- CVS Health (Tallahassee, FL)
- …outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... provider in healthcare decision-making. - Monitoring, Evaluation and Documentation of Care : - Utilizes case management and quality management processes… more
- CVS Health (Springfield, IL)
- … more personal, convenient and affordable. **Position Summary** + Analyst , Case Management (ACM) drive and support care management and care ... care planning with appropriate referral to clinical case management or crisis intervention as appropriate....issues through established channels. + Monitors, evaluates and documents care utilizing case management and… more
- The Cigna Group (Bloomfield, CT)
- **Premium Solutions Float Pool Nurse Case Management Lead Analyst ** **This is a full-time Telephonic/Digital RN Case Manager role. Must be flexible to ... health advocacy to our customers** **Implements, coordinates, monitors and evaluates the case management plan as appropriate.** **Documents findings in a clear,… more
- CVS Health (Decatur, IL)
- …outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and ... requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate...provider in healthcare decision-making. Monitoring, Evaluation and Documentation of Care : - Utilizes case management … more
- CVS Health (Columbus, OH)
- …Conducts comprehensive evaluations of referred members' needs/eligibility using care management tools and recommends an approach to case resolution. - ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and… more
- The Cigna Group (Bloomfield, CT)
- Nurse Case Management Lead Analyst -Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical ... of relevant RN experience with a BSN degree + Case management experience preferred + 5+ years...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase… more
- CVS Health (Miami, FL)
- …a Monday Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members. Case Management Coordinator is responsible for ... business hours. We are seeking self-motivated, energetic, detail oriented, highly organized, tech-savvy Case Management Coordinator to join our Case … more
- CVS Health (Springfield, IL)
- … care more personal, convenient and affordable. **Position Summary** The Case Management Coordinator utilizes critical thinking and judgment to collaborate ... and inform the case management process. The ...benefits and education for members through the use of care management tools and resources. **Required Qualifications**… more
- CVS Health (Columbus, OH)
- …delivery systems, including local community networks and resources. + Case management and discharge planning experience + Managed Care experience + Medicaid ... coordination, support, and education through the use of care management resources in order to facilitate...for members. Helps implement projects, programs, and processes for Case Management . Applies practical knowledge of … more
- The Cigna Group (Birmingham, AL)
- …BS in Nursing * Three to Five (3-5) years recent experience in an acute- care environment, case - management or utilization management position (experience ... in participating provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical… more
- CVS Health (Columbia, KY)
- …etc. **Preferred Qualifications** * Knowledge of growth and developmental milestones. * Care management experience * Discharge planning experience * Managed ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- CVS Health (Tallahassee, FL)
- …a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Job Summary** The… more
- CVS Health (Harrisburg, PA)
- …a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Job Purpose and… more
- Beth Israel Lahey Health (Burlington, MA)
- …healthcare fields. Competence in standardized medical necessity criteria Three years of recent case management or utilization management experience ACM, CCM, ... requirements of various commercial and government payers. Partners with the health care team to ensure reimbursement of hospital admissions is based on medical… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst /Health Care Fiscal Analyst Trainee - 2 Positions, Central Office ... Qualifications Non-Competitive Qualifications for appointment under the NY HELPS Program:Health Care Fiscal Analyst Trainee 1 (starting salary $52,198): A… more
- Clark County, NV (Las Vegas, NV)
- MANAGEMENT ANALYST I/II Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/4717588) Apply MANAGEMENT ANALYST I/II Salary $30.32 - ... Department is seeking qualified candidates to apply for the Management Analyst I/II position. As a member...your full-time professional experience executing data reports using analytics, case management or other tools. + No… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Social Services Analyst 1 (WAE) - Child Care Assistance Program Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4708832) Apply Social ... Services Analyst 1 (WAE) - Child Care Assistance...order to determine the support services needed. Serves as case manager for assigned caseload by recording findings, recommendations… more
- Rising Ground (New York, NY)
- …performance quality is maintained, and that specified goals and outcomes are met. The Quality Management Analyst for Care Management serves as a liaison ... Ground is headquartered in downtown Brooklyn. Responsibilities Job Summary: The Quality Management Analyst (QMA) will lead the quality improvement process… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and ... equivalent of direct clinical care to the consumer + Case Management exp strongly preferred + Medicare experience strongly preferred + CCM Certification… more
- University of Michigan (Ann Arbor, MI)
- …including key departments that directly interact with payers including Revenue Cycle, Care Management , Pharmacy, and the professional medical groups. + ... Managed Care Payer/Operations Analyst Apply Now **Job...all payers. MCCO also is responsible for Pre-Service Single Case Agreements, which are patient specific most often involving… more