- Elevance Health (Washington, DC)
- … standards. + Engages in the development process for medical and clinical management policy, procedures, and strategies. + Ensures program deliverables ... evaluates performance of both UM + Assists and provides back up coverage to Case Management team **Minimum Requirements:** + BA/BS in Nursing field and minimum… more
- Bon Secours Mercy Health (Youngstown, OH)
- …screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources , at the right time and ... covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or Certified Case Manager (CCM) from… more
- State of Georgia (Dekalb County, GA)
- …in client engagement, interviewing and recording DEVELOPS AND PARTICIPATES IN CASE MANAGEMENT /CARE PLANNING + Creates, communicates, and coordinates treatment ... framework. Coordinates care with the treatment team and external resources . Demonstrates clinical knowledge in mental health,...objectives, goals and specificity of plan + Serves as resource to staff in demonstration of up-to-date knowledge of… more
- DESC (Seattle, WA)
- …divide their time into approximately 80% facilitation of the SUD program and 20% direct case management work. + The PACT SUDP will update substance use treatment ... psychiatric consultation, supervision, program team meetings and in-service trainings; participate in clinical reviews and case conferences. + Comply with the… more
- OhioHealth (Columbus, OH)
- …regarding the same. The MDRM's general function is to be the primary medical expert/ resource /advisor to the Risk Management department and the Office of the ... at GMC and RMH. **Responsibilities And Duties:** 60% The Medical Director, Risk Management ("MDRM) will provide expertise and advice to support the Risk … more
- Gentiva (Akron, OH)
- …Palliative Services.** We are seeking a compassionate and experienced Advanced Illness Management (AIM) Palliative Registered Nurse to join our team. Reporting to ... team members and support hospice referral as appropriate. + Document timely clinical records including assessments, progress notes, care plans, physician orders, and… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Coordinator/UMNC assists in ensuring that authorization request decisions are made ... based on medical necessity and coordinated with community based pediatric care management . This role will communicate with Early Periodic Screening, Diagnostic, and… more
- Baystate Health (Greenfield, MA)
- …within five major areas: Clinical Practice and Quality Outcomes, Human Resource Leadership, Management of the Environment, Financial Growth and Stewardship, ... direct nursing care to patients and serves as a clinical resource and role model of ...and Manager **7)** Facilitates staffing models necessary to support case volumes and acuity **8)** Evaluates clinical … more
- J&J Family of Companies (Horsham, PA)
- …directed to your accommodation resource . **Required Skills:** **Preferred Skills:** Clinical Data Management , Clinical Research and Regulations, ... guidance, and support to your team to ensure efficient case management and empowering them to deliver...the program and ensure compliance. Acting as a trusted resource and problem-solver for both your team and the… more
- Ascendis Pharma (NM)
- …and key opinion leaders by providing accurate, balanced, and credible information on clinical science, health outcomes, and quality management in accordance with ... generation, and value-based care solutions to function as a disease state, clinical , and health systems expert who develops programs and activities that strengthen… more