- CommonSpirit Health (Phoenix, AZ)
- …+ Maintains a safe work and patient environment, adhering to the Safety, Risk Management and Regulatory Standards and if applicable infection prevention. + ... centralized monitoring unit under the direction of a Registered Nurse . Work requires: + Ability to adapt quickly to...to procedures relating to protected healthcare information, safety and risk management . + Ability to read, understand… more
- Beth Israel Lahey Health (Boston, MA)
- …in patient's medical record. Consults on psychosocial patient-care planning and patient/family management as well as risk management . 4. Utilizes ... assessments and provides services as indicated. Partners with a nurse case manager and the multidisciplinary team, assists in...appropriate for clinical consultation and to apprise supervisors of legal , ethical, risk issues that may effect… more
- U-Haul (Phoenix, AZ)
- …data from TPA and U-Haul analytics team to deliver actionable insights to Risk Management Director and executive leadership. + Foster strong relationships with ... + Review and approve vendor invoices and third-party services related to medical management . + Work closely with team members, TPA, attorneys, and physician teams to… more
- HCA Healthcare (Wichita, KS)
- …provided for patients in individual units. Responsibilities include fiscal, human resource, risk management and operational functions. The Manager contributes to ... illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and… more
- Highmark Health (Harrisburg, PA)
- …with external contacts. + Communicate effectively while interacting with Case Management Specialists, Management Team, Physician Advisors and other ... other payers (when applicable) to create a collaborative approach to care management and benefit coordination. + Maintain a working knowledge of available community… more
- Henry Ford Health System (Troy, MI)
- …and case management principles. + Knowledge of medical ethics and legal implications related to case management . + Understanding of social determinants ... lowering the total cost of care. This position will be supporting the Transition Care Management team day hours (M-F ) with a work from home format most days. On… more
- Houston Methodist (Houston, TX)
- …Prepares summary reports for internal leadership review. Collaborates with the Director of Risk Management and Regulatory Affairs for reporting incidents to the ... initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations. **PEOPLE ESSENTIAL FUNCTIONS**… more
- Magellan Health Services (San Diego, CA)
- …appropriate and effective person-centered care plan, member education and care management . Conducts initial and concurrent review for prior authorization of higher ... standards of care and performance set by Member Market Leads and the Care Management Center of Operational Excellence (CoOE) Lead. + Accountable for all Care … more
- UNC Health Care (Smithfield, NC)
- …operating rooms, and 24/7 anesthesia coverage, we provide care for both normal and high- risk patients. Our **Special Care Nursery** , a Level II NICU with 3 licensed ... beds, partners with REX Neonatologists and Neonatal Nurse Practitioners to care for infants with complications or transitional needs, ensuring excellent outcomes and… more
- Highmark Health (Monroeville, PA)
- …for administrative decisions and appropriate notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. (30%) ... State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Preferred + BSN + Previous management experience… more