- Vanderbilt University Medical Center (Nashville, TN)
- …agency, VUMC Cancer Committee. Knowledge of guidelines for determining case eligibility; responsible for complete summary of patient history, diagnosis, ... standards, maintains accurate and timely documentation, manages data entry for case completeness and demonstrates knowledge on data retrieval. Participates in… more
- State of Arkansas (Jacksonville, AR)
- …reviewing documents and entering data. Proficiency in basic computer applications and case management systems. Ability to explain complex policies to applicants ... reviewing documents and entering data. Proficiency in basic computer applications and case management systems. Ability to explain complex policies to applicants… more
- Chevron Corporation (Houston, TX)
- …confidentiality of all employees' medical information. **Preferred Qualifications** **:** + Certified Case Manager (CCM) credentials or similar case ... of local management practices regarding fitness-for-duty. + Oversees management of complex cases (ie co-morbidities, stress & psychiatric illness & injury, claims… more
- University of Rochester (Brighton, NY)
- …ill; or an equivalent combination of education and experience. Required + Experience working as a case manager in a Safe Court or A Master's degree in the mental ... considerations._ **Responsibilities:** GENERAL PURPOSE Primarily responsible for providing Targeted Case Management (CM) and Psychiatric Rehabilitation services within Strong… more
- Community Health Systems (Franklin, TN)
- …- Registered Nurse - State Licensure and/or Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager (ACM) ... + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days, payer… more
- KBR (San Diego, CA)
- …with cutting-edge solutions and services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a full range of professional health ... * A minimum of two (2) years nursing experience and must be certified as a case manager by a recognized certifying organization, ie, Commission for Case … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical ... Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets a variety of documents including, but not… more
- Virginia Mason Franciscan Health (Burien, WA)
- …patient care and utilization of resources to achieve optimal outcomes * Notify the case manager of any conflict of interest in reviewing a particular patient ... necessary * Provide consultation to Care Coordination staff regarding complex clinical issues and advises on next steps *...in review of long-stay patients, in conjunction with the Director/ Manager of Case Management and to facilitate… more
- Datavant (Boise, ID)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... CCS HIM director. + Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding audit and actively participates… more
- Eastern Connecticut Health Network (Vernon, CT)
- …to patients as designated by a written care plan which is developed by the RN Case Manager . This position is responsible for the provision of necessary care to ... written care plan which is developed by the RN Case Manager . The Nurse Aide performs activities...a sympathetic attitude and ability to adjust to varying complex home situations. + Ability to motivate; ability to… more
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