- The Cigna Group (Bloomfield, CT)
- …or satellite-based internet **Preferred Qualifications** + Clinical experience in acute care or case management preferred. Including experience/expertise ... through effective decision making + Experience in medical management and case management in a managed care setting is highly desirable + Knowledge… more
- The Cigna Group (Nashville, TN)
- …individuals regarding Medicare appeals and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of ... medical services as well as Part B drugs. The Case Management Analyst will be...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- ASM Research, An Accenture Federal Services Company (Columbus, OH)
- The Bilingual Case Management Analyst III is responsible for efficient and timely hands-on troubleshooting, remediation, coordination, escalation, tracking ... and management . Also responsible for conducting research, workflow investigations, business...the project goals, will complement the role as a case analyst . + Employee is expected to… more
- CVS Health (Springfield, IL)
- …outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. * Coordinates and ... provider in healthcare decision-making. * Monitoring, Evaluation and Documentation of Care : Utilizes case management and quality management processes in… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY/PRIMARY FUNCTION: The Senior (Sr.) Application Analyst is responsible for participating in the overall design, implementation, training, ... design, implementation, and optimization of their specific application. The Sr. Application Analyst takes general direction from their supervisor or manager. The Sr.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Description:** The Utilization Analyst works with physicians, the payers and inpatient case management team to validate the medical necessity of the hospital ... complete documentation in the medical record in correlation with the correct level of care .. -Collaborates with case managers, nursing staff , coding team , the… more
- The Cigna Group (Mobile, AL)
- **Evernorth Nurse Case Management Senior Analyst (Home-Based TOC)** Objective: Prevention of readmission for high-risk members by leveraging telephonic and ... in-home visits to identify gaps in care and ensure timely interventions. Responsibilities: + Comprehensive health...upon conclusion of the program to support transition, including Case Management referrals for ongoing services License… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst -Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical ... of relevant RN experience with a BSN degree + Case management experience preferred + 5+ years...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase… more
- CVS Health (Springfield, IL)
- …outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... provider in healthcare decision-making. Monitoring, Evaluation and Documentation of Care : - Utilizes case management and quality management processes… more
- CVS Health (Tallahassee, FL)
- …a Monday -Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for ... + Effective communication skills, both verbal and written + Managed care experience + Case management and discharge planning experience **Education** +… more
- CVS Health (Springfield, VA)
- …outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... provider in healthcare decision-making. Monitoring, Evaluation and Documentation of Care : - Utilizes case management and quality management processes… more
- The Cigna Group (Bloomfield, CT)
- …services available allowing them to identify and service each individual's needs. The case manager offers Specialty Care Management services that utilize ... The specialty care management programs help individuals make...of opioid overdose, substance use issues or chronic pain management issues_** . The case manager will… more
- CVS Health (Frankfort, KY)
- …etc. **Preferred Qualifications** * Knowledge of growth and developmental milestones. * Care management experience * Discharge planning experience * Managed ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- The Cigna Group (Bloomfield, CT)
- …+ Engage with customers and families to understand needs, facilitate access to coaching/ case management programs and community resources. + Work in a team ... with a background in the insurance industry as a care manager in a behavioral healthcare role, or an...chemical dependency treatment facility in the area of utilization management , or in direct provision of service as a… more
- CVS Health (Richmond, VA)
- …in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences * Utilizes care management processes in ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- CVS Health (Tallahassee, FL)
- …a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Job Summary** The… more
- University of Utah Health (Salt Lake City, UT)
- …administration, a related field, or equivalency. + Two years of experience in case management activities with third party payers. **Licenses Required** + Current ... Health exists to enhance the health and well-being of people through patient care , research and education. Success in this mission requires a culture of… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Social Services Analyst 1 (WAE) - Child Care Assistance Program Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4784932) Apply Social ... Services Analyst 1 (WAE) - Child Care Assistance...order to determine the support services needed. Serves as case manager for assigned caseload by recording findings, recommendations… more
- Fair Haven Community Health Care (New Haven, CT)
- …to pay. Job purpose Reporting to the Manager of the Health Information Management (HIM) Department, the HIM Specialist/ Analyst performs the duties related, but ... within the HIM Department, proper scanning of documents, engages management concerning new workflow possibilities. + Gathers and generates...by the organization on a case by case basis. Fair Haven Community Health Care … more
- Penn Medicine (Philadelphia, PA)
- …Orders (CPOE) (Preferred) + Epic ClinDoc (Preferred) + Epic Stork (Preferred) + Epic Case Management (Preferred) + Epic Bugsy (Preferred) Skills and Abilities: + ... health system can continue to provide high quality patient care . Senior Application Analyst : Job Summary: +...Epic ClinDoc (Preferred) + Epic Stork (Preferred) + Epic Case Management (Preferred) + Epic Bugsy (Preferred)… more