- Matrix Providers (Fairfield, CA)
- …guidelines; telephone triage and other tele-health professional standards and guidelines; Case Management Society of America (CMSA); American Accreditation ... Registered Nurse - Disease Management Location: Fairfield, CA, United States Healthcare Provider...Population Health Working Group. - Proactively coordinates with the Case Manager and Utilization Manager as needed. - Assists… more
- Hospice of Michigan (Southfield, MI)
- …to information requested by third party payers and calls clinical reports to case managers. + Provides nursing telephonic interventions using Triage Protocols ... available patient records and Triage Protocols and Process Flows. + Completes on-going telephonic assessment of the impact of the terminal diagnosis on the patient's… more
- MyFlorida (West Palm Beach, FL)
- …implementation and continuous monitoring of the Fifteenth Judicial Circuit Differentiated Civil Case Management Program, and the supervision of related court ... Civil Division and secondary direction of the Director of Case Management . This position will work with...least 7 days before your scheduled either in-person or telephonic interview; if you are hearing or voice impaired,… more
- Molina Healthcare (MS)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. * Develops and implements a case management plan in collaboration with the...to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs… more
- Molina Healthcare (San Francisco, CA)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Molina Healthcare (TX)
- …for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- Houston Methodist (Houston, TX)
- …could include physician's office, acute care, long term care, home health. + Case Management experience preferred. **LICENSES AND CERTIFICATIONS - REQUIRED** + ... from the department. This position provides technical, clerical assistance and data management support to the department staff to facilitate efficient utilization of… more
- Highmark Health (Des Moines, IA)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may...as the physician member of the multidisciplinary team for case and disease management . They will advise… more
- Molina Healthcare (York, SC)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
- MyFlorida (Fort Lauderdale, FL)
- OPERATIONS & MANAGEMENT CONSULTANT MGR - 79011245 Date: May 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 853759 Agency: Business and Professional Regulations Working Title: OPERATIONS & MANAGEMENT CONSULTANT MGR - 79011245 Pay Plan: SES Position Number: 79011245… more