- University of Virginia (Charlottesville, VA)
- …compensation will be determined by the selected candidate's previous work experience, education , and/or experience. + Audits case request orders and scheduled ... regulations. Work on the strategic, operational, and financial aspects of healthcare management to improve patient care, optimize resource use, and drive overall… more
- University of Southern California (Los Angeles, CA)
- … of specific patient populations. The role integrates the functions of complex case management , utilization management , quality management , discharge ... assessment, planning, implementation, and evaluation to the process of case management . Some of the major duties...from multiple sources, as supported by the ambulatory care coordinator . 4. Analyze and interpret data in collaboration with… more
- University of Rochester (Rochester, NY)
- …by considering factors including, but not limited to, market data, education , experience, qualifications, expertise of the individual, and internal equity ... projects faculty are involved in to include slide pulls and spreadsheet management . + Responsible for distribution of department mail and mailed specimens. +… more
- Highmark Health (Pittsburgh, PA)
- …Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. ... location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%) +… more
- Option Care Health (Greenville, SC)
- …with scheduling/rescheduling in the company scheduling system as needed. + Communicates with case management team for all patient account changes. + Creates post ... at time of service + Excellent organization & time management skills + Knowledge of computer entry and calculator...is below: Salary to be determined by the applicant's education , experience, knowledge, skills, and abilities, as well as… more
- Highmark Health (Buffalo, NY)
- …the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical ... **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal… more
- Highmark Health (Buffalo, NY)
- …such as verifying benefit coverage for the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization ... :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request,… more
- BJC HealthCare (St. Louis, MO)
- …notification point until the period right before the procedure. + Coordinates with case management and physician offices insurance requirements for the surgical ... infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services. The hospital has a 24-hour adult emergency department and… more
- Trinity Health (Springfield, MA)
- …Registered Nurse RN in Massachusetts. + **Certification** : BLS (AHA/ARC). Certification in Case Management (ACM, CCM) required within one year of employment ... current and future medical needs of the patient. **Minimum Qualifications** + ** Education ** : Graduate of an accredited college or university affiliated nursing… more
- Penn Medicine (Princeton, NJ)
- …patients. Conduct individual, group and family therapy sessions in addition to case management . Document evaluations, progress notes, treatment plans and ... for their role.Participate in developing goals for staff training, education and self-development. May assign/oversee attendance at trainings. +...+ CADC or LCSW or LPC or PS (Required) Education or Equivalent Experience: + Master of Arts or… more