- CVS Health (Montgomery, AL)
- …of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... to take and manage crisis calls. **Required Qualifications:** + Unencumbered Independent Behavioral Health clinical license in the state where they reside… more
- Highmark Health (Montgomery, AL)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- CVS Health (Montgomery, AL)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Intermountain Health (Montgomery, AL)
- …Plans, and fully funded and self-funded Commercial Employer plans. The Care Manager works with Select Health members, their family, caregivers, and a ... to access benefits, resources, and services to meet comprehensive medical, behavioral , and social needs of members while promoting self-management, quality, and… more
- CVS Health (Montevallo, AL)
- …+ Ability to handle sensitive information ethically and responsibly. + CCM (Certified Case Manager ) + Remote work experience **Education** + BSN Required ... assessments in various settings, including the member's private residence, hospitals, behavioral , and long-term nursing facilities. The care manager establishes… more
- Magellan Health Services (Redstone Arsenal, AL)
- …needed to restore health and well-being. + Performs initial screening, non- clinical risk and lethality assessment and safety planning with victims of domestic ... education to victims. + Liaisons with the installation Family Advocacy Program Manager (FAPM) to ensure that comprehensive victim services and training are provided… more
- Chenega Corporation (Maxwell AFB, AL)
- …years. + Identify and manage specific pediatric illnesses. + Prepare and review case histories and clinical records of newborns, infants, children, and ... **Pediatric Nurse Practitioner** (NP) will be the Primary Care Manager (PCM) for a panel of up to 1,300...other health care professionals within the scope of the clinical privileges or responsibilities. Examine, diagnose, treat, or prescribe… more
- Highmark Health (Montgomery, AL)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more