your clinical supervisor and participate in case conferences Be a trusted part of a… more
- Hackensack Meridian Health (Little Falls, NJ)
- …Appropriately utilize manager as a resource. Act as liaison among physician, Manager of Clinical Practice and other members of the health care team ... families in Passaic, Bergen, and parts of Morris counties. The VHSNJ multidisciplinary clinical and support teams provide high quality care to patients where they… more
- LHC Group, Inc. (Memphis, TN)
- …exchanging information with physician, agency personnel, patient, family, case manager and other community resources. Specific Job Duties/Responsibilities Provides ... high quality clinical services within the scope of practice and within...federal and/or state program requirements and as required by payor Ensures the patient/client's eligibility and medical necessity for… more
- Sharp HealthCare (San Diego, CA)
- …and the advancement of department initiatives. Collaborates with leadership in clinical and operational projects. Participates in departmental activities, such as ... follows Sharp HealthCare guidelines, professional guidelines, and meets third-party payor and regulatory requirements. Maintains records pertinent to departmental… more
- CenterWell Primary Care (Las Vegas, NV)
- …manner working with a quality- based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about ... under two brands: CenterWell & Conviva. Operating as a payor -agnostic, wholly owned subsidiary of Humana, our centers put...quality of care, review of outcome data, policy , procedure and records issues. Participates in potential growth… more
- Excela Health (Latrobe, PA)
- …to the missions, vision, and values in all aspects of position. Performs clinical responsibilities in a manner that provides effective age- specific patient care ... achieving optimal outcomes. Completes evaluations within appropriate time frames per policy . Sets goals with measurable outcomes and appropriate time frames.… more
- Masonicare (Wallingford, CT)
- RN Manager Clinical Reimbursement Job Location: Wallingford Center, Connecticut RN Manager Clinical Reimbursement Masonicare Health Center - Wallingford, ... CT Day Shift / 40hrs/wk The Manager Clinical Reimbursement is responsible for coordinating,...ensuring the accuracy/capitalization of the facility's reimbursement from its payor sources. Responsible for the coordination of the Resident… more
- American Heart Association (Dallas, TX)
- …us. The American Heart Association has an opportunity for a **Program Implementation Manager , Clinical Studies.** This position can be home-based. **This is a ... healthcare systems, quality improvement organizations, research organizations, state health departments, and payor groups. + Serve as primary account manager of… more
- National Youth Advocate Program (Matteson, IL)
- …+ **Work Anniversary Trips** ! + Peace leave **Position Summary** The Senior Clinical Program Manager assists the Executive Director or designee to promote ... 24/7 Crisis Care services in the community. The Senior Clinical Program Manager will work together to...to staff to align performance with Medicaid and other payor expectations. + Advocate on behalf of individuals in… more
- National Youth Advocate Program (Columbus, OH)
- …Tuition Assistance, and **Work Anniversary Trips** ! **Position Overview** **Summary** The Clinical Services Manager assists the Director of Service Reception to ... of behavioral health and outpatient mental health services. **Responsibilities** The Clinical Services Manager will perform administrative duties including, but… more
- UPMC (Harrisburg, PA)
- **Home Health Clinical Manager ** The Clinical Manager position is an on-site position that is accountable and responsible for the overall quality of ... service, overseeing the planning, developing, organizing, integrating, of clinical care and coordination of assigned patients and designated teams, in support of the… more
- WellSpan Health (Chambersburg, PA)
- …as needed. **Reporting Structure:** A. Formal Reporting and Chain of Command - Clinical Manager of Outpatient Behavioral Health Services or delegated supervisor. ... a physically and psychologically safe environment for all and delivering effective clinical care. All are treated with empathy, dignity and respect for diversity,… more
- BrightSpring Health Services (Lansing, MI)
- …Reports on a regular basis to the physicians, external case manager / payor and/or patient/family members. + Schedules/facilitates interdisciplinary case ... reports hours/subsequent changes to the local leadership (Executive Director/Director of Clinical Management/Program Manager ). + Negotiates with funding sources… more
- Option Care Health (Fort Collins, CO)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... the best and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically ... execution. . Ensures timely engagement of network leadership ahead of payor negotiations or renegotiations, ensuring all contractual elements are prepared, reviewed,… more
- Aveanna Healthcare (Exton, PA)
- …location/office supplies and order as needed. - Conduct home and/or hospital visits with Clinical Supervisors and or Area Manager as needed. - Completes location ... Care Experience Manager ApplyRefer a FriendBack Job Details Requisition #:...Aveanna Healthcare's purpose is simple, to provide high quality clinical home care to medically fragile children and adults… more
- Billings Clinic (Billings, MT)
- …a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient ... and/or DME as clinically appropriate. * Acts as a clinical resource to the Social Services Care Manager...practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and… more
- Corewell Health (Royal Oak, MI)
- Job Summary - Manager , Transplant Quality Manages the operations, provides financial oversight and oversees quality functions of the transplant programs at Corewell ... capital budget; strategic planning for program development and growth; policy /procedure development and implementation; and direct supervision of transplant staff… more
