- 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
- 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
- Elevance Health (Indianapolis, IN)
- …criteria or requires physician review or override. + Clearly and concisely documenting clinical review and other case interactions in online database in ... updating case review processes, reporting issues, and creating internal case review resources . + Receives pre-authorization requests from front-line intake.… 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
- 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
- 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
- Children's Mercy Kansas City (Kansas City, MO)
- …of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient statusing processes, ongoing ... and/or religious exemptions can be further discussed with Human Resources . Responsibilities + Personnel management + Participates...days of hire + One of the following: American Case Management , Certified Case Manager… more