- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- The Cigna Group (Bloomfield, CT)
- …concerns, researching and providing solutions when possible along with assessing customer for ongoing complex case management needs and assigning to a client ... **Premium Solutions Float Pool Nurse Case Management Lead Analyst** **This is...shifting demands of different situations.** **Ability to manage multiple, complex situations in a fast-paced environment collaborating** **with clinical… more
- 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
- CAI (Wilmington, 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
- Lilly (Indianapolis, IN)
- …or other highly regulated industries. + Additional law firm experience supporting complex litigation case management preferred. **Additional Requirements:** ... experienced and innovative Sr. Director to lead and work alongside Lilly's Litigation Case Management Team (LCMT), responsible for supporting all aspects of… more
- Dignity Health (Woodland, CA)
- …to multidisciplinary team. Knowledge of regulatory and accreditation standards and complex case management . Knowledge of capitation/HMO, insurance ... quality of care and clinical outcomes for members with complex care needs by coordinating care within the health...readmissions and ER visits. This position will involve telephonic case management and direct patient contact. Provides… more
- Iowa Department of Administrative Services (Cedar Rapids, IA)
- …the Cedar Rapids Child Support Program, you will manage an assigned caseload, perform complex case management , prioritize tasks and time to meet performance ... with Child Support Services and programs. Independently analyze a variety of complex case situations and legal scenarios to determine the appropriate action to… more
- Stanford Health Care (Palo Alto, CA)
- …service delivery, and compliance with external review agencies' requirements. A health-system case management program has as its primary goal to ensure ... Education, Bioethics Referrals & Management , Physician, Staff & Community Education, Case Management Education & Training, Risk Management Identification… 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 ... 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
- 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 ... Center** has an outstanding opportunity for an **Gastroenterology Registered Nurse (RN2) Case Manager** to join our **GI clinic.** **WORK SCHEDULE:** + Full-time,… more
- Avera (Parkston, SD)
- … Manager is a specialized nurse that identifies members who would benefit from complex /chronic condition case management and/or service coordination. The RN ... experience in acute care setting required. + Nursing experience in case management , disease management , care coordination or equivalent preferred. **Work… more
- Blue KC (Workman, MN)
- …and tailors teaching to member's knowledge level and learning style. + Enrolls new complex members monthly for case management services and initiate the ... inpatient acute care setting; medical/surgical; transitions of care; discharge planning, home health, case management + Comfortable case managing members of… more
- 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
- 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 (Maplewood, 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
- Rising Ground (Brooklyn, NY)
- … management supervision to clinical staff and interns; assist in resolving complex case management issues; conduct one-on-one supervisory sessions for ... demonstrates the ability to provide trauma-informed assessment, psychotherapy and assertive case management services to survivors of violent crime. This… more
- Magellan Health Services (Honolulu, HI)
- …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
- 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
- Idaho Division of Human Resources (ID)
- …coordinating social services and resources with community agencies on behalf of clients with complex needs. Case management includes the assessment of a ... as needed for processing applications and for assessments. + Provide interim case management to facilitate client access to support services; take action to… more
- 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
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