- Fallon Health (Worcester, MA)
- …nurse in a managed care payer preferred. * One year experience as a case manager in a payer or facility setting highly preferred. * Relevant experience may ... Keeps records and submits reports as assigned by the Manager * Refers high-risk cases to the appropriate FH...policies/procedures and member benefits as needed. Authorizes services, coordinates care , and ensures timeliness and coordination of… more
- Beth Israel Lahey Health (Beverly, MA)
- … care provided every two (2) weeks as necessary. + Helps manage episode of care or coordination of care with the primary disciplines in accordance with ... in the patient's condition; obtains/receives physician's orders as required. + Attends regular case conferences and team meetings per Clinical Manager and as… more
- Vighter Medical Group (Glendale, CO)
- …team at the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse, you'll play a key role in coordinating and ... weekends, or on-call required. What You'll Do As a Case Manager / Utilization Review RN, you...Care preferred. + Strong knowledge of clinical documentation, care coordination , and medical necessity guidelines. +… more
- UCLA Health (Los Angeles, CA)
- …of organ transplantation for the organ type specified. Responsibility involves coordination of interdisciplinary medical care delivery system under the ... Description Primary responsibility is for the clinical case management of the transplant recipient involving all phases of the transplant process, from initial… more
- Penn Medicine (Bala Cynwyd, PA)
- …regarding the patient status and follow-up needs. Improvement of Care : Reviews the plan of care with the RN Case Manager /Team Manager if there is ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Medtronic (Los Angeles, CA)
- …Support (50%) + Provide clinical expertise for Aortic implanting centers, including case sizing and planning, and providing technical support in accordance with the ... The following responsibilities are to be performed as appropriate in case support. Technical and Clinical Support + Provide quality technical support… more
- CareFirst (Baltimore, MD)
- …operations of the utilization management (UM) department functions to ensure appropriate coordination of health care services and compliance with UR ... Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more
- WelbeHealth (Pasadena, CA)
- …and facilitate care conference meetings to ensure the highest level of care coordination among other care team members, participants, and people ... way no matter what. Reporting to the Social Work Manager , the Social Worker maintains a caseload of participants...delivering standard social work services such as psychosocial assessments, care planning, counseling and case management, the… more
- Hartford HealthCare (Vernon, CT)
- …of patient safety on a 24-hour basis. d) Exercises appropriate clinical judgment in coordination of patient care by all services involved. e) Ongoing evaluation ... verbal/written orders and complies with all reporting requirements. c) Participates in coordination of care with physicians and with other disciplines as… more
- Penn Medicine (Plainsboro, NJ)
- …you living your life's work? **Summary:** + The Orthopedic Patient Navigator provides care coordination to Orthopedic patients with the goal of overcoming ... Jim Craigie Center for Joint Replacement Patient Navigator and Case Manager and assists on an ongoing...multidisciplinary care team in the development of care plans including coordination with physician offices… more
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