- Beth Israel Lahey Health (Charlestown, MA)
- …brand. The Executive Director will collaborate with designated entity and system leaders (ie, case management , HR, OD, nursing informatics) and build-out an ... Operations assumes responsibility for Culture & Retention Strategies, Nursing Informatics, Case Management Program,...for Culture & Retention Strategies, Nursing Informatics, Case Management Program, and Patient Throughput. **Job… more
- UPMC (Pittsburgh, PA)
- …a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is a Monday through Friday daylight role ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and...Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse (RN). Preference will be given to LSW, CSW… more
- Hartford HealthCare (Southington, CT)
- …be spent in the following activities: Provides staff guidance in making clinical and case management decisions focused on clinical excellence for end of life ... procedures by providing staff guidance in making clinical and case management decisions that are cost effective...palliative care end of life issues Licensure: A registered nurse with a license to practice in the State… more
- ChenMed (Louisville, KY)
- …of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed ... of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …licensing requirements, and Hennepin Healthcare policies. *Collegiality:* * Collaborates with nursing , providers, case management , finance, and payer ... - REVISED FTE *_SUMMARY:_* We are currently seeking a*Staff Nurse *to join our Utilization Management department for...of recent clinical experience (eg, med/surg, ICU, ED, or case management ) * Strong understanding of utilization… more
- US Tech Solutions (Malden, MA)
- …5 years clinical nursing experience required. Experience in case management managing geriatric/chronic illness populations required. Experience within ... Under the administrative direction of the Clinical Manager, the Nurse Case Manager (NCM) for Senior Care...computer use, the Internet, and health information technology required. Case management certification a plus **SKILL REQUIREMENTS:… more
- University of Utah Health (Salt Lake City, UT)
- …member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + Current license ... or third-party payer. + Alerts and discusses with physician/provider and case manager/discharge planner when patient no longer meets medical necessity criteria… more
- CareFirst (Baltimore, MD)
- …considerations, to determine medical necessity, appropriate level(s) of care and case management to engage members/enrollees, their families and other ... **Resp & Qualifications** **PURPOSE:** The Inpatient Management Onsite Clinical Navigator (RN) embedded at a...will be conducted with the hospital care team, including case managers, social workers and discharge planners to ensure… more
- UNC Health Care (Kinston, NC)
- …3. Reviews all denials and works collaboratively with the Physician Advisor and Case management Assistants. 4. Reviews and documents findings on all medical ... documentation and formulates appropriate appeals. Coordinates with the Physician Advisor and Case management Assistants in order to establish appeals plan based… more
- UPMC (Pittsburgh, PA)
- …Clinical Care Manager + Minimum of 2 years of experience in a clinical setting and case management nursing required. + Minimum 1 year of health insurance ... care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and...years of hire to remain in role) + Registered Nurse (RN) Licensure, Certifications, and Clearances: + LSW, CSW,… more