- Sumitomo Pharma (Augusta, ME)
- …marketed products. + Conduct safety surveillance over product life cycle, reviewing clinical trial and post-marketing Individual Case Safety Reports (ICSRs), ... on behalf of PVRM for: Study Protocols, Informed Consent Forms (ICF), Safety Management Plans (SMP), Clinical Study Reports (CSR), Investigator's Brochures (IB),… more
- Molina Healthcare (Idaho Falls, ID)
- …team members as needed. + Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical ... have the following:** + Healthcare knowledge or background either clinical (Medical Assistant) or in an administrative capacity +...Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial… more
- CVS Health (Tallahassee, FL)
- …needs that may impact member outcomes and care planning with appropriate referral to clinical case management or crisis intervention as appropriate. + ... care issues through established channels. + Monitors, evaluates and documents care utilizing case management and quality management processes in compliance… more
- Humana (Springfield, IL)
- …managers to ensure alignment and operational efficiency. + Identify members for specific case management and / or disease management activities. + ... health first** Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and behavioral health… more
- Houston Methodist (Sugar Land, TX)
- …plan, regulatory guidelines, medical necessity, and accrediting standards for all requests. Provides clinical support to Case Management staff, others as ... nonclinical and clinical service areas, physicians, and Case Management staff. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** +...degree or higher from an accredited school of nursing ** WORK EXPERIENCE** + Seven years clinical nursing/patient… more
- Zeiders Enterprises, Inc (San Diego, CA)
- …Sailor to strengthen their coping skills and build resilience. SAIL provides rapid-assistance clinical case management services addressing risk management ... recovery in accordance with the DoDI 6490.08. + Provide clinical case management to Sailors...clinical practice in the fields of professional counseling, clinical social work , marriage and family therapy… more
- Providence (Apple Valley, CA)
- …include a manager on-call responsibility every other week for emergent issues. Case Management is a collaborative practice including patients, caregivers, ... physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along… more
- St. Luke's University Health Network (Allentown, PA)
- …AND RESPONSIBILITIES: + Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity and Late-Pick-Up/Notification that ... are entered by Case Management and Business Office. + Monitors...preferred. TRAINING AND EXPERIENCE: Minimum of 2-5 years of clinical nursing experience in an acute care hospital setting… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- …to facilitate a corrective action plan. Responsible for loss prevention and reduction ( clinical and non- clinical ), claims management , through patient and ... Summary The Quality Management (QM) Consultant Risk Management Registered...and Patient Safety Service Line and functions as a clinical expert and executes position responsibilities that demonstrate leadership,… more
- The County of Los Angeles (Los Angeles, CA)
- …case management services is defined as:development, implementation, and/or evaluation of clinical or case management services or direct supervision of ... clinical or case management staff in a comprehensive health...Correctional Health. AVAILABLE SHIFT: Appointees may be required to work any shift including evenings, nights, weekends and holidays.… more