- 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
- 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 (Montgomery, AL)
- **Evernorth Nurse Case Management Senior Analyst (Home-Based TOC)** Objective: Prevention of readmission for high-risk members by leveraging telephonic and ... and health plans upon conclusion of the program to support transition, including Case Management referrals for ongoing services License Requirements: + Current… more
- CVS Health (Frankfort, 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
- The Cigna Group (Bloomfield, CT)
- …transition of care, product rate negotiations, and accurately calculates medical cost savings. Case Managers performs case management evaluation to identify ... Required Results** + Obtains informed verbal consent from customers for case management services + Establishes a collaborative relationship with the client (plan… more
- The Cigna Group (Pittsburgh, PA)
- …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
- Huntington Ingalls Industries (San Antonio, TX)
- …services for Appellate, District and Bankruptcy Case Management , Electronic Case Filing (CM/ECF). The analyst will be required to have troubleshooting, ... Technologies is currently seeking a Tier 1 Support Desk Analyst (SDA) that will provide help desk and system...Essential Job Responsibilities + Provide Tier 1 support for Case Management /Electronic Case Filing (CM/ECF)… more
- CVS Health (Plainfield, IL)
- …member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... decision-making. **Monitoring, Evaluation and Documentation of Care** - Utilizes case management and quality management processes in compliance with… 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 (Tallahassee, FL)
- …**Position Summary** 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 (Urbana, IL)
- …in behavioral health, social services or human services field -Minimum 2 years of case management experience -Willing and able to travel 50-75% of the time ... requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate...and education for members through the use of care management tools and resources. **Required Qualifications** -Minimum 2 years… more
- CVS Health (Columbus, OH)
- …appropriate healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case ... healthcare outcomes for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of Case Management to… more
- CVS Health (Springfield, IL)
- …Summary:** Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes ... member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- CVS Health (Chicago, IL)
- …Summary** Utilizes critical thinking and judgment to collaborate and inform the case management process, to 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 (Tallahassee, FL)
- …Summary** We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our team. Case ... effectively manage a caseload that includes supportive and medically complex members. Case Management Coordinator will utilize critical thinking and judgment to… 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
- TXNM Energy (Albuquerque, NM)
- …This position is posted until filled. **DEPARTMENT** Department: Regulatory Policy and Case Management **JOB DESCRIPTION** **Regulatory Analyst ** Salary ... Regulatory Analyst Location: Albuquerque, NM, United States Job ID:...supervision, provides specialized, technical and analytical support to the case management , technical rate services, and cost… 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
- The Cigna Group (Bloomfield, CT)
- **Evernorth Behavioral Health** **Job Description Case Management Lead Analyst (Licensed Telephonic Counselor)** **_ Remote but must be licensed in ... needs trusts, estate planning or disability entitlements highly preferred **JOB TITLE:** Case Management Lead Analyst (Licensed Telephonic Counselor) **JOB… more
- MyFlorida (Arcadia, FL)
- CHILD SUPPORT CASE PROCESSING ANALYST - 73005271 Date: Jan 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... No: 845185 Agency: Department of Revenue Working Title: CHILD SUPPORT CASE PROCESSING ANALYST - 73005271 Pay Plan: Career Service Position Number: 73005271… more
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