- ChenMed (Louisville, KY)
- …development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed… more
- Elevance Health (Toledo, OH)
- **LTSS Service Coordinator - Clinician ( Case Manager )** **Candidates should live in Lucas County.** **Location** : This field-based role enables associates to ... state(s) required. **Preferred Skills, Capabilities and Experiences:** + Strong preference for case management experience with older adults or individuals with… more
- Baker Construction (Albany, NY)
- …in establishing clinics, managing first report of injuries, and assisting with co-worker case management + Follows Company Recruitment and Hiring Guidelines + ... and other reports + Alerts the Superintendent and Project Manager of project impact relating to resource management...utilization , MBE/SBE participation, etc., and advises the Project Manager of issues + Interfaces with Safety and Risk… more
- Baker Construction (Phoenix, AZ)
- …in establishing clinics, managing first report of injuries, and assisting with co-worker case management + Follows Company Recruitment and Hiring Guidelines + ... and other reports + Alerts the Superintendent and Project Manager of project impact relating to resource management...utilization , MBE/SBE participation, etc., and advises the Project Manager of issues + Interfaces with Safety and Risk… more
- Cleveland Clinic (Cleveland, OH)
- …in the initial, local level. + Actively seeks opportunities for the highest utilization of bed management and advocates with behavioral health unit nursing ... maintains awareness of cases. **Responsibilities:** + Maintains awareness of all case referrals and admissions, the status of admissions, medical clearance issues,… more
- Genesis Healthcare (Albuquerque, NM)
- …is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. ... achievement of maximum allowable RUG categories. *Communicate with the Business Office Manager regarding case -mix data required for billing. *Educate the… more
- HUB International (Omaha, NE)
- …of benefit plan review and renewal, assists with guiding and directing the Account Manager and Financial Analyst assigned to the case , resolving questions, and ... will be responsible for providing complete service and benefit management of True Group clients (>100 lives). This includes...client agreement if it is necessary to bid the case ; directs the bidding process and prepares, or reviews… more
- Elevance Health (Norfolk, VA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- CommonSpirit Health (Rancho Cordova, CA)
- …+ Progressive responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- CommonSpirit Health (Rancho Cordova, CA)
- …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
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