- WestCare Foundation (Fort Lauderdale, FL)
- …Medicaid, accreditation standards and agency policy and procedure + Conduct individual case management sessions, as needed + Perform activities on behalf ... Portal or other data systems required to support the case management role. + Understands HIPAA, Professional...+ Embrace and embody the mission, vision, guiding principles, clinical vision and goals of WestCare Foundation. + Develop,… more
- Molina Healthcare (El Paso, TX)
- …Member & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, ... are completed on time and accurately to present results to key departmental management and other Molina departments as needed + Writes narrative reports to interpret… more
- HCA Healthcare (Webster, TX)
- … case management team + You will function as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for ... scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long-...promoting patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of… more
- HCA Healthcare (Tomball, TX)
- … case management team + You will function as an expert clinical practitioner, case management subject-matter expert, resource, advisor and leader for ... scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long-...promoting patient-centered care by coordinating all aspects of hospital-based case management for his/her assigned area of… more
- CVS Health (Warren, MI)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences. + Utilizes case management processes in… more
- Healthfirst (NV)
- …(NYSDOH) regulations governing medical management in managed care + Relevant clinical work experience + Intermediate Outlook, Basic Word, Excel, PowerPoint, ... for assigned members and conducts pre-certification, concurrent review, discharge planning, and case management as assigned. The Case Manager, Utilization… more
- CVS Health (Tinley Park, IL)
- …in behavioral health, social services or human services field. -Minimum 2 years of case management experience. -Must reside in in South Cook County or Will ... we do it all with heart, each and every day. **Position Summary** This is a work from home position with 50-75% travel to meet members face to face. Candidate must… more
- MAAC (Metropolitan Area Advisory Committee) (Chula Vista, CA)
- …disabilities, pregnancy, sexual/ mental /physical abuse, or neglect. Provide therapeutic, case management , and crisis intervention services to residents and ... areas of outreach, domestic violence, community education and development, advocacy, and case management . Physical Qualifications: + Experience working in a… more
- CVS Health (Warren, MI)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... **Wayne or Macomb Countie** **s** . This is a work from home position with field based responsibilities. **Position...in meeting goals and objectives, presents cases at interdisciplinary case conferences + Utilizes case management… more
- Bozeman Health (Bozeman, MT)
- …+ Previous ICD-10 and CPT coding + Previous experience in medical pre-authorization, case management and / or financial counseling Essential Job Functions: In ... guidelines for potential patient enrollment. + Communicates and collaborates with Clinical Operations Manager. Knowledge, Skills, and Abilities + Demonstrates sound… more