- UPMC (Williamsport, PA)
- …orthopedic patient population. The navigator will provide high quality nursing care, telephonic case management , and care coordination throughout the ... post-acute, and outpatient settings to identify important patient needs ( home health, DME, physical therapy, mental health, and various...4 years nursing experience in a hospital setting. + Telephonic case management experience highly… more
- 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
- CommonSpirit Health (Houston, TX)
- …ICD-9-CM, ICD-10-CM/PCS, MS-DRG, and APR-DRG. + Contacts Case and Utilization Management Teams: Makes telephonic /electronic contacts with case and ... Texas. As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case management staff and/or other health… more
- Centene Corporation (Newark, DE)
- …assignments, and may perform audits of staff on a regular basis + May perform telephonic , digital, home and/or other site outreach to assess member needs and ... once a week to attend leadership meetings.** **Position requires ride-along visits with case managers throughout the whole state of DE.** **Rotating on call** **LTSS… more
- Sharecare (Montpelier, VT)
- …motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management ...technologies. + This position will be based from a home office which must satisfy all HIPAA requirements and… more
- Molina Healthcare (MS)
- … case management , disease management , managed care settings. * Field-based case management or home health experience. * Certified Case Manager ... 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.… 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.… 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.… 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.… more
- Molina Healthcare (Olney, IL)
- …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... a strong clinical background. While this position is mostly telephonic , there are times when you may be asked...identified in the assessment. + Develops and implements a case management plan in collaboration with the… more