- Tenet Healthcare (Detroit, MI)
- …including the Tenet Case Management model, staffing and skill mix, complex Case Management , and centralized utilization review · Participate in new ... Group Director of Case Management - 2506001359 Description : Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine.… more
- Ascension Health (Indianapolis, IN)
- …staffing standards. Cover on units as needed and serve as a resource for complex case management issues. **Requirements** Licensure / Certification / ... **Details** + **Department:** Inpatient Case Management + **Schedule:** Monday-Friday, 8:00AM-4:30PM, with some off shift work + **Hospital:** Ascension St.… more
- San Jose State University (San Jose, CA)
- …in need. + Experience working with diverse student populations. + Experience with complex case management and community resources. + Bilingual communicator; ... Development, and University Personnel. BIT provides case management services to students with complex mental...case management services to students with complex mental and physical health problems, learning disabilities, and… more
- Iowa Department of Administrative Services (Davenport, IA)
- …in the Davenport Child Support Program, you will manage an assigned caseload, perform complex case management , prioritize tasks and time to meet performance ... with Child Support Services and programs. Independently analyze a variety of complex case situations and legal scenarios to determine the appropriate action to… more
- Highmark Health (Dover, DE)
- …to special programs such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health ... and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in...and formulating an appropriate action plan. + Document all case management services and intervention in the… more
- CVS Health (Tallahassee, FL)
- … Coordinator will effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinator will utilize critical ... all with heart, each and every day. **Position Summary** This Analyst, Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team and… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …skills, and strong technical acumen\. Our ideal candidate will have a background in Case management or complex management , with an understanding ... utilization of benefits + Performing the essential activities of case management : assessment: planning, implementation, coordinating, monitoring, outcomes… more
- LA Care Health Plan (Los Angeles, CA)
- …of LA Care's Case Management function(s) including but not limited to Complex Case Management / Case Management , Care Coordination and Special ... functions associated with the Care Management department. Functions include Complex Case Management , Case Management , Care Coordination,… more
- Elevance Health (Washington, DC)
- …The **Behavioral Health Case Manager ll** is responsible for performing NCQA Complex Care Assessments and case management functions, telephonically, for ... but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate...of Columbia (Washington, DC) required. + Previous experience in case management and telephonic and/or in person… more
- The Cigna Group (Sacramento, CA)
- + **Job Description Summary** Provides advanced professional input to complex Nurse Case Management assignments/projects. Plans, implements, and evaluates ... in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness… more
- Centene Corporation (Dover, DE)
- …for the LTSS and Medicare-Medicaid Duals populations. + **Transactional UM Reviews and Complex Case Management :** + Conduct medical reviews for utilization ... appeals, with a focus on clinical appropriateness. + Lead and/or participate in complex case management reviews, ensuring that complex cases are… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …Ability to cross train among related specialties to ensure continuity of care for complex case management needs. Mutual cross coverage between Seattle and ... Summary The Cardiology Nurse Coordinator will provide case management of Cardiology patients that...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the… more
- AC Disaster Consulting (Tallahassee, FL)
- …engagement, and interagency coordination. + Adept at resolving escalated issues and overseeing complex case management processes. + Leads teams of IA ... Develop and scale disaster recovery programs, such as Disaster Case Management , in collaboration with case...1 year of direct leadership experience or experience leading complex portions of projects teams/tasks, program management … more
- Prime Healthcare (Newark, NJ)
- …included is treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments. Medical case management also includes ... Case Counselor II - MCM will be responsible for providing direct case management services to the patients of the Peter Ho Memorial Center; Client-centered… more
- Humana (Dover, DE)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis...in teams focusing on quality management , utilization management , case management , discharge planning… more
- State of Georgia (Dekalb County, GA)
- …experience) in client engagement, interviewing and recording. DEVELOPS AND PARTICIPATES IN COMPLEX CASE MANAGEMENT /CARE PLANNING + Creates, communicates, and ... with behavioral health disorders. Provides counseling/therapy to clients requiring complex intervention, including those who are homicidal, suicidal or exhibit… more
- InGenesis (Fremont, CA)
- …* Performs a variety of complex , professional, analytical, and confidential case management services. * Maintains Chronic disease registry and enter, tracks ... In this role, you will evaluate, plan, and provide case management services, health education and counseling...services, health education and counseling services for patients with complex chronic conditions such as, but not limited to,… more
- Point32Health (MA)
- …across the continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, ... operates + Bachelor's Degree in Nursing preferred + National certification in Case Management desirable **Experience** (minimum years required) **:** + 5+… more
- State of Georgia (Dekalb County, GA)
- …experience) in client engagement, interviewing and recording Develops and Participates in Complex Case Management /Care Planning + Creates, communicates, and ... psychoeducation to adult mental health and substance abuse clients. Provides case management and develops client-driven treatment plans. Provides… more
- The Cigna Group (Falls Church, VA)
- Provides advanced professional input to complex Case Management assignments/projects. Handles more complex , high acuity cases and/or account sensitive ... inpatient acute care, rehabilitation, referrals, and select outpatient services. Ensures that case management program objectives are met by evaluating the… more
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