- Select Medical (Mesa, AZ)
- …providing exceptional patient care **Responsibilities** **Position Summary** The Director of Case Management is responsible for the coordination of health ... plans. The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning...or human services discipline. + Working knowledge of the health care insurance industry and government reimbursement.… more
- Actalent (Santa Barbara, CA)
- …management of Utilization Management , Case Management , Disease Management , Population Health , Care Coordination, and Care Transition ... authorization, Health care , Medicare, Managed care , Medical management , Case ...Top Skills Details Data entry,Concurrent review,Prior authorization, Health care ,Medicare,Managed care ,Medical management , Case … more
- Mount Sinai Health System (Brooklyn, NY)
- …collaborative work environment with all team members and colleagues + Provide case management with other health care team members **About Us** **Strength ... health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and… more
- Mount Sinai Health System (Greenlawn, NY)
- …and clinical projects for practice improvement when requested. + Provide case management with other health care team members **About Us** **Strength ... health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and… more
- Queen's Health System (Kaunakakai, HI)
- …to, actively supporting and participating in patient care , health care education, case management , program development, community networking, and ... supports and participates in patient care , health care education, case management program development, community networking, and clinic cost … more
- CommonSpirit Health (Houston, TX)
- …(PA), the PA conducts clinical case reviews referred by case management staff and/or other health care professionals to meet regulatory requirements ... assure effective and efficient utilization of health care services. The PA communicates remotely with case... care services. The PA communicates remotely with case and utilization management to discuss selected… more
- Omaha Children's Hospital (Omaha, NE)
- …the primary care team, specialty care team, inpatient case management , social work, members of community health care teams, and patients/families ... Nurse Case Manager acts as an expanded health care role to collaborate across the...patient/family. + Uses standardized assessment tools such as Nurse Case Management assessments and health … more
- Molina Healthcare (Sparks, NV)
- … management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management , transition of care , health management and/or ... in one or more of the following areas: utilization management , case management , care...Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare… more
- Wheeler Clinic (Plainville, CT)
- …experience or a High School Diploma/GED and 5 years related experience. Case management experience in a health care setting is preferred. Knowledge of ... The Care Manager provides outreach to all Care Management assigned patients and establishes a...by identifying barriers and resources and navigating access to care . Conducts health care screenings… more
- Community Involvement Programs (St. Paul, MN)
- …of the services identified in the plan. + Making sure to follow the case management rule 185. + Complying with MN Health Care Programs in relation to ... Case Managers enhance the quality of the case management services, maximize satisfaction and promote...evaluate treatment options, create care plans, coordinate care and monitor progress to meet individual's health… more