- Fallon Health (Plymouth, MA)
- …to coordinate after care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note: ... member and their status. The Navigator seeks to establish telephonic and face to face (depending upon product and...other data which may indicate a need for Nurse Case Manager involvement and assessment + Assists… more
- CareFirst (Baltimore, MD)
- …Care Management Supervisor will direct and coordinate the activities of both telephonic and onsite Clinical Navigators embedded at or assigned to a partnering ... of care and manage healthcare costs. The incumbent will initially support telephonic Clinical Navigators and as business needs evolve, the incumbent will function… more
- Cedars-Sinai (Beverly Hills, CA)
- …environment that fuels innovation. **A Little More About What You Will be Doing** The Case Manager is responsible for the case management of patient while ... care settings. In collaboration with the Inpatient Specialty Program (ISP) hospitalists, the Case Manager will assist patients from the time they are admitted… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …as identified through the assessment in action oriented and time specific indicators. The case manager will act as an advocate for the member/family, maintaining ... Responsible for organizing, coordinating, and providing care coordination and case management services to members who are most at...manage people + This role reports to this job: Manager , Population Health + Necessary Contacts: In order to… more
- Sedgwick (Pascagoula, MS)
- …a single business line. + Acts as liaison between telephonic and onsite case management. + Works with Program Manager to provide account support including, ... professional (where such licensure is available) **OR** + Certification as a case manager **OR** + Professional certification in a clinical specialty with three… more
- Travelers Insurance Company (Irvine, CA)
- …claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity ... outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the...complex claims. Mentor other Claim Professionals + Participate in Telephonic and/or onsite File Reviews. Respond to inquiries -… more
- MyFlorida (West Palm Beach, FL)
- …https://www.governmentjobs.com/careers/15thcircuit/jobs/5140713/civil-court-operations- manager -senior-court-operations-consultant?pagetype=jobOpportunitiesJobs ... of Florida is seeking a highly skilled and motivated Civil Court Operations Manager to provide advanced supervisory skills and technical support for the Civil… more
- Ventura County (Ventura, CA)
- …Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases. + ... policies, member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care/ case management within the scope of licensure for… more
- Area Agency On Aging 1-b (Farmington Hills, MI)
- …compliance through consistent audit outcomes conducted by Quality Specialist, Clinical Manager , and other metrics identified by MDHHS, OIG, CSS Department, CQAR. ... Participate in peer reviews and quality activities. + Complete case transfers to another Supports Coordinator as assigned by...to another Supports Coordinator as assigned by the Clinical Manager , following an audit of the participant record. +… more
- Beth Israel Lahey Health (Beverly, MA)
- …teaching, counseling to patient and/or family members. Coordinates care with RN Case manager and IDT **Job Description:** Essential Duties & Responsibilities ... faxes face sheet, and medication list to pharmacy Patient/Family: Assists RN Case manager with patient/family including but not limited to: ▪ Counsels the… more