- 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 (Brazil, IN)
- …vital partner for health solutions in the public sector. Acentra seeks an RN Complex Case Manager in Brazil, Indiana (Counties: Greene, Sullivan, Knox, Clay, and ... Vigo) Job Summary: The RN Complex Case Manager will: + Provide in-home, in-person care coordination in defined areas of coal mine states and telephonic care… more
- DiPasquale Moore (Kansas City, MO)
- TITLE: Complex Case Personal Injury Paralegal SALARY: Competitive base salary commensurate with experience, plus annual bonus opportunity REQUIREMENTS: 1+ years ... altering event of a personal injury. Job Overview: The Complex Personal Injury Paralegal will be the main support...a team of Attorneys from the beginning of a case through the end. The ideal candidate will promote… more
- Highmark Health (Columbus, OH)
- …**Job Description :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a ... regulatory agency requirements and applicable standards of practice for case management. + Other duties as assigned or requested....+ 7 years of any combination of clinical and case management + 3 years of management/supervisory or leading/working… more
- CVS Health (Jeffersontown, 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
- State of Massachusetts (Gardner, 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 ... 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 to be… 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 Rotate - 2406003185 Description :...identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput,… more
- Stanford Health Care (Palo Alto, CA)
- …(Palo Alto, CA; onsite) **What you will do** + Coordination of Care -- - Complex case manager who manages each patient's transition through the system and ... Stanford Health Care (SHC)? Are you a seasoned RN Case Manager? Here is your opportunity to work with...timely implementation of discharge plans for assigned patients with complex needs in collaboration with other interdisciplinary team members;… more
- ICF (New York, NY)
- …+ 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...youth and families is highly preferred. + Experience with complex family relationships and dynamics and demonstrated ability to… more
- State of Massachusetts (Suffolk County, 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)
- …with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to ... intervention including risk assessment and referral to Social Work services and/or Complex Case Review. May delegate the implementation of the transition plan 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 ... **Nurse Case Management Lead Analyst -Remote -Full-Time** **Bilingual in...working with a variety of patients with acute and complex medical conditions** **If an internal Cigna employee, CMs… 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 8am-4:30pm...your Talent Advisor for additional specifics._ **Responsibilities** Manage assigned case managers, related activities and workflow to ensure effective… more
- Tenet Healthcare (Commerce Township, MI)
- …with physicians, office staff and ancillary departments, k) leading and facilitating Complex Case Review, l) assuring patient education is completed to ... RN Case Manager Clinical Res Mgmt Full Time Days...referrals to other departments, h ) identifying and referring complex patients to Social Work Services, i) communicating with… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …standard clinical guidelines such as milliman care guidelines, as part of management of complex case management cases. + Conduct case conferences with ... services required to meet the member's healthcare needs. Through communication, the case manager will identify available resources to promote quality, cost effective… 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
- 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
- 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...The Role** + 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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