- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… 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:** Case Management + **Schedule:** Full time, Mon-Fri days, occasional off shift coverage + **Hospital:** Ascension St Vincent… more
- CAI (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
- Dignity Health (Woodland, CA)
- …to multidisciplinary team. Knowledge of regulatory and accreditation standards and complex case management . Knowledge of capitation/HMO, insurance ... quality of care and clinical outcomes for members with complex care needs by coordinating care within the health...readmissions and ER visits. This position will involve telephonic case management and direct patient contact. Provides… 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
- Stanford Health Care (Palo Alto, CA)
- …service delivery, and compliance with external review agencies' requirements. A health-system case management program has as its primary goal to ensure ... Education, Bioethics Referrals & Management , Physician, Staff & Community Education, Case Management Education & Training, Risk Management Identification… more
- University of Washington (Seattle, WA)
- …services range from individuals seeking one-time consults to those needing long term complex case management . **PRIMARY JOB RESPONSIBILITIES:** + Serve as ... Center** has an outstanding opportunity for an **Gastroenterology Registered Nurse (RN2) Case Manager** to join our **GI clinic.** **WORK SCHEDULE:** + Full-time,… more
- Avera (Parkston, SD)
- … Manager is a specialized nurse that identifies members who would benefit from complex /chronic condition case management and/or service coordination. The RN ... experience in acute care setting required. + Nursing experience in case management , disease management , care coordination or equivalent preferred. **Work… more
- Blue KC (Workman, MN)
- …and tailors teaching to member's knowledge level and learning style. + Enrolls new complex members monthly for case management services and initiate the ... inpatient acute care setting; medical/surgical; transitions of care; discharge planning, home health, case management + Comfortable case managing members of… more
- Humana (Columbus, OH)
- …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of...in teams focusing on quality management , utilization management , case management , discharge planning… 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
- Fairview Health Services (Maplewood, 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
- University Medicine (Providence, RI)
- …order to ensure a safe discharge from the care setting. + Once stratified for complex case management , an initial assessment is completed including patient's ... SUMMARY: Reporting to the Manager of Case Management , the nurse case...engagement in order to work with the most medically complex patients based on payer lists and Brown Medicine… more
- Rising Ground (Brooklyn, NY)
- … management supervision to clinical staff and interns; assist in resolving complex case management issues; conduct one-on-one supervisory sessions for ... demonstrates the ability to provide trauma-informed assessment, psychotherapy and assertive case management services to survivors of violent crime. This… more
- InGenesis (Fremont, CA)
- …* Performs a variety of complex , professional, analytical, and confidential case management services. * Maintains Chronic disease registry and enter, tracks ... In this role, you will evaluate, plan, and provide case management services, health education and counseling...services, health education and counseling services for patients with complex chronic conditions such as, but not limited to,… more
- Idaho Division of Human Resources (ID)
- …coordinating social services and resources with community agencies on behalf of clients with complex needs. Case management includes the assessment of a ... as needed for processing applications and for assessments. + Provide interim case management to facilitate client access to support services; take action to… more
- State of Georgia (Dekalb County, GA)
- …experience) in client engagement, interviewing and recording. DEVELOPS AND PARTICIPATES IN COMPLEX CASE MANAGEMENT /CARE PLANNING + Creates, communicates, and ... with behavioral health disorders. Provides counseling/therapy to clients requiring complex intervention, including those who are homicidal, suicidal or exhibit… more
- Magellan Health Services (Honolulu, HI)
- …episode of treatment. Continues physician oversight of at-risk patients deemed appropriate for complex case management and timely completion of all ... to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical necessity decisions. Follows… more
- Ellis Medicine (Schenectady, NY)
- …and hospital resources. + Actively participates in weekly multi-disciplinary rounds regarding complex case management of patients. Collaboratively formulates ... at: ###@ellismedicine.org What will you do as a Social Worker in Case Management ? + Assess, plan, implement and evaluate individual healthcare needs. Integrate… more
- Point32Health (MA)
- …across the continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, ... operates + Bachelor's Degree in Nursing preferred + National certification in Case Management desirable **Experience** (minimum years required) **:** + 5+… more