- Guthrie (Corning, NY)
- …case reimbursement. a) Identifies cost/ clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) ... may be given to a registered nurse, with significant clinical experience, who holds a bachelor's degree in a...an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient… more
- Children's Mercy Kansas City (Kansas City, MO)
- …for providing leadership, strategic planning, and oversight of daily operations of the case management department which includes utilization management , care ... The position will ensure consistency in workflows, documentation, quality and outcomes for case management across the health system. At Children's Mercy, we are… more
- Alameda Health System (Oakland, CA)
- …classification. + Accountable for Patient Care Coordination activities including system-wide Case Management , Care Coordination and Discharge Planning. + Aligns ... Director , Inpatient System Care Management + Oakland, CA +... Case Management with AHS strategic and operational objectives. + Optimizes efficient care … more
- Sharp HealthCare (La Mesa, CA)
- …outcomes. **Required Qualifications** + 3 Years Recent acute care nursing experience or case management experience. + California Registered Nurse (RN) - CA Board ... planning, competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge… more
- HCA Healthcare (Savannah, GA)
- …and Qualifications** The Manager Case Management reports to the Case Management Director and is responsible for promoting patient-centered care ... management team. This position also functions as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for… more
- AdventHealth (Orlando, FL)
- …based on medical screening criteria to ensure optimum reimbursement. Responsible for case management , social worker/discharge planning processes and length of ... Works closely with physicians and the campus leadership team on utilization/ case management issues. Actively participates in outstanding customer service… more
- University of Colorado (Aurora, CO)
- … Director relevant to clinical program expansion and leadership duties (eg, case management certification). - this role is eligible for a hybrid schedule ... programming to meet academic mission. Collaborates with FND Program Director , Business Manager. Clinical Director ...to be Licensed. + 1 year of outpatient clinic case management . + Prior experience working with… more
- City of New York (New York, NY)
- …accessible and used as the basis for planning, management and evaluation - Assist the Director of Case Management as needed on ongoing case tracking, ... to placement) are receiving comprehensive and consistent medical, mental health, case management , social and educational services throughout their involvement… more
- Houston Methodist (Sugar Land, TX)
- …Medical Claims Review, Precertification and Reconsiderations and Appeals. Collaborates with the Director of Case Management /Social Svcs on criteria and ... to implement new processes for enhancing service levels. + Proactively identifies case management and/or social work interventions and implements role… more
- Johns Hopkins University (Baltimore, MD)
- …plans for the sexual health clinical services. 17. Participates in multidisciplinary case management meetings focusing on complex HIV patients to ensure that ... Department Sexual Health and Wellness Clinic (SHWC) The Medical Director oversees clinical services at Baltimore City...clinic workflows, and inventory of medical items. 6. Oversees management of Ryan White, CDC, Maryland Department of Health,… more
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