- Texas Health Resources (Flower Mound, TX)
- …preferred, 2 or more years is preferred and 1 Year discharge planning/care management Preferred LMSW - Licensed Master Social Worker Upon Hire Required Or LCSW ... - Licensed Clinical Social Worker Upon Hire Required And CPR -...Cardiopulmonary Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM - Certified… more
- CVS Health (Austin, TX)
- … staff for further evaluation, and recognize triggers for referral into Aetna's Case Management programs to support continuity of care. Other responsibilities ... clinical partners and ensuring seamless coordination of medical management services. This position focuses on the initial review...issues - Supports the administration of the hospital care, case management and quality management … more
- Community Health Systems (Franklin, TN)
- …the Utilization Review Clinical Specialist. + Monitors and updates case management software with documentation of escalations, avoidable days, authorization ... management principles, payer requirements, and healthcare regulations. + Proficiency in case management systems and technology resources for authorization… more
- Highmark Health (Harrisburg, PA)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of quality issues. ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which focus,… more
- Elevance Health (Raleigh, NC)
- …+ Manage and control healthcare costs for the designated population through integrated case management . + Review member care plans and ensure they are ... (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management . We...care management services is strongly preferred. + Case management certification is preferred. Please be… more
- Providence (Fortuna, CA)
- …advancement. **Requsition ID:** 404781 **Company:** Providence Jobs **Job Category:** Care Management **Job Function:** Clinical Care **Job Schedule:** Full time ... innovative and strategic thinker with a dedication to excellence in healthcare management ? Do you excel in driving performance improvement and championing effective… more
- AnMed Health (Anderson, SC)
- …necessity review, continued stay/concurrent review, retrospective review, bed status management , resource utilization management , regulatory compliance, ... + Uses clinical knowledge to independently review the medical record for clinical appropriateness and resource utilization including but not limited to :… more
- Elevance Health (Las Vegas, NV)
- …community agencies and appropriate provider/network. + Refers member to catastrophic case management . **Minimum Requirement:** + Requires AS in nursing ... Skills, Capabilities and Experiences:** + BS in nursing preferred. + Prior case management experience preferred. + Experience in maternal health preferred.… more
- US Tech Solutions (Hopewell, NJ)
- …duties and types of care management as assigned by management .** **Responsibilities:** 1. Assesses patient's clinical need against established guidelines ... services provided. 8. Encourages member participation and compliance in the case /disease management program efforts. 9. Documents accurately and comprehensively… more
- Fallon Health (Worcester, MA)
- …of purpose:** With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer will provide strategic leadership and ... Represents the Vice President and Senior Medical Director of Clinical Management at internal and external senior...Services as well as other departments by involving inpatient case management with out-patient case … more
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