- Tufts Medicine (Malden, MA)
- …reimbursement sources. Escalates to referral management director and/or referral manager , in circumstances of potential admission where reimbursement sources appear ... from the physician and patient/family assessment. Reviews referred patient's history, medical status, and prognosis to determine eligibility for hospice services… more
- JBS USA (Tolleson, AZ)
- …including compliance with requirements of state worker's compensation regulations, reporting all case that require outside medical care to third party ... is responsible for direct care of employees according to medical directives, policies/procedures and physicians standing orders and within...administrator (TPA), and initiation of internal case . + Conducts tasks in a professional and effective… more
- CVS Health (Oklahoma City, OK)
- …appropriate provider and/or specialists. + Engage directly with inpatient physicians, case managers, medical directors, and hospitalists (where applicable) to ... CVS Aetna takes a team-based approach to providing outstanding patient care. Transitional Care Manager is an integral part of the team. The TCM is the primary member… more
- AdventHealth (Ocala, FL)
- …Care Management Supervisor is under the general leadership of the Care Management Manager or Facility Director and assists in monitoring and performing the daily ... for the daily front line operations as assigned by the Care Management Manager or Facility Director. The Care Management Supervisor will serve as the primary… more
- ChenMed (Oakland Park, FL)
- …providers. We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving positive patient ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN)...healthcare facilities. + In conjunction with the PCP, Hospitalist, Medical Director, insurance case manager … more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director, Case Manager , Preventive Services, Subrogation, Quality ... reviewed at our level. If not, then it would be sent for review with our medical director. We would then complete the approval or denial and notify the provider. +… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Forrest City, AR)
- …corporate policies and procedures. Individual will be point of contact to ensure medical case management is conducted for worker compensation cases. Job ... of the Safety & Health Department to ensure responsive medical support for employees in accordance with company and...safety inspections as assigned by the Safety & Health Manager . Conduct in person observations of employee job assignments… more
- ChenMed (Philadelphia, PA)
- …possession and maintenance of a current, valid driver's license + Certified Case Manager certification is preferred. Certification through the Commission for ... through external providers and healthcare systems. The Acute Care Nurse is an important member of the Complex Care... Case Manager Certification (CCMC) or the American… more
- University of Miami (Miami, FL)
- …admission. Attends daily interdisciplinary team rounds. Collaborates with Primary RN, case managers/social services during the patient's stay, Assumes a proactive ... up to 30 days as needed). It serves as a liaison between the medical and surgical teams and patients and their families post-discharge. Demonstrates the knowledge… more
- UHS (Johnson City, NY)
- …we invite you to bring your skills to UHS. Work Locations: UHS Wilson Medical Center, Johnson City, NY UHS Binghamton General Hospital, Binghamton, NY There is more ... required to float across multiple UHS facilities. Your recruiter and hiring manager will clarify expectations during the interview process. Shift and Schedule: There… more