- Graham Windham (Bronx, NY)
- …Program (FTR) located in Manhattan, Brooklyn and The Bronx offers intensive preventive case management services to families at risk of removal of children ... Supervisor, FTR Multiple Locations Job Details Level Management Job Location 1946 Webster Avenue, Bronx, NY...safely cared for.Position Overview: The Preventive Supervisor will provide clinical and administrative supervision of case planners… more
- Charles B. Wang Community Health Center (Queens, NY)
- …targeted risk population per PCP referral, risk stratification, and patient lists + Handle case management assignments, review case progress in accordance to ... linkage to external social services programs, specialist services and payer's care management services + Participate in clinical service team meeting/activities… more
- St. Peters Health (Helena, MT)
- …collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Management /Utilization Review RN facilitates the patient's progress ... Functions as a member of a self directed Care Management work team ensuring appropriate coverage as...St Peter's community and managed care organizations relevant to case management and utilization review activities. +… more
- Penn Medicine (Philadelphia, PA)
- …resources, and transportation. Quality data collection and risk management referrals. Case management allows you to work autonomously while still ... this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today...develop and implement solutions to issues identified by the Case Management and Social Work … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address member needs. Participates ... management activities which incorporate a thorough understanding of clinical knowledge, members' specific health plan benefits, and efficient care delivery… more
- Elevance Health (Morristown, NJ)
- …to all company protocols, policies, and procedures. + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician ... Management ** **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person...profession. + Minimum of 1 year of experience with clinical case reviews for medical necessity. _The… more
- University Medicine (Providence, RI)
- SUMMARY: Reporting to the Manager of Case Management , the nurse case manager is responsible for providing comprehensive screenings, assessment, care ... to identify those patients who may benefit from high-risk case management (eg rising risk, frequent ED...the provider, provides outreach and engagement in order to work with the most medically complex patients based on… more
- Swedish Health Services (Seattle, WA)
- …**Job Shift:** Day **Career Track:** Nursing **Department:** 3901 SFH CASE MANAGEMENT **Address:** WA Seattle 747 Broadway ** Work Location:** Swedish First ... populations served._** * Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization activities… more
- Molina Healthcare (Orlando, FL)
- …the pharmacy benefit changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary care team. ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members have access to all medically necessary… more
- ChenMed (Philadelphia, PA)
- …plan, implement and evaluate individual patient care plans + Knowledge of nursing and case management theory and practice + Knowledge of patient care charts and ... is available + A minimum of two (2) years' clinical work experience required + A minimum...minimum of one (1) year of utilization review and/or case management , home health, hospital discharge planning… more