- Unknown (Sacramento, CA)
- …compliance with business partners, and designing and conducting training programs on medical case management. The role also involves providing technical ... Vice President, Bill Review & Managed Care About the Company Respected...expertise to case managers, resolving complex issues, and maintaining… more
- Saint Vincent Hospital (Worcester, MA)
- …transition plan, e) leading and/or facilitating multi-disciplinary patient care conferences including Complex Case Review , f) making appropriate referrals to ... are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business… more
- Zeiders Enterprises, Inc (Camp Lejeune, NC)
- … Case Managers (NMCM) provide extended support, and outreach calls for non- complex , non- medical case management in situations where issues or concerns ... Description Job Title: Non- Medical Case Manager Zeiders is an...financial, administrative, personal, and transitional support and assistance for non- complex cases, as well as other issues that may… more
- Prime Healthcare (Newark, NJ)
- …readiness for, and adherence to complex HIV/AIDS treatments. Medical case management also includes client-specific advocacy and review of use of ... clinical team with resources, information, and performs the various steps of medical case management including completion of intakes, psychosocial assessments,… more
- Chenega Corporation (Rockville, MD)
- …Professional Services Strategic Business Unit** company, is looking for a Physician- Contract Medical Reviewer (CMR) to support the Department of Health and ... MD location. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A minimum...+ A minimum of 10 years of professional experience medical consultation support to a busy and complex… more
- Chenega Corporation (Rockville, MD)
- …Services Strategic Business Unit** company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health and ... this aligns closely with the types of cases we review . Clinicians with backgrounds in Internal Medicine, Family Medicine,...+ A minimum of five years of professional experience medical consultation support to a busy and complex… more
- University of Southern California (Los Angeles, CA)
- …services, including transfers to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look to eliminate gaps ... of specific patient populations. The role integrates the functions of complex case management, utilization management, quality management, discharge planning… more
- Lilly (Indianapolis, IN)
- …are determined to make life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting ... comprehensive medical review of Individual Case Safety Reports (ICSRs),...clinical research principles, regulations, and be able to interpret complex situations and assess impact of evolving regulatory environment… more
- Lilly (Indianapolis, IN)
- …are determined to make life better for people around the world. Purpose: The Case Management Medical Review Physician is responsible for conducting ... comprehensive medical review of Individual Case Safety Reports (ICSRs),...clinical research principles, regulations, and be able to interpret complex situations and assess impact of evolving regulatory environment… more
- HCA Healthcare (Richmond, VA)
- …encourage you to apply for our **Trauma Complex Care Social Worker Case Manager** opening. We promptly review all applications. Highly qualified candidates ... Do you have the career opportunities as a Trauma Complex Care Social Worker Case Manager you...experience in an acute care setting preferred. + Previous case management or utilization review experience preferred.… more
- Henry Ford Health System (Detroit, MI)
- …with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems. + Knowledge of CMS, commercial ... sign on bonus available for qualified experienced candidates with current 2 years RN Case Management in a large acute care hospital setting. GENERAL SUMMARY: The … more
- Henry Ford Health System (Detroit, MI)
- …of computers, Electronic Health Records, data base systems and utilization review / case management documentation systems. Desire to work collaboratively and ... for qualified experienced candidates with current 2 years MSW Case Management in a large acute care hospital setting....of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About ... * Receives referral for member identified with high cost, complex medical conditions and telephonically outreaches to...to the member, family and providers to engage in complex case management program. * Conducts clinical… more
- HCA Healthcare (Savannah, GA)
- …$10,000 sign-on bonus for qualified candidates! **Job Summary and Qualifications** **The Complex RN Case Manager is responsible for non-clinical, biopsychosocial ... Hospital Case Management experience required** **Benefits** **Memorial Health University Medical Center, offers a total rewards package that supports the health,… more
- UCLA Health (Santa Monica, CA)
- …teaching hospitals Inpatient general medicine experience within a teaching hospital and complex case management experience is preferred. UCLA Health welcomes all ... high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care. We're… more
- Select Medical (Madison, WI)
- …respiratory therapist or master's in social work and minimum three (3) years of medical case management or similar experience._** **Previous case mangement ( ... discharge planning ) experience with medically complex patients in a hospital critical care setting and...a related discipline. + Minimum three (3) years of medical case management or similar experience. +… more
- Select Medical (San Diego, CA)
- …respiratory therapist or master's in social work and minimum three (3) years of medical case management or similar experience._** **Previous case mangement ( ... discharge planning ) experience with medically complex patients in a hospital critical care setting and...a related discipline. + Minimum three (3) years of medical case management or similar experience. +… more
- Trinity Health (Boise, ID)
- …and the highest quality of care. We have a great opportunity available for an **RN Complex Care Manager** to join our team! As an RN Care Manager with the Saint ... model (APM) and accountable care organization (ACO) members with complex condition/illness, high utilization, and/or polypharmacy impacting health outcomes.… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, ... assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams,...in health care team care conference for patients with complex problems. + Facilitates patient and family education and… more
- Tenet Healthcare (Detroit, MI)
- …Coordination * Works with Nursing and hospital leadership to ensure Patient Care Conferences and Complex Case Review processes are in place to promote timely ... data to drive hospital utilization performance improvement, c) ensures medical necessity review processes are completed accurately...education * Completes initial and annual competency and evaluation review on all case management staff *… more
