- Excellus BlueCross BlueShield (Dewitt, NY)
- …drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management Society ... or external referral sources. Applies case management criteria and professional clinical judgment to determine a member's appropriateness for case management… more
- Houston Methodist (Houston, TX)
- …or other healthcare related field; may consider HM employee with Registered Nurse license and four additional years of directly related experience (in addition ... health care certifications **OR** + CQA - Certified Quality Auditor (ASQ) -- Related quality, accreditation or health care...that operate at the system level to help enable clinical departments to provide high quality patient care. Houston… more
- Ochsner Health (New Orleans, LA)
- … providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service collection estimation ... functions and communicates patient liability. + Provides point -of - service information and logistics to ensure an exceptional patient experience. + Other related duties as required. The above statements describe the general nature and level of work only.… more