- University of Colorado (Aurora, CO)
- …flag trends for further analysis by the OFR leadership team. + Ensure case management processes and documentation follow applicable university policies and ... case tracking, compiling reports, and monitoring trends. + Familiarity with case management platforms (eg, Maxient) or similar databases. + Proficiency in… more
- Humana (Baton Rouge, LA)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines,... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- WellSpan Health (York, PA)
- …following policies and procedures. + Follows policies and procedures regarding Intensive Case Management patients. + Follows policies and procedures regarding ... information to inquiries. + Remains updated to available community resources . + Assesses the emergency of the need. +...patients. + Fosters cooperation between crisis counselors and MH/MR case managers (this would include follow-up calls to … more
- Providence (Spokane, WA)
- …in acute care setting or successful completion of TIPs program or Case Management Orientation Program **Preferred qualifications:** + ACM/CCM certification + ... Basic understanding of acute medical surgical healthcare terminology, prior case management experience **Care Manager LCSW** **Required qualifications:** +… more
- Banner Health (Glendale, AZ)
- …practice guidelines. 2. Demonstrates and maintains competency in enteral and parenteral clinical practice protocols and oral nutrition management standard of ... SUMMARY This position provides leadership in specialty area of clinical nutrition, establishes practice standards and serves as a...exams as appropriate, with at least 50% of patient case load in designated specialty area. Obtains timely and… more
- Banner Health (Sun City West, AZ)
- …practice guidelines. 2. Demonstrates and maintains competency in enteral and parenteral clinical practice protocols and oral nutrition management standard of ... SUMMARY This position provides leadership in specialty area of clinical nutrition, establishes practice standards and serves as a...exams as appropriate, with at least 50% of patient case load in designated specialty area. Obtains timely and… more
- Trinity Health (Pontiac, MI)
- …and promotes the unique contributions of all care team members providing clinical resource support. * Supports organizational and unit strategic goals, ... of hire or transfer. TNCC for specified care areas as follows: emergency department, clinical decision unit and critical care NRP required within 12 months from date… more
- J&J Family of Companies (Raynham, MA)
- …partnering relationships which result in appropriate NPD, NPI, regulatory, marketing, clinical , testing, manufacturing and prototyping resources and support + ... than 6 million people moving each year while delivering clinical and economic value to surgeons and healthcare systems....employment processes, programs, policies, and benefit plans. In that case , details of any planned changes would be provided… more
- US Tech Solutions (May, OK)
- …their pending, approved, or denied prior authorizations. **Responsibilities:** + Ensure accuracy of case setup and clinical review of Medicare appeals cases. + ... documentation for case reviews. + Contacting providers, if needed, for clinical information to decision cases + Utilize work instructions and Medicare guidelines… more
- Sutter Health (Oakland, CA)
- …and negotiation skills. + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... to appropriateness of hospitalization, continued stay, and use of resources . The PA further acts as a resource...PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management… more
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