- BlueCross BlueShield of North Carolina (NC)
- …Description** Direct, manage and lead highly complex functional business area within Clinical Coding Review (CCR) to define and enable strategic and operational ... medical and administrative expense savings. Teams may include CCR operations, clinical , coding and specialty programs, multiple CCR services either performed by… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This ... Institutional initiatives. The NCM reports to and assists the Director of Case Management in...and optimal reimbursement by Third Party Payers. The Nursing Clinical Manager for Case Management … more
- UPMC (Washington, PA)
- The Manager oversees the day-to-day operations of the Case management department under the direction of the Director . The Manager is accountable for the ... identified needs of Case Management staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director /Physician… more
- Guthrie (Sayre, PA)
- …case reimbursement. a) Identifies cost/ clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) ... 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
- State of Massachusetts (Boston, MA)
- …for infectious disease, immunization services, health service navigation, medical case management , insurance enrollment, housing assistance, and referral ... (DPH) seeks an experienced leader to serve as our Director , Division of Laboratory Information Management Systems....Protection (DEP) and other Federal and state regulations governing clinical and public health Laboratories and as the primary… more
- Beth Israel Lahey Health (Plymouth, MA)
- …purposes of funding the ACCESS program. Responsible for patient level data management and HRSA reporting requirements. **Essential Duties and Responsibilities** : ** ... Clinical ** + Manage and monitor HIV primary care patients...prevention, HIV disease progression, HIV treatment options, chronic disease management and lab results + Administer immunizations, injectable medications… 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
- HCA Healthcare (Nashville, TN)
- …program, including coordination, supervision, and administrative oversight of the case management team. The Manager as an expert clinical practitioner, ... daily, weekly and monthly reports as assigned by the Director of Case Management . +...clinical nursing experience required. + 2+ years of case management experience required. + InterQual experience… more
- AdventHealth (Louisville, CO)
- … Management Facility Director reports directly to the Division Care Management Director with a matrix reporting relationship dotted line to the Facility ... Management work with Providers and keep the CMOs updated. The Facility Care Management Director communicates regularly with the CFO to provide a bidirectional… more
- Mount Sinai Health System (Long Island City, NY)
- …and workload within each department. Directs, coaches, mentors and assesses staff in clinical case management service delivery. 2.Ensures departments achieve ... **Job Description** The Director will direct and manage departmental activities involved...field **Experience Requirements** 5 years of Case Management and 6 years of clinical nurse… more
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