- USAA (Phoenix, AZ)
- …requirements. Details the results of a reasonable investigation within the appropriate case management system. May contact members for additional information or ... you'll do: Under direct supervision, completes reasonable investigations of moderately complex Fraud and Non-Fraud Credit Card, Debit Card and Deposit transactional… more
- Highmark Health (Harrisburg, PA)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Highmark Health (Dover, DE)
- …to special programs such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . + Collaborate with the member's health ... and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in...and formulating an appropriate action plan. + Document all case management services and intervention in the… more
- Iowa Department of Administrative Services (Spencer, IA)
- …CSS office located at 20 W 6thSt Ste 200, Spencer, IA . Job Duties: + Performs complex case management for parents in need of paternity, medical and support ... Upon successful completion of the training period and with management approval, this position offers a hybrid work opportunity,...ensure their success. + Independently analyzes a variety of complex case situations and legal scenarios to… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …position include, but are not limited to: Develops policies and procedures to operationalize Complex Care and Case Management across all Eastern Colorado ... the subject matter expert in Care Coordination and Case Management . Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Social Work:… more
- Justice, Bureau of Prisons/Federal Prison System (PA)
- …individuals for successful reentry into our communities. Responsibilities Serves as the Deputy Case Management Coordinator (DCMC) at one of the Bureau of Prisons ... (BOP) Federal Correctional Complex (FCC) facilities. Formulates institution supplements to ensure Bureau...implemented at the institution level in the area of case management . Implements BOP case … more
- Centene Corporation (Dover, DE)
- …for the LTSS and Medicare-Medicaid Duals populations. + **Transactional UM Reviews and Complex Case Management :** + Conduct medical reviews for utilization ... appeals, with a focus on clinical appropriateness. + Lead and/or participate in complex case management reviews, ensuring that complex cases are… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …processes, including usage of evidence-based guidelines, as part of management of complex case management cases. + Responsible for meeting individual ... POSITION PURPOSE Responsible for organizing, coordinating, and providing care coordination and case management services to members who are most at risk… more
- Sharp HealthCare (San Diego, CA)
- …targeted interventions, disease management , case management or complex case management services to help mitigate risk and improve ... and DM. **Required Qualifications** + Master's Degree in Nursing + 3 Years Case management experience. + 5 Years experience in a leadership role. + California… more
- AC Disaster Consulting (Tallahassee, FL)
- …engagement, and interagency coordination. + Adept at resolving escalated issues and overseeing complex case management processes. + Leads teams of IA ... resources. + Ensure the effective implementation of FEMA's Disaster Case Management Program, working with case...Recovery platforms), and appeal processes. + Able to manage complex cases and assist with documentation or appeals. +… more
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