- ChenMed (North Miami, FL)
- …primary care physician to meet urgent patient needed with the aim of preventing unnecessary hospital arrivals **KNOWLEDGE, SKILLS AND ABILITIES:** + Strong ... episode of care management the register nurse (RN) will review patient chart for discharge and conduct final discharge...may need and to oversee appropriate patient discharge from case management. + Performs clinical, fall prevention, and social… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review , quality assurance, ... + Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities… more
- Stanford Health Care (Palo Alto, CA)
- …revenue cycle certification- Health Care Quality (HACP, CPHQ, HCQM) certification- Case Management Certification (CCM) or clinical certification- Physician ... experience. + ICU/ED and Academic Medical Center experience preferred. + Case management, utilization review and/or direct provider interaction experience,… more
- Elevance Health (Chicago, IL)
- …policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or ... of clinical case reviews for their board-certified specialty. + Makes physician to physician calls to gather medical appropriate information in order… more
- CareFirst (Baltimore, MD)
- …The Social Worker will adhere to the principle of the Quadruple Aim , improving member/enrollee experience, improved clinical outcomes, lower costs while pursuing ... needs and Social Determinants of Health. Obtains verbal consent to initiate case Care Management services and interventions. + Planning: Utilizes proficient Care… more
- Banner Health (Mesa, AZ)
- …participate in the interdisciplinary team including therapists, nurses, physicians, and case managers to provide direct patient care and recommend appropriate ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more
- Cleveland Clinic (Cleveland, OH)
- …experience is available at the _Cleveland Clinic Lerner College of Medicine of Case Western Reserve University_ . Board Certification via the American Board of ... Pediatric Institute. Cleveland Clinic Children's and the Center for Pediatric Behavioral Health aim to create an equitable and engaging work environment in which all… more
- HCA Healthcare (Cypress, TX)
- …units, Trauma, Oncology, NICU, Transplant, and ED. The MSW responds to physician , non-discharge planning social work consults throughout the facility. What you will ... do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to proactively… more
- Banner Health (Mesa, AZ)
- …participate in the interdisciplinary team including therapists, nurses, physicians, and case managers to provide direct patient care and recommend appropriate ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more
- Banner Health (Mesa, AZ)
- …Our care team includes Pediatric Hospitalists, Pediatric Surgeons, Nutritionists, Case Management, Social Services, PT/OT, Pharmacists, and Child-Life Specialists. ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...50 busiest Emergency departments in the country. If you aim to deliver top-tier care to the most vulnerable… more