- PruittHealth (Atlanta, GA)
- **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible ... application of model of care practice guidelines and Case Management (CM) Standards of Practice. Implement appropriate interventions to...emotional support on an ongoing basis related to identified risk factors and a wide variety of topics and… more
- East Boston Neighborhood Health Center (MA)
- …impaired or threatening patients, DV, Child or elder abuse reporting, special risk management clinical reviews, etc. BH and Other Strategic Initiatives ... to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... denial management and appeals process, as applicable, in collaboration with...utilizing various resources and skills to reduce significant financial risk and exposure caused by unnecessary services provided. This… more
- Dignity Health (San Luis Obispo, CA)
- …Program Manager is to support, coordinate, and facilitate the quality management (QM), patient safety (PS) and regulatory performance improvement (PI) activities ... and medical staff. This role also serves as a resource to employees, management , nursing directors, senior management , councils, physicians and teams on quality… more
- Catholic Health Services (West Islip, NY)
- … Management : Works collaboratively with, but not limited to, Medical Staff, Quality/ Risk Management , CH Utilization and Central Appeals, Managed Care and ... Overview The Director of Care Management is responsible for providing overall management...of Science degree strongly preferred. Licensure: New York Registered Nurse (RN) License & Registration. Certification: Care Manager Certification… more
- University of Colorado (Aurora, CO)
- …Reporting, and Analysis (25%)** + As a key member of the SHS management team, participates in long-range and short-range business and strategic planning. + Conducts ... of resources. + Develop and implement financial controls and processes to mitigate risk and ensure the safeguarding of assets + Develops strategic fiscal contingency… more
- MyFlorida (Orlando, FL)
- …Bachelor's Degree in any other discipline with at least 6 months of direct case management experience or a Florida Licensed Registered Nurse (RN) with 1-year of ... (CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of...live independently. Staff will provide HIV Health Education & Risk Reduction services and advocacy to address medical and… more
- Trinity Health (Fort Lauderdale, FL)
- …centered delivery of care, with a highly engaged, collaborative Physician, Nurse and support team. They will support local financial performance, quality/safety/ ... risk programs, continuous improvement activities, and regulatory compliance. They...of the Director is crucial to ensuring the effective management and coordination of health services within Holy Cross.… more
- HCA Healthcare (Plano, TX)
- …a part of our team. **Job Summary and Qualifications** The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination ... designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing...30 days of employment start date + (RN) Registered Nurse + Bachelors Degree Medical City Plano opened in… more
- SSM Health (Oklahoma City, OK)
- …for appropriate patients with wound, ostomy, continence issues and/or are at high risk for skin breakdown; performs patient follow-up to evaluate care plan outcomes. ... communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. + Utilizes research and other forms of...- American Heart Association (AHA) + And + Registered Nurse (RN) Issued by Compact State + Or +… more