- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** +...Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature… more
- Molina Healthcare (Lincoln, NE)
- **For this role, we are seeking a RN Complex Case Manager. Must reside and be licensed for the state of NEBRASKA.** **JOB DESCRIPTION ** **Job Summary** ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… more
- Tenet Healthcare (Detroit, MI)
- Clinical Social Worker Case Management Contingent Days - 2406004197 Description : DMC Sinai-Grace Hospital is DMC’s largest hospital, offering a ... and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This ... The NCM reports to and assists the Director of Case Management in providing ongoing education to...interdisciplinary rounds on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex… more
- Sanofi Group (Cambridge, MA)
- …Case Manag** **ement** **Specialist** **Reports To** : Division Director, Case Management **Location:** Cambridge, MA **Department:** Patient Support ... model highlights the need to reinvent and evolve the Case Management (CM) role with more accountability,...and other knowledge with PSS members through orientation training, case studies, consultation for complex cases, and… more
- Sunrun (Lehi, UT)
- …and opportunities to enhance case resolution processes. + Escalation Management : Oversee complex or high-priority cases, ensuring timely resolution and ... can thrive in through our commitment to diversity, inclusion and belonging. The Director of Case Management Field Service is responsible for leading case … more
- University of Colorado (Denver, CO)
- …** **University of Colorado Denver** Assistant Director of Case Management - 35546 University Staff ** Description ** **Position Details** **University of ... Title: Student Services Assistant Director** **Working Title: Assistant Director of Case Management ** **FTE: Full-time** **Salary Range: $66,207 - $73,176**… more
- CVS Health (Columbus, OH)
- …appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** The Director of Case Management is responsible for the overall operation of the Case Management Department. This includes ... to patients. This involves the delivery of comprehensive front-line Case Management services, including utilization management...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- Guthrie (Binghamton, NY)
- …care setting with strong care management , utilization review, and payer knowledge. A Case Management certification or obtain a Case Management ... case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b)… more
- Guthrie (Cortland, NY)
- Position Summary: This is an integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for ... of experience in an acute care setting with strong case management , utilization review and payer knowledge....development, integration, and monitoring. It is understood that this description is not intended to be all inclusive. c.… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** **RN/ Case Manager MSH Case Management FT Days** The Case Manager (CM) will be responsible for all aspects of case ... NYSNA-MSH NYSNA at Mount Sinai Hospital , 329 - Case Management - MSH, Mount Sinai Hospital...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- CVS Health (Columbus, OH)
- …change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... make health care more personal, convenient and affordable. **Job Description ** Help us elevate our patient care to a...and inform the case management process, The … more
- Concentrix (Austin, TX)
- …Job Title: Social Media Case Management Specialist (Onsite Austin) Job Description ... Social Media Case Management Specialist (Onsite Austin) Customer...written and verbal communication skills, ability to clearly document complex bugs and the steps to reproduce + Resolution… more
- The County of Los Angeles (Los Angeles, CA)
- …SERVICE COORDINATOR, CCS (Registered Nurse, Pediatrics - Case Management ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) Apply ... MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse, Pediatrics - Case Management ) Salary $98,958.24 - $148,128.24 Annually Location Los Angeles County, CA Job… more
- RWJBarnabas Health (Newark, NJ)
- Case Manager (RN) Case Management...efficiency, quality, and resource utilization. Please note this job description is not designed to cover or contain a ... Case Manager Status:Full-Time Shift:Day Facility:Newark Beth Israel Medical Center Department: Case Management Location: Newark Beth Israel Medical Ctr, 201… more
- Guthrie (Corning, NY)
- …assigned. Has an understanding of the regulatory requirements relative to the case management process. Certified to complete Patient Review Instruments (PRIs). ... of the hospital computer system as it relates to case management . Education, License & Cert: BSN...care needs. e) Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who… more
- Trinity Health (Silver Spring, MD)
- …:** **This position requires a minimum of two years of experience in Social Work Case Management within an acute care facility. Additional training to learn the ... role will not be provided.** **Are you an experienced Social Worker Case Management LMSW looking for premium compensation and maximum flexibility? Explore… more
- Mount Sinai Health System (New York, NY)
- **Job Description ** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... Third Party Payor requirements preferred. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital...for all people, everywhere, by taking on the most complex health care challenges of our time - discovering… more
- Sutter Health (Castro Valley, CA)
- …Sutter Health! **Organization:** EMC - Eden Medical Center **Position Overview:** The Case Management Assistant acts independently under the supervision of the ... the Case Manager or Social Worker. The Case Management Assistant uses effective interpersonal skills... Assistant uses effective interpersonal skills in managing the complex interactions involved with the position including explanation and… more