- Ventura County (Ventura, CA)
- …Senior Medical Management Nurse is responsible for performing utilization review, case management , and quality improvement functions to ensure that members ... member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of licensure for plan… more
- Swedish Health Services (Seattle, WA)
- … outcomes. Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization activities *Coordination: ... Department leadership, the Medical Director, or Physician Advisor. * Resource Management ; Assures prudent utilization of all resources (fiscal, human,… more
- Concern For Independent Living (Riverhead, NY)
- …+ Facilitate residents' linkage with services available in the community (eg, case management , clinical services, day programs, vocational services ... Service Coordinator to be responsible for providing linkages with community resources , daily living skills training, counseling and support, documentation, and… more
- Truman Medical Centers (Kansas City, MO)
- …**Hours Per Week** 40 **Job Description** Coordinates all activities related to the clinical operations of the Quality Resources office. Provides advanced office ... myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Quality Resources Operation Specialist - Care Continuity - UH Truman… more
- Texas Health Resources (Fort Worth, TX)
- …quality of life * Receive excellent mentorship, comprehensive training and dedicated clinical leadership resources . * Take advantage of opportunities for growth ... Cardiac, Peripheral Vascular or Electrophysiology related disease. For our clinical staff, we require a 30-minute call response time...and post processing of the images taken during the case . The ability to self-direct and to organize a… more
- Henry Ford Health System (Troy, MI)
- …Charge Review and Denials Facilitating communication between insurance representatives, clinicians, case management , clinical staff, central business office, ... functions related to timely procurement of referrals and authorizations and denial management related to scheduled outpatient services.. This includes but is not… more
- Elevance Health (Las Vegas, NV)
- …responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated ... you will make an impact:** + Serves as a resource for medical management programs. + Identifies...psychiatric and chemical dependency treatment and extensive experience in case management and telephonic coaching with members… more
- UnityPoint Health (Madison, WI)
- …from other healthcare systems + Ensure records are available for transitional care management visits with primary care + Work with scheduling to ensure follow-up in ... 7-14 days as clinically indicated + Collaborate with pharmacy to assess resources available for medication affordability + Maintain relationships with UW Health… more
- Texas Health Resources (Plano, TX)
- …in hospital/medical social work preferred * One year of experience of discharge planning/care management * Hospital Case management preferred * LMSW - ... Care Transition Manager SW - Care Management _Bring your passion to Texas Health so...Social Worker upon hire required or LCSW - Licensed Clinical Social Worker upon hire required and CPR -Cardiopulmonary… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …they navigate the health care system. The PCC may work closely with member's case management team to resolve member concerns, access, medical and psychosocial ... and reduce barriers to members' care, assist the member in locating and accessing resources , and educate the member on the importance of accessing care promptly. The… more