- The Cigna Group (Austin, TX)
- …concerns, researching and providing solutions when possible along with assessing customer for ongoing complex case management needs and assigning to a client ... **Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time**...working with a variety of patients with acute and complex medical conditions** **If an internal Cigna employee, CMs… more
- Molina Healthcare (Bronx, NY)
- …the severity of illness and the site of service. **This position will be supporting our Complex Adult Case Management program . We are seeking a Registered ... assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or… more
- Ascension Health (Austin, TX)
- …staffing standards. Cover on units as needed and serve as a resource for complex case management issues. **Requirements** Licensure / Certification / ... **Details** + **Department:** Network Case Management + **Schedule:** M-F 8am-5pm + **Hospital:** Ascension Seton Administrative Offices + **Location:** Austin,… 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
- Iowa Department of Administrative Services (Ankeny, IA)
- …license and the ability to travel on occasion, as needed. Job Duties: + Performs complex case management for parents in need of paternity, medical and ... and other written correspondence. + Independently analyzes a variety of complex case situations and legal scenarios to determine the appropriate action 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 ... Center** has an outstanding opportunity for an **Registered Nurse (RN2) Case Manager** to join our **10NJB Surgical Specialty Clinics - GI/Kidney/Liver/Hypertension,… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …coordinating/ case managing a case load of patients that require moderate or complex care coordination or case management . This care coordination and ... in Specialty Clinics is a member of the facility Care Coordination and Integrated Case Management (CCICM) team. The incumbent reports to the Specialty Clinics… more
- Justice, Bureau of Prisons/Federal Prison System (Bruceton Mills, WV)
- …resources available for inmates upon release. Serves as the subject matter expert for case management and correctional systems management programs at the ... institution. Conducts internal audits of the local case management and correctional systems programs in order to monitor, analyze, assess policy compliance and… more
- Justice, Bureau of Prisons/Federal Prison System (Tucson, AZ)
- …of humanity and normalcy, we develop good neighbors. Responsibilities Serves as the Deputy Case Management Coordinator (DCMC) at one of the Bureau of Prisons ... (BOP) Federal Correctional Complex (FCC) facilities. Formulates institution supplements to ensure Bureau...implemented at the institution level in the area of case management . Implements BOP case … more
- 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
- 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
- Clark County, NV (Las Vegas, NV)
- …family. May receive higher level of care cases that require more intense and/or complex case management monitoring; Provides services to families with child ... agencies. May receive higher priority cases that require more complex and experienced case management ...cases that require more complex and experienced case management skills. Child Receiving/Placement Receives children… more
- University Medicine (East Providence, RI)
- …order to ensure a safe discharge from the care setting. Once stratified for complex case management , an initial assessment is completed including patient's ... SUMMARY: Reporting to the Manager of Case Management , the nurse case...engagement in order to work with the most medically complex patients based on payer lists and Brown Medicine… 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 ... canidate demonstrates the ability to provide trauma-informed assessment, psychotherapy and assertive case management services to survivors of violent crime. This… more
- VNS Health (Manhattan, NY)
- …passion for delivering optimized care programs for high-risk members, including chronic disease management , complex case management , and preventive care ... are passionate about leading, mentoring, and developing a high-performing team of care management professionals. + You excel at analyzing complex data and… more
- Air Force Materiel Command (Wright-Patterson AFB, OH)
- …(FMS positions may require up to 50% travel). 2. Provides expert advice for complex FMS case management issues and ascertains that overall program ... planning, managing, and coordinating total, cradle to grave logistics management to support a complex , major weapons...to grave logistics management to support a complex , major weapons system from concept through field deployment.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Center **Job Summary:** JOB SUMMARY Provides leadership by being actively involved with case management staff to help complex cases and remediating ... Demonstrates expertise in applying evidence-based practices to challenging and complex situations. * Case Management ...practices to challenging and complex situations. * Case Management (Advanced): Demonstrates the uppermost levels… more
- Prime Healthcare (Newark, NJ)
- …included is treatment adherence counseling to ensure readiness for, and adherence to complex HIV/AIDS treatments. Medical case management also includes ... Case Counselor II - MCM will be responsible for providing direct case management services to the patients of the Peter Ho Memorial Center; Client-centered… more
- 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
- The Cigna Group (Maitland, FL)
- …efficient, high quality and cost-effective manner. Refers to appropriate clinical partners (ie complex case management and / or Specialty Case ... and external programs to support outcomes. + Identifies cases appropriate for complex case management and follows process for referral. + Works effectively… more
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