- Excellus BlueCross BlueShield (Rochester, NY)
- …oversees the clinical and administrative operations and implementation of Case Management activities, including systematic approaches to improve member ... for the clinical and administrative operations and implementation of all Case Management outreach and engagement interventions to members. + Provides… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …local community and at Stand Down events in rural and remote areas; providing clinical assessment and case management services (directly or through referral) ... recommendation to the interdisciplinary team on course of action. Provides case management services while utilizing professional skill, objectivity, insight,… more
- Penn Medicine (Philadelphia, PA)
- …including statistical analysis, medical informatics and electronic medical record documentation, clinical protocols, guidelines, case management programs, ... (approximately 20%).The CDI Physician Advisor will act as a resource and liaison between our clinical staff,...medical staff leadership, medical staff, and all areas of clinical documentation improvement, CEQI, denials management , coding,… more
- Houston Methodist (Houston, TX)
- …FUNCTIONS** + Serves as a department resource for questions related to case management activities. Communicates in an active, positive, and effective manner ... providing community resources /services to uninsured patients as requested Case Management staff + Participates in reimbursement/certification and… more
- CVS Health (Springfield, IL)
- …-8pm as needed to meet business needs. The Care Manager BH coordinates all case management activities with members to evaluate medical needs and to facilitate ... of prior claims to address potential impact on current case management and eligibility. + Creates a...holistic approach to assess the need for referrals to clinical resources and to assist in determining… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Pediatric Clinical Case Manager's primary responsibility is to facilitate the continuum of care for an assigned number of pediatric cases by ... managing, coordinating, facilitating and monitoring resources to achieve optimal clinical outcomes, utilization...RN or acute care, transitional care, or chronic care RN/ case management experience OR Associates degree in… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Clinical Case Manager will facilitate the continuum of care for an assigned number of cases by managing, coordinating, facilitating and ... outcomes, utilization of services, and financial goals. The Clinical Case Manager oversees the discharge process...RN or acute care, transitional care, or chronic care RN/ case management experience OR Associates degree in… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Emergency Department RN Clinical Case Manager will facilitate transitional care for an assigned number of cases by managing, coordinating, ... of services, and financial goals. The Emergency Department RN Clinical Case Manager oversees the discharge process...RN or acute care, transitional care, or chronic care RN/ case management experience OR Associates degree in… more
- CVS Health (Harrisburg, PA)
- …intervention skills preferred + Managed care/utilization review experience preferred + Case management and discharge planning experience preferred **Education** ... standard business hours. No weekends and no holidays. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- RWJBarnabas Health (West Orange, NJ)
- …these services. In addition, this position includes learning to provide Intensive Clinical Case Management ICCM services for Supervisory/ Management ... for 24/7 Crisis Management along with other members of the EAP Clinical Team. This position will include supportive contact with the Access Center Specialists to… more