- 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
- 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
- The Cigna Group (Bloomfield, CT)
- …**Summary description of position:** This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the ... **Position Scope:** + Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical knowledge to assess the treatment plan… more
- The Cigna Group (Birmingham, AL)
- …in participating provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical ... Nursing * Three to Five (3-5) years recent experience in an acute-care environment, case - management or utilization management position (experience can be a… more
- The Cigna Group (Bloomfield, CT)
- …* Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient medical services for ... regular trainings and other collaborative meetings as appropriate. * Works with management team to achieve operational objectives and financial goals. * Supports… more
- The Cigna Group (Bloomfield, CT)
- …+ Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient medical services for ... and other collaborative meetings as appropriate. + Works with management team to achieve operational objectives and financial goals....and MCG criteria are a plus. + Excellent time management skills + _Must be available to work rotating… more
- The Cigna Group (Bloomfield, CT)
- …to meet commitments aligned with organizational goals.** **Understands and adheres to Case Management performance measures to deliver on key results.** ... a case manager will possess a URAC-recognized certification in case management .** **Excellent communication skills including telephonic (verbal) and digital… more
- HCA Healthcare (Nashville, TN)
- … like you to be a part of our team. **Job Summary and Qualifications** The Case Management Business Analyst is focused on providing subject matter expertise ... organization that invests in you as a Senior Business Analyst ? At HCA Healthcare, you come first. HCA Healthcare...on Case Management products including its functionality and… 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 Analyst , Case Manager you will facilitate appropriate...decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management … more
- CVS Health (Jefferson City, MO)
- …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… 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 (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 (Tallahassee, 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)
- …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
- MTA (New York, NY)
- …Compliance Department in a wide range of research, data collection, data entry and case management activities. The Analyst will prepare compliance data by ... Compliance Analyst Job ID: 8647 Business Unit: MTA Headquarters...+ Obtain data on business activities, Meet with departmental management to gather input on the risks and controls… more
- CVS Health (Atlanta, GA)
- …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 (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
- 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
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