- Health First (Melbourne, FL)
- *POSITION SUMMARY * The Case Management Support Specialist position is responsible for providing Quality/No Harm, Customer Experience, and Stewardship by ... personal vehicle. **Job:** **Clerical Support* **Organization:** **Holmes Regional Medical Center* **Title:** * Case Management Support Specialist - Case … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN...acute hospital setting. At least 2 years of Utilization Management / Case Management experience in a ... required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims… more
- ERP International (Twentynine Palms, CA)
- …not limited to the following: **CORE Duties:** * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... telephonic CM * Develop and implement tools to support case management , such as those used for...Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). o National Board for Certification… more
- Medical Mutual of Ohio (OH)
- …pre-employment substance abuse and nicotine testing._ **Title:** _Clinical Services Support Specialist ( Case Management )_ **Location:** _Ohio_ **Requisition ... **performs administrative functions in support of assigned utilization review or case management department. Receives and reviews correspondence from various… more
- Matrix Providers (Kings Bay Base, GA)
- …Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS). + Association of Rehabilitation Nurses: ... Certification: Certified Rehabilitation Counselor (CRC). + American Nurses Credentialing Center Nurse Case Manager (RN-NCM). + National Academy of Certified… more
- Immigration and Customs Enforcement (IN)
- …in the Clinical Services Support Unit. The incumbent serves as the Senior Clinical Nurse Specialist , Medical Asset Support Team (MAST) member, for the IHSC ... as described in a Memorandum of Agreement. SUPERVISORY CONTROLS: The Clinical Senior Nurse Specialist , Medical Asset Support Team (MAST) member works under the… more
- Veterans Affairs, Veterans Health Administration (Charleston, SC)
- …for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Responsibilities ... Facility Administrative Registered Nurse (RN) focus on individual growth and development in practice with increased levels of self-direction in quality of care… more
- LA Care Health Plan (Los Angeles, CA)
- …Grievance (A&G) program for LA Care Health Plan members under the direct supervision and management of the A&G Nurse Specialist , RN and/or Medical Director. ... Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category:...and external review organization (QIO or IRE). Process the case thru to effectuation and final case … more
- Travelers Insurance Company (Richmond, VA)
- …or future goals. + Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab ... Is the Opportunity?** Under moderate supervision, provide office based telephonic medical case management with emphasis on early intervention, return to work… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- Summary The Patient Safety Specialist RN assumes responsibility for coordination of care events involving the interdisciplinary team surrounding patient safety. They ... Responsibilities Major duties/functions include, but are not limited to: Management of schedules for several related patient safety activities in… more
- Indian Health Service (Pine Ridge, SD)
- …for this job: Total Compensation | Pay (ihs.gov) GS-0610, Nurse /Supervisory Nurse (ihs.gov) Applies case management essential activities assessment, ... Pine Ridge South Dakota. Primary responsibilities are to provide case management services to needing coordination of...across the continuum of care. Functions as an OB nurse in assessing planning and implementing and evaluating the… more
- Children's Hospital & Research Center Oakland (Oakland, CA)
- **Position Summary:** A Clinical Nurse Specialist (CNS) is a Masters prepared Advanced Practice Registered Nurse whose function is to improve outcomes in ... practice: patient care, nursing, and systems. The Pediatric Clinical Nurse Specialist is a clinical expert in...a theory-based practice to provide and/or direct the clinical case management for a specialty pediatric population.… more
- LifePoint Health (Hickory, NC)
- …Geometric Length of Stay (GLOS) for each patient. Reports to: Director of Case Management ESSENTIAL FUNCTIONS . Assists with developing specific departmental ... *Registered Nurse (RN), Clinical Case Manager* Fulltime... managed population. . Educates Physicians and staff in Case Management standards and assists them in… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN)...and external review organization (QIO or IRE). Process the case thru to effectuation and final case … more
- MyFlorida (La Belle, FL)
- REGISTERED NURSE SPECIALIST - 64082002 Date: Nov 14, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 841215 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64082002 Pay Plan: Career...numbers in the performance of job duties. Healthy Start Case Management + Implements the Healthy Start… more
- Indian Health Service (Crownpoint, NM)
- …implements, evaluates and revises the service unit patient care coordination and case management program for nursing service. Collaborates with primary care ... providers, clinic nurses, public health nursing, case management and social services to ensure that the patent's care needs are done in a timely and cost… more
- MyFlorida (Spring Hill, FL)
- REGISTERED NURSE SPECIALIST - 64053980 Date: Nov 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 841892 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64053980 Pay Plan: Career...continuity of health care. Responsible for providing and ensuring case management nursing services to clients. Monitors… more
- LifePoint Health (Henderson, NC)
- …Support (BLS) certification through the American Heart Association is required. Case Management certification is preferred. *Required Skills* Critical thinking ... Registered Nurse (RN) Case Manager Job Type:...hospital experience is required. Supervisory experience is preferred. Hospital case management experience is strongly preferred. *EEOC… more
- Travelers Insurance Company (West Bridgewater, MA)
- …including relevant case and statutory law and procedure; expert litigation management skills. + Extensive claim and/or legal experience and thus the technical ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Health First (Rockledge, FL)
- …and outcomes. * Identifies problems or complex cases and refers for possible case management intervention and identifies patients with chronic disease process ... analytical and problem solving skills. * Ability to think critically in an Utilization Management and Case Management setting, define and identify risks and… more
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