- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... provider operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- Kepro (Oakland City, IN)
- …for health solutions in the public sector. Acentra is looking for an RN Complex Case Manager - Hybrid (Southwest Indiana Counties: Gibson, Pike, Warrick) to ... join our growing team. Job Summary: The RN Complex Case Manager will: + Provide in-home, in-person care coordination in defined areas of coal mine states and… more
- University of Michigan (Ann Arbor, MI)
- Complex Case Manager Apply Now **Job Summary** Complex Care Managers provide comprehensive care management services to Michigan Medicine patients with ... action employer. **Job Detail** **Job Opening ID** 245091 **Working Title** Complex Case Manager **Job Title** Case Manager **Work Location** Michigan… 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** Molina ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's...+ RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct… more
- CVS Health (Louisville, KY)
- …to make health care more personal, convenient and affordable. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members through ... in person or telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial needs… more
- Hartford HealthCare (Hartford, CT)
- …inpatient admissions of APC patients and subsequent discharges, assist with transitioning complex case /high risk patients in collaboration with hospital team, ... patient, patients family, clinic medical team, social workers, hospital case coordinators, hospital complex care team, home care agencies), focused on a patient… more
- State of Massachusetts (Haverhill, MA)
- …title within this series. Employees at this second level are expected to perform more complex case processing functions within a major work unit of an office and ... use specialized communication skills in performing these duties. * Performs more complex case processing functions, including reviewing court documents, papers,… more
- Tenet Healthcare (Detroit, MI)
- …plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review, f) making appropriate referrals to other ... Clinical Social Worker Case Management Contingent Days - 2406004197 Description :...identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput,… more
- ICF (Columbus, OH)
- …+ Relationship building with Federal Field Specialists and ongoing communication related to complex case identification and planning. + Utilize data from a ... Description ICF is currently seeking Case Coordinators capable of working directly with ORR...working with immigrant youth and families. + Experience with complex family relationships and dynamics and demonstrated ability to… more
- ICF (Houston, TX)
- …+ Relationship building with Federal Field Specialists and ongoing communication related to complex case identification and planning. + Utilize data from a ... Description ICF is currently seeking Case Coordinators capable of working directly with ORR...working with immigrant youth and families. + Experience with complex family relationships and dynamics and demonstrated ability to… more
- The Cigna Group (Bloomfield, CT)
- …researching and providing solutions when possible along with assessing customer for ongoing complex case management needs and assigning to a client based CM ... **Premium Solutions Float Pool Nurse Case Management Lead Analyst** **This is a full-time...shifting demands of different situations.** **Ability to manage multiple, complex situations in a fast-paced environment collaborating** **with clinical… more
- Sunrun (Lehi, UT)
- …meets high-quality standards. This role focuses on optimizing field operations, managing complex case escalations, and driving continuous improvement in case ... data to identify trends, areas for improvement, and opportunities to enhance case resolution processes. + Escalation Management: Oversee complex or high-priority… more
- Ascension Health (Indianapolis, IN)
- …standards. Cover on units as needed and serve as a resource for complex case management issues. **Requirements** Licensure / Certification / Registration: One ... **Details** + **Department:** Case Management + **Schedule:** Full time, Mon-Fri days,...St Vincent Hospital + **Location:** Indianapolis, IN **MUST** have Case Management experience and a LCSW or RN license… more
- Iowa Department of Administrative Services (Cedar Rapids, IA)
- …Cedar Rapids Child Support Program, you will manage an assigned caseload, perform complex case management, prioritize tasks and time to meet performance goals ... with Child Support Services and programs. Independently analyze a variety of complex case situations and legal scenarios to determine the appropriate action to… more
- CAI (Wilmington, DE)
- …to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care ... Hybrid **Job Summary** We are looking for a motivated Case Manager, RN ready to take us to the...and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in… more
- Highmark Health (Dover, DE)
- …to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. + Collaborate with the member's health care ... and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in...and formulating an appropriate action plan. + Document all case management services and intervention in the electronic health… more
- Dignity Health (Woodland, CA)
- …to multidisciplinary team. Knowledge of regulatory and accreditation standards and complex case management. Knowledge of capitation/HMO, insurance payors and ... and work from home.** **Position Summary:** The Substance Abuse Case Manager is a member of the Dignity Health...quality of care and clinical outcomes for members with complex care needs by coordinating care within the health… more
- Baylor Scott & White Health (Temple, TX)
- …and/or level **Job Summary** As a Case Manager 2, you will primarily manage complex case loads and assist the team and top people with regulations. This may ... include handling high-risk cases and mentoring new case managers. The role requires attention to detail and...Success Factors** + Knowing different tools and resources in case management is essential for success in this role.… more
- Trinity Health (Berwyn, IL)
- …to effectively support patients. Organizational skills to prioritize and manage a complex case load and multiple responsibilities. Communication skills to ... to meet the psychosocial needs of patients and their families; resource for complex discharge planning needs. **Great opportunity for a Social Worker (part time) to… more
- University of Washington (Seattle, WA)
- …services range from individuals seeking one-time consults to those needing long term complex case management. **PRIMARY JOB RESPONSIBILITIES:** + Serve as a ... Center** has an outstanding opportunity for an **Gastroenterology Registered Nurse (RN2) Case Manager** to join our **GI clinic.** **WORK SCHEDULE:** + Full-time,… more
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