• Manager- Case Management

    Ascension Health (Indianapolis, IN)
    …staffing standards. Cover on units as needed and serve as a resource for complex case management issues. **Requirements** Licensure / Certification / ... **Details** + **Department:** Case Management + **Schedule:** Full time, Mon-Fri days, occasional off shift coverage + **Hospital:** Ascension St Vincent… more
    Ascension Health (11/19/24)
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  • Nurse Manager RN - Case Management

    Ascension Health (Kankakee, IL)
    …standards. + Cover on units as needed and serves as a resource for complex case management issues. **Requirements** Licensure / Certification / Registration: ... **Details** + **Department:** Case Management + **Schedule:** Full-time, Days, 8am-4:30pm, with ability to support (mostly telephonically) evenings and weekends… more
    Ascension Health (12/20/24)
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  • Manager of Case Management

    Ascension Health (Nashville, TN)
    …staffing standards. Cover on units as needed and serves as a resource for complex case management issues. **Requirements** Licensure / Certification / ... **Details** + **Department:** Case Management + **Schedule:** Full-Time, Exempt + **Hospital:** St Thomas West + **Location:** Nashville, TN **Benefits** Paid… more
    Ascension Health (12/04/24)
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  • Case Manager II

    Sutter Health (Los Altos, CA)
    …to Sutter's Value Based Case Management team as appropriate (includes complex case management , transitions of care, disease or population case ... utilization of health services among a patient population with complex health needs. **Job Description** : **Description** These Principal...as needed when there is a delay in repatriation. Case Management : * Identify and refer patients… more
    Sutter Health (12/31/24)
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  • Medicaid Special Programs Case Manager

    CDPHP (Albany, NY)
    …Special Programs RN Case Manager and the success of the member-focused Complex Case Management Programs. Qualifications: + Registered Nurse with a ... and accountable for coordinating the care of CDPHP members who meet case management criteria across the continuum of care, ensuring and facilitating the… more
    CDPHP (12/12/24)
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  • Case Manager Long-term Care - Delaware

    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 ... 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… more
    Highmark Health (12/31/24)
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  • Medical Director--Claims Management

    Humana (Columbus, OH)
    …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of...in teams focusing on quality management , utilization management , case management , discharge planning… more
    Humana (10/29/24)
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  • Social Work Care Coordinator, Fairview Partners

    Fairview Health Services (Princeton, MN)
    …requested + Attends care conferences + Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care ... Fairview Partners (FVP) provides high intensity care coordination and case management for seniors and other at-risk...Coordinator for members with complex health care needs + Coordinates with other agencies… more
    Fairview Health Services (12/17/24)
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  • FV Partners SW Care Coordinator

    Fairview Health Services (Edina, MN)
    …requested + Attends care conferences + Convenes interdisciplinary team members, as needed, for complex case management + Consults with FVP Nurse Care ... Fairview Partners (FVP) provides high intensity care coordination and case management for seniors and other at-risk...Coordinator for members with complex health care needs + Coordinates with other agencies… more
    Fairview Health Services (11/25/24)
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  • Family Advocate Case Manager…

    Seattle Children's (Seattle, WA)
    …children, adolescents and families with complex psychiatric conditions with supportive case management . Services are a combination of in person and ... and support and advocacy. We are seeking a Family Advocate Case Manager to join our Complex Care Clinic team located at Outpatient Psychiatry: Magnuson bldg.… more
    Seattle Children's (12/14/24)
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  • Medical Director - Florida

    Humana (Columbus, OH)
    …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis...in teams focusing on quality management , utilization management , case management , discharge planning… more
    Humana (12/14/24)
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  • Clinical Lead - Crisis Center

    State of Georgia (Dekalb County, GA)
    …experience) in client engagement, interviewing and recording. DEVELOPS AND PARTICIPATES IN COMPLEX CASE MANAGEMENT /CARE PLANNING + Creates, communicates, and ... with behavioral health disorders. Provides counseling/therapy to clients requiring complex intervention, including those who are homicidal, suicidal or exhibit… more
    State of Georgia (11/07/24)
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  • Medical Director, Behavioral Health (Part Time,…

    Magellan Health Services (San Diego, CA)
    …episode of treatment. Continues physician oversight of at-risk patients deemed appropriate for complex case management and timely completion of all ... to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical necessity decisions. Follows… more
    Magellan Health Services (12/24/24)
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  • LVN Wellness Case Manager

    InGenesis (Fremont, CA)
    …* Performs a variety of complex , professional, analytical, and confidential case management services. * Maintains Chronic disease registry and enter, tracks ... In this role, you will evaluate, plan, and provide case management services, health education and counseling...services, health education and counseling services for patients with complex chronic conditions such as, but not limited to,… more
    InGenesis (12/25/24)
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  • Social Worker II

    Ellis Medicine (Schenectady, NY)
    …and hospital resources. + Actively participates in weekly multi-disciplinary rounds regarding complex case management of patients. Collaboratively formulates ... at: ###@ellismedicine.org What will you do as a Social Worker in Case Management ? + Assess, plan, implement and evaluate individual healthcare needs. Integrate… more
    Ellis Medicine (12/16/24)
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  • SCO Nurse Care Manager - Boston Area

    Point32Health (Canton, MA)
    …across the continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, ... operates + Bachelor's Degree in Nursing preferred + National certification in Case Management desirable **Experience** (minimum years required) **:** + 5+… more
    Point32Health (01/03/25)
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  • Director, Care Coordination - Remote - Idaho…

    Magellan Health Services (Idaho Falls, ID)
    …the evaluation of efficiency and productivity of care coordination functions, including complex case management , chronic disease programs, health promotion ... Idaho residency preferred. Maintains operational accountability for care coordination, case management , integration with physical health plan and health… more
    Magellan Health Services (12/04/24)
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  • Licensed Professional Counselor - Winn Way…

    State of Georgia (Dekalb County, GA)
    …experience) in client engagement, interviewing and recording Develops and Participates in Complex Case Management /Care Planning + Creates, communicates, and ... psychoeducation to adult mental health and substance abuse clients. Provides case management and develops client-driven treatment plans. Provides… more
    State of Georgia (10/31/24)
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  • Medical Director - Mid West Region

    Humana (Columbus, OH)
    …metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. ... prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or… more
    Humana (10/29/24)
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  • Care Manager - Nursing (Field)

    Point32Health (MA)
    …across the continuum, including transitions of care, care coordination and navigation, complex case management , population health and wellness interventions, ... Nurse Practice Act(s) where Point32Health operates + National certification in Case Management desirable + **Education** + Required (minimum): Registered… more
    Point32Health (01/03/25)
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