- Humana (Richmond, VA)
- …to care coordination. + Oversees the processes for comprehensive Member assessments to identify their individual needs. + Monitors and maintains staffing ... to work independently under general instructions and with a team . + Utilizes a holistic, Member -centric approach...+ Performs clinical intervention through the development of a care plan specific to each Member based… more
- Molina Healthcare (GA)
- …the following functions: care management, utilization management, behavioral health, care transitions , long-term services and supports (LTSS), and/or other ... the continuum, and contributes to overarching strategy to provide quality and cost-effective member care . Essential Job Duties * Responsible for leading and… more
- Humana (Springfield, IL)
- …+ Serving as the quarterback of the member 's interdisciplinary care team (ICT), overseeing care planning, transitions , and service delivery. + ... **Become a part of our caring community and help us put health first** The Field Care Manager, Behavioral Health performs primarily face to face and telephonic… more
- Humana (Honolulu, HI)
- …multidisciplinary team . This position will be part of our Special Needs Program (SNP) team . All of our SNP RN Care Managers are work at home associates, ... care for acute situations (APS, EMS) + Discuss transitions of care to assist with safe...toward and facilitate interaction with resources appropriate for the care and wellbeing of members + Assess member… more
- Commonwealth Care Alliance (Springfield, MA)
- …outpatient care teams to ensure thoughtful care coordination and transitions ; 9) Developing an expertise in caring for the complex behavioral health ... as a strong member of an interdisciplinary team of clinicians involved in patients' care ;...also communicate regularly and work with each patient's outpatient care team and outpatient CHW to ensure… more
- Covenant Health (Lubbock, TX)
- …is to efficiently facilitate the patient and family's navigation throughout the health care system. In partnership with the Navigation team , the Patient ... of a treatment plan, ensuring ongoing communication and seamless transitions during each phase of the patient's care...are not simply valued - they're invaluable. Join our team at Covenant Children's Hosp (Methodist Children's Hosp) and… more
- HCA Healthcare (Overland Park, KS)
- …Care Management AWV RN acts as an integral member of the division Care Coordination team supporting PSG primary care providers and practices in ... + Attends learning sessions and shares information learned with team members + Assists in the development of tools,...needed and performs medical record reviews for payor projects ** Transitions of Care ** + Contacts patients after… more
- UPMC (Pittsburgh, PA)
- …desired patient outcomes throughout the continuum of care . A Registered Nurse and a member of the care delivery team , you will set the standards for ... care . 5B is a 33-bed, private room, unit caring for adult and geriatric patients ages 18 and...of UPMC Student Nurse Internship Program or student clinical transitions course at UPMC preferred + The individual must… more
- Fallon Health (Lowell, MA)
- …plan that meets the member 's need working in partnership with a care team preferred * Familiarity with NCQA case management requirements preferred ... and implements an individualized,coordinated care plan, in collaboration with the member , the Clinical Integration team , and Primary Care Providers,… more
- Providence (Anchorage, AK)
- **Description** The Clinical Care Coordinator participates as an integral member of the multidisciplinary care team at PMGA. Key roles are coordination ... outreaches to the outside service providers to provide seamless transitions of care , and provides patient education...are not simply valued - they're invaluable. Join our team at Providence Physician Service Organization and thrive in… more