- Tenet Healthcare (Detroit, MI)
- …including the Tenet Case Management model, staffing and skill mix, complex Case Management , and centralized utilization review · Participate in new ... Group Director of Case Management - 2506001359 Description : Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine.… more
- Ascension Health (Indianapolis, IN)
- …staffing standards. Cover on units as needed and serve as a resource for complex case management issues. **Requirements** Licensure / Certification / ... **Details** + **Department:** Inpatient Case Management + **Schedule:** Monday-Friday, 8:00AM-4:30PM, with some off shift work + **Hospital:** Ascension St.… more
- The Walt Disney Company (Lake Buena Vista, FL)
- …years of relevant case management experience. + Demonstrated experience with complex case management . + Masters' of Science in Nursing. + Experience ... Line Operations. The Medical Case Manager reports to the Manager, Case Management and Public Health. **What You Will Do (Responsibilities):** + Manage the… 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 ... with members in their homes and also requires providing case management services within nursing facility settings....and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in… more
- Actalent (Sacramento, CA)
- …care. Pay - $50-55.29/hr What We're Looking For: + 4+ years of acute care and complex case management experience. + Strong knowledge of managed care and ... communication, critical thinking, and leadership skills. + Active CA RN license ( Case Management Certification preferred). Pay and Benefits The pay range… more
- Elevance Health (Washington, DC)
- …The **Behavioral Health Case Manager ll** is responsible for performing NCQA Complex Care Assessments and case management functions, telephonically, for ... but are not limited to: + Responds to more complex cases and account specific requests. + Uses appropriate...of Columbia (Washington, DC) required. + Previous experience in case management and telephonic and/or in person… 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
- Fairview Health Services (Edina, MN)
- …requested + Attends care conferences + Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care ... Fairview Partners (FVP) provides high intensity care coordination and case management for seniors and other at-risk...Coordinator for members with complex health care needs + Coordinates with other agencies… 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 ... Develop and scale disaster recovery programs, such as Disaster Case Management , in collaboration with case...1 year of direct leadership experience or experience leading complex portions of projects teams/tasks, program management … more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …creative approaches to management of complex client care. The Pulmonary Case Management (CM) Registered Nurse (RN) focus is on individual growth and ... by collaborating with members of the interdisciplinary team. Responsibilities The Pulmonary Case Management (CM) Registered Nurse (RN) is responsible and… more
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