- Amentum (Fort Carson, CO)
- …and national security solutions to customers around the world. If you are an experienced Case Management Analyst seeking a way to positively impact US ... ** Case Management Support Analyst I** Amentum is a leading provider of enduring support for the essential missions of the US government, its allied partners… 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 ... or + 2+ years of relevant RN experience with a BSN degree + Case management experience preferred + 5+ years of experience is preferred in prior authorization or… more
- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** + Analyst , Case Management (ACM) drive and support care ... impact member outcomes and care planning with appropriate referral to clinical case management or crisis intervention as appropriate. + Utilizes… more
- CVS Health (Decatur, IL)
- …member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate...decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management … more
- CVS Health (Columbia, KY)
- …Aetna. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management and clinical ... quality outcomes. * Creates direction and communicates a business case for change by focusing on and addressing key...the unit. * May be accountable for the day-to-day management of teams for appropriate implementation and adherence with… 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
- 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 ... and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance… 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 ... review, clinical documentation improvement and revenue integrity, these specialized case managers analyze medical documentation to ensure that proper reimbursement… more
- CVS Health (Miami, FL)
- …business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case ... and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for telephonically and/or face to face assessing,… more
- CVS Health (Springfield, IL)
- …County, IL or surrounding areas (within 40 minute range/radius) + As a Case Management Coordinator you will facilitate appropriate healthcare outcomes for ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. + Coordinates and… more
- CVS Health (Frankfort, KY)
- …convenient and affordable. **Position Summary** Aetna Better Health is hiring for a Case Management Coordinator (CMC) for the Cumberland region. A Case ... (CMC) utilizes critical thinking and professional judgment to support the case management process, in order to facilitate and maintain improved healthcare… more
- CVS Health (Springfield, IL)
- …make health care more personal, convenient and affordable. **Position Summary** The Case Management Coordinator utilizes critical thinking and judgment to ... collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing… more
- CVS Health (Columbus, OH)
- …appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case ... the following areas of expertise: family systems, community systems and resources, case management , child and family counseling/therapy, child protection, or… more
- CVS Health (Tallahassee, FL)
- …is 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 limited ... health conditions. These members are usually stratified as low risk. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the member's health… more
- CVS Health (Jackson, MS)
- …is 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 limited ... health conditions. These members are usually stratified as low risk. The Care Manager will work in conjunction with the Nurse Care Manager, Care Coordinator, Transition of Care (TOC) Coach, and other members of the Care Team to improve the member's health… more
- Amazon (Seattle, WA)
- Description CMS Data Platform team's mission is to empower Case Management tenants to make data driven decisions and derive insights. As a Business Analyst , ... of available metrics, dashboards and data catalog around routing, case /issue handling and workforce management themes. Launch...of 80% and ability to customize around routing and case handling sections. The Business Analyst will… more
- Insight Global (San Marcos, CA)
- …Requirements - 3 years' experience as a Business Analyst or analytical role or case management - Experience with case management - Previous customer ... research the root cause of escalated member cases. Business Analyst will then provide a resolution on such escalated...will then provide a resolution on such escalated member case . Always an influx in cases due to the… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and ... to internal and external customers in a telephonic environment. IN addition to Case Management duties, the Case Manager will manage precert and concurrent… more
- Arkansas Government Job (Little Rock, AR)
- PSC RATE CASE ANALYST Date: Nov 7, 2024 Req ID: 44805 Location: Little Rock, AR, US, 72201 Category: AR PUBLIC SERVICE COMMISSION Anticipated Starting Salary: ... 50,222 PSC Rate Case Analyst Posting End Date: November 29,...require review and approval by the Office of Personnel Management . OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE… more
- CACI International (Chantilly, VA)
- Tester / Business Analyst - CMDB Use Case Implementation Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: Secret ... Travel: Continental US * * * CACI is seeking a Tester with Business Analyst skills in support of the Enterprise Information Technology as a Service (EITaaS) contract… more
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